Leaner Registration Form 1. Basic InformationTell us who you are and how we can reach you. This helps us personalize your experience and keep in touch about sessions, updates, and opportunities.First NameLast NameGender Male FemalePhone NumberEmail AddressCounty NationalitySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe2. Education BackgroundWe’d love to know your learning journey so far. This helps us tailor content and support based on your level.Highest Level of Education- Select -PrimarySecondaryCollegeUniversityVocational/Technical TrainingOther (please specify)Are you currently a student? Yes NoIf yes, which institution are you in?3. Professional & Skills ProfileLet’s understand your current experience and your goals. We want to help you grow from wahere you are.Are you currently employed or running a business? Yes NoWhich course would you like to enroll for? What do you hope to achieve after joining Skill Kwa Ground?How would you rate your current digital skills? Beginner Basic Intermediate Advanced Expert4. Technology AccessTo help you succeed, we need to know the kind of tech tools you have access to for learning and practice.Do you have access to the following? Smartphone (Yes / No) Laptop or Computer (Yes / No) Stable Internet (Yes / No)Preferred Mode of Learning: Live Online Sessions (Zoom/Google Meet) Pre-recorded Video Lessons In-person Training (where available) All of the above5. Other InformationThis helps us understand your connection to Skill Kwa Ground and how we can include you better.How did you hear about Skill Kwa Ground? Whatsapp Instagram Facebook Friend/ReferralDo you have any special needs, challenges or support we should know about?6. Consent & ConfirmationBefore we finish, we need your permission to use your data responsibly and support your learning journey.Would you like to join the Skill Kwa Ground Community? Yes NoI consent to Skill Kwa Ground collecting and using my information for learning-related communication and support. Yes NoSignature and ConfirmationSubmit Form
