Development - Candidate Application Form

Application form for Development Programmes
Please Note: If you have already emailed Prime Dispute regarding a training, development or event and your booking has been confirmed, you do not need to complete this form.
Do not complete this form if you do not want Prime Dispute to collect, store, share and process your information. You are able to email us if you prefer and stipulate the training, development or event you would like to book or reserve.

* Indicates required field

Title: *

Name *

First

Last

Job title *

Company name: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Work Telephone: *

Mobile: *

Social Media Links: *

Email: *

Website Address: *

Emergency Contact Name *

Emergency Contact Number *

Who will be the primary contact for this booking (if different from the first name above)

Full Name *

Email *

Work Telephone *

Development Applied For: *

If Other, please specify: *

Delivery of Training, development and Events:

Please ensure you have read :

Please specify if you have any special dietary or access requirements: *

Please tell us if you have any learning difficulties or special needs so we can support you: *

Are you a member of another membership body/organisation? *

Once you click 'submit' your application will be sent to our team to review. Please indicate it you prefer to 'pay online' or 'receive an Invoice to pay directly' once your application has been approved and accepted? *

Pay Online Receive an invoice & pay directly Other

Please note: The invoice will include the name and address you have provided above. If you prefer an alternative name or department within the organisation to be named, please specify in the below box. *

I declare that the information I have given on this application form is true and correct. I also agree to abide by the; User Agreement, Business Ethics and Conflict of Interests Policy, Policies relating to training/development and/or events and Terms & Conditions**(Please do not tick yes, if you do not want Prime Dispute to collect, store, share and process your information) or similar. *

Yes

** Please read our Terms & Conditions fully. Prime Dispute will collect, store, share and process information within and outside the UK and comply with all data protection laws. If you have any questions, please contact Prime Dispute.

Name *

First

Last

Date *

Submit

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About Prime Dispute

Prime Dispute / Is a global membership organisation for qualifications and standards in law, dispute avoidance, management & resolution

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CandidateDevelopment APPLICATION FORM

Candidate
Development APPLICATION FORM