Registration Form

 

Full Name
Email
Home Phone
Business/Cell Phone
Emergency Contact Name/Number
Gender Male Female
Date of Birth (dd-mon-yyyy)
Citizenship
Highest Degree/Qualification
Full Time Zayed University Student Yes No
Occupation
Name of Employer
Is your employer paying or reimbursing you for this training? Yes No
Please tell us how you heard about the class you are registering for? I.C.E Catalog/Brochure Radio Newspaper Internet
Which Courses are you interested in? Course 1 :
Location :

Course 2 :
Location :

Course 3 :
Location :

Questions/Comments


Zayed University Institute for Community Engagement
tel: 971-4-3901600/3901626 Mobile: 971-50-4567405; email: ceice@zu.ac.ae