To apply to enrol in one of Audience Dialogue's online courses, please answer all questions on this form, then send it in.
1. Which course are you applying for?
(At the moment there is only one course, so this answer is automatically ticked.) Basic audience research
Basic audience research
2. What is your full name?
3. Which name do you prefer to be called, for short?
4. What is your family name?
5. Your mailing address?
6. Your gender? Male, or Female
7. Your age?
8. Your occupation?
9. Please list your educational qualifications, beginning with the oldest and ending with the newest. For each qualification, please state the institution's name, city, the country, the year you began the study, and the year you finished.
10. Please describe briefly any experience you have that is related to this course.
11. Please write here any other comments you'd like to make, that are relevant for this application.
Before clicking on the button below, please check that you have answered all the questions above.
We shall try to reply within one working day, perhaps needing further information.
Audience Dialogue : updated 3 March 2005