Pre-registration of a learner

HJS069-2022 -Formation de formateur et superviseur petite-enfance Concevoir et animer une formation adaptée à un public de professionnel petite enfance - from January 6, 2022 to December 15, 2023

Vous pouvez préinscrire un stagiaire à la formation grâce à ce formulaire. Merci de rentrer un maximum d'informations pour simplifier le travail d'enregistrement. Vous pouvez laisser un message complémentaire dans la partie 'Notes libres'.

General information

Honorific

First name

Last name* Email* Date of birth*

Birth name

Nationality

Postcode of place of birth

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

Social security number

Nature of the employment contract

Disabled worker recognition

Fields marked with * are mandatory.

The data collected in this form is processed by HALPPY ACADEMY 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