Pre-registration of a learner

PROMPT BRIDGING : arrimer la technique PROMPT à l’intervention orthophonique - from January 25, 2024 to January 27, 2024

Merci de remplir toutes les informations demandées. Vous recevrez le dossier à retourner par mail dans un délai maximal de 7 jours environ.

General information

Honorific

First name*

Last name* Email* Date of birth*

Address*

Postcode*

City*

Country*

Phone*

Language in the Learners' Portal

Status

Profession*

DPC fields

ADELI NO.*

Main exercise (> 50%)*

National guidelines

Fields marked with * are mandatory.

The data collected in this form is processed by Maddie Communique in order to manage your registration on the site. To find out more about the management of your personal data and to exercise your rights, we invite you to read our privacy policy