O4B+ eLearning Enrolment Form

eLearning Enrolment & Coach|Mentor Registration Form

This form is to be used for enroling employees' into training courses & also registering the coach/mentor for that course.

1Business Information

2Employee Course Enrolment

Business Information
This information is used to match relevant details to our online training system. We might also use this information to contact & confirm information relating to the enrolment/s or registrations/s.
Name of the person who is making the enrolment/s or registration/s:*
Please enter the full name of the person making the enrolment or registration relating to this form.
First Last
Business Name*
Email Address to confirm the enrolment\s or registration/s:*
This information is used to contact & confirm information relating to the enrolment/s or registrations/s.
Phone*
This information is used to contact & confirm information relating to the enrolment/s or registrations/s.
Will you be registering a NEW coach|mentor?*
Select NO, if any of the coach|mentor's you are going to allocate to an employees' training has already been registered in our system.
- YES
- NO

Start Date for Training	Employee First Name	Employee Last Name	Employee Email Address	Training Course Code	Training Course Name	Full Name of Coach\|Mentor