Pre-registration of a learner

BILAN DE COMPETENCES 2024 Pré-inscription

Si vous souhaitez avoir des informations pour un bilan de compétences ou bien être recontacté par un conseiller, merci de remplir ce formulaire en nous donnant le maximum d'information. Utilisez l'espace "Note libre" pour nous faire part de votre projet d'évolution ou de reconversion.

General information

Honorific

First name*

Last name* Email* Birth name

Nationality

Address

Postcode

City

Country

Phone*

Secondary phone

Language in the Learners' Portal

Status

Company

Profession*

Company name

Company registration number

Other

Free notes

Information for funding agencies

Socio-professional category

Nature of the employment contract

Disabled worker recognition

Fields marked with * are mandatory.

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