Firebrand Training | Accelerated IT Training

Enrolment details

Course attending (Change course)

Course date*

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Split weeks (only relevant for selected courses of more than 7 days duration)

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Who was your contact at Firebrand Training?*

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If you were referred by a Firebrand Training student, please enter their name

Student information

Where applicable, this is where your pre-reading material will be sent. If you are self-funding, this is also who the invoice will be made out to.

First name*

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Surname*

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Address 1*

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Address 2

City*

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Emirate / Province / State

Post Code

Country*

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Phone*

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Mobile phone

Fax

email*

Please enter your email address in the format name@email.com

Billing information

This is where the course invoice will be sent and details who will be paying the course fees. If your course is self-funded you may leave this section blank.

Company name

Name

Surname

Company address 1

Company address 2

City

Emirate / Province / State

Post Code

Country

Company Phone

Company mobile

Company fax

Company email

Student preferences

Please specify any food allergies or special needs

What is your prefered testing language, other than English?

Student qualifications and experience

The following information helps us prepare for your attendance at the course. The more you share with us the better we can prepare, however please try and be concise.

What is your current job title?

Please describe your current role*

Please give us some idea about what is involved with your current role.

Please describe your career background*

Please give us some idea of your technical background

Have you taken any preparation courses toward the certification you are pursuing with Firebrand Training?

Please tell us about any qualifications you may have, like a Degree or an IT qualification

Please describe your technical strengths in relation to the course you are pursuing

Please describe your technical weaknesses in relation to the course you are pursuing

Logistical arrangements

Will additional nights of lodging be required? If so please specify dates

Plan to arrive at the training centre the day before the first day of class
Room check-in is at 4:00 pm. If you plan on arriving earlier, early check-in may be available but cannot be guaranteed
A camp orientation is held at 6:00 pm the evening before the first day of class, followed by a group dinner at 8:00 pm. Attendance at the orientation is mandatory
You will be emailed a logistics document which will provide full details on travel and accommodation

Payment

In order to reserve a seat for the course date requested, completion of this registration form, and the total cost of the program or pre-approved status of a formal application for a loan is required
The balance of the payment is due on receipt
Please note that a handling fee of 2% for Visa/Mastercard and 2% for American Express will be charged on credit card transactions to cover the costs imposed by creditcard companies. There is no charge for payment by Switch/Maestro or any other debit card
Full payment is due if registration is made within fourteen days before the start date of the camp
If you have nominated to pay by Credit or Debit card a member of our Customer Services team will be contacting you

How are you paying for the course?*

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Cost of course (in US Dollars)*

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Cheque or electronic transfer

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Loan type*

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Date application faxed/completed

Company purchase order number

Terms, conditions and registration

Please read our Terms and Conditions. By pressing the registration button you confirm you have read them and agree to be bound by them.

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