Being Academy
Learners Form
Name
Email
Age
Phone/Mobile Number
Address
Gender
Male
Female
Others
Current Engagement
Freelance
Nothing
Employed
Study
Others
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What are your current challenges, wonders or questions in life ?
Share any one thing that you've been pursuing or exploring for a long time
(more than a year at least...)
How do you look at the world today ?
What do you think are major issues today ?
Amongst the above, what is that one issue that you wish to engage with to at least try and seek solution or answers...
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What interested you to join being academy?
How did you get to know about this course?
Friends
Whatsapp
Youtube
Facebook
Instagram
Other
Will you be able to contribute financially ?
Yes, I can pay for myself and may be support others if needed
Yes, I can pay for myself
No, I need partial sponsorship
No, I need full sponsorship
Not sure yet:
Other
Do you have any questions for us or any concerns or feedbacks ?
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