First Name

Last Name

Email

Level Level 2 Level 3 Level 4

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Select Day and Time 17th February 11.00am 18th March 11.00am 15th April 11.00am 13th May 11.00am 10th June 11.00am 8th July 11.00am 5th August 11.00am 2nd September 11.00am 30th September 11.00am 28th October 11.00am 25th November 11.00am 23rd December 11.00am

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Job Title

How long have you worked in this role

Career Experience Please provide us with an overview of your career experience within the procurement industry (if you have not yet worked in an procurement environment, please let us know this and describe your working background)?

What type of procurement do you work in? Public Private Third Sector

Aspiring Procurement Role If you are not currently working in procurement, please confirm your current role and the type of procurement you would like to work in once qualified?

What are you hoping to Achieve with a CIPS Qualification?

Have you previously studied for or achieved any other professional qualifications? Yes No

Qualifications Studied

Further Info

SIGNED The zoom session will be recorded the session. You will be sent a copy of the recording which you can then refer to, should you wish to, at any time. The recording will be shared with other CIPS learners. Please sign this form to confirm you are aware that recording will take place and your screen name, image and any information you share during the call will be viewable by others.

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