Enrollment Form Digital Skills Counselling & Tech Mentorship

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Enrollment Form

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DIGITAL SKILLS COUNSELLING & TECH MENTORSHIP

Learn in-demand digital skills. Build real projects. Monetize your knowledge.
Please complete this form carefully. Our team will contact you within 24 hours after review.

First Name *

Last Name

Email Address *

Date of Birth *

Day *

Month *

Year *

Phone Number / WhatsApp *

Street Address *

City

State/Province

Country

Age Range *Under 1818 – 2526 – 3536 – 4546 and above

Gender *MaleFemale

Highest Level of Education *Secondary SchoolDiplomaBachelor’s DegreeMaster’s DegreeOther: ___________

Current Career Status *StudentUnemployedEmployedSelf-employedCareer Switcher

Do you have any digital/tech experience? *Yes (Beginner)Yes (Intermediate)Yes (Advanced)No experience

If yes, briefly describe your experience *

Select Your Mentorship Plan *Basic Plan (₦12,000 – 1 Month)Standard Plan (₦28,000 – 3 Months)Premium Plan (₦55,000 – 6 Months)

Select the Digital Skill You Want to Learn *Web Design & DevelopmentGraphic Design & BrandingDigital MarketingContent Creation & MediaOnline Business & FreelancingNot sure (need guidance)

Preferred Mentorship Style *Preferred Mentorship StyleGroup TrainingOne-on-One MentorshipCombination of Both

How did you hear about us? *Social MediaWebsiteReferralWhatsAppOther

What is your main goal for joining this program? *Learn a new digital skillStart freelancingGet remote jobsImprove existing skillsBuild an online businessOther: ___________

What major career challenge are you currently facing? *Career confusionSkill mismatchLack of directionPoor job satisfactionCareer transitionPersonal developmentOther: ___________

What do you hope to achieve from this mentorship? *

What major career challenge are you currently facing? *Career confusionSkill mismatchLack of directionPoor job satisfactionCareer transitionPersonal developmentOther: ___________

Preferred Session Days *WeekdaysWeekends

Preferred Session Time *MorningAfternoonEvening

Declaration *Agree to all to procced.I confirm that the information provided is accurate.I understand that this program provides guidance and mentorship, not job placementI agree to abide by mentorship rules and schedules

Payment Sender's Name *

Payment Sender's Bank *

Upload Payment Prove *

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