EmailMe Form - NEA Registration for Virtual Training

Name and Surname of the Participant / Student *

First Last

Email that will be used for setting up the virtual appointment.

The computer or smart phone where this email address has been set up needs to be available for the actual virtual training session: *

Confirm

Contact cell number of parent or participant - this number will be used by the coach to contact you for setting up the appointment: *

### - ### - ####

Confirm

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Preferred language of communication and training *

In what grade are you currently in? *

Select one or more of the following broad genres in which you would require training in: *

Please provide more details about your training needs in the selected genre (for example in speech and drama: support with a poetry presentation, theatre work (monologues), public speaking, etc.)

Sessions would be 30 - 35 minutes in duration each. Kindly indicate the preferred times for your virtual training session: *

Morning

Afternoon

Evening

Weekend

Please tick one or more of the options if applicable:

Access to internet: Virtual internet connections require a reasonable fast and stable internet connection. Please select one of the following options: *

I have access to Fibre internet

I have access fast and stable mobile data on my Smartphone

I do not have access to Fibre or mobile internet

Please select the appropriate option above:

Additional information or Questions:

Should you have any requests for you first training session please elaborate here: (e.g. help with the selection of material, etc.)

Registration on the Virtual Training platform is subject to the payment of a once-off yearly payment of R 50 per participant. Kindly upload the proof of payment here. Please use the name of the participant as well as the tel. no. as provided on this form as reference when submitting the payment. *