Membership - Abuja School

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The Abuja School of Social and Political Thoughts Membership Form

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Name *

First

Middle

Last

Email Address *

Phone Number

State of Origin *

LGA of Origin *

Residential Address *

Age Range (Tick Below)

Highest Qualification and Date *

Professional / Leadership Training *

Where do you work currently? *

Where did you work last?

What is your Research Interest?

List of Skills and Abilities

Do You Need a Mentor? *

If Yes to The Above Question, Can You Mention the Person's Name?

Will You Like to Mentor Someone? *

If Yes to The Above, What Age Range Will You Prefer?

Who Can We Contact in an Emergency Situation? (Kindly provide name and phone ) *

Contact Phone Number *

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I agree that the information above is accurate and provided by me, in fulfillment of Abuja School of Social and Political Thoughts Membership requirements.

Abuja - Nigeria
Telephone No.: +234 (0) 801 234 5678
Email: info@abujaschool.org.ng

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