Registration form

Stata

Fill in this form in a few minutes. The firm then reviews your application and contacts you to confirm your place and payment arrangements.

Short module
5 sessions, 18 hours
Next session to be announced

Identity

As shown on your ID document: they will appear on your certificate.

Last name*

First name(s)*

Gender*

Date of birth*

Place of birth*

Nationality*

Contact details

Include the country code (e.g. +226 for Burkina Faso, +225 for Côte d'Ivoire, +221 for Senegal).

Phone*

WhatsApp (optional)

Email*

City of residence*

Country of residence*

Background

To tailor support to your profile.

Highest diploma obtained*

Field of study (optional)

Occupation (optional)

Current employer (optional)

Your programme

Choose the session, plan and format that suit you.

No session is scheduled yet: the firm will contact you as soon as the next one opens.

Format *

Preferred mode *

How did you hear about Waaldé Impact?

Referral code (optional)

If a former participant gave you their code, enter it here: you get a discount, and they receive a reward from us.

Attachments

Optional, but it speeds up the review of your application. PDF, JPG or PNG, 5 MB max per file.

Choose a file

Diploma

Choose a file

ID photo

Choose a file

I accept the terms of use and the privacy policy.

I allow Waaldé Impact to photograph or film me during the training, and to publish these images on its website and social media to showcase its work.Optional: your registration is recorded whether you tick this or not. You can withdraw this permission at any time by writing to us.

No payment is required now: the firm contacts you after reviewing your application.