Montessori Intensive Course - English

December 2018
Enrolment Form

Full Name : _________________________________

Date of Birth : _________________________________

HP Number : _________________________________

Best Email address : _________________________________

Rewrite email address : _________________________________

Which Course are you enrolling for? (please tick your option below)

___ Basic MIC (10th – 14th December 2018 – 5 Days)

___ Advance MIC (17th – 21st December 2018 – 5 Days)

___ Both – Basic & Advance MIC (10th – 21st December 2018 – 10 Days)

Now a little bit of you so we get to know you better…

1. Write in detail - Why are you interested in this program?

___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

2. How did you hear about us?

􀀀 Google 􀀀 Instagram 􀀀 Facebook 􀀀 Email 􀀀 Through a friend

􀀀 Other: _____________________________________

www.sunshineteacherstraining.id
Phone: Siska 0819-040-18018 / Jenny 0815-9005356
Email: training@sunshineteacherstraining.id
3. Are you…
􀀀 Under 20 􀀀 Between 20 and 30 􀀀 Between 30 and 40 􀀀
Above40

4. Where do you live?

􀀀 Jakarta Pusat 􀀀Jakarta Selatan 􀀀Jakarta Barat 􀀀Jakarta Utara
􀀀Jakarta Timur 􀀀Other: _________________________

5. What is your current occupation?

􀀀 Full time parent 􀀀Principal 􀀀Teacher 􀀀 Other: _______________

6. What are your hobbies? : _________________________________

7. Would you prefer vegetarian or non-vegetarian snacks? Our non-veg

snacks are halal and includes only chicken / egg.

􀀀 I prefer Vegetarian

􀀀 I prefer Non-Vegetarian

Other dietary restrictions: _____________________________________

9. Have you done any courses with us in the past? If yes… which course
and when.
___________________________________________________________
___________________________________________________________
Kindly Note:
This course will be held at the following venue:
Sunshine Teachers’ Training
Jl. Cempaka Putih Raya No: 21, Jakarta 10510

www.sunshineteacherstraining.id
Phone: Siska 0819-040-18018 / Jenny 0815-9005356
Email: training@sunshineteacherstraining.id