rego-form-TolBay2018

PopUp Business School Aotearoa (PUBSA)

Please complete this form before you begin your PopUp Business School course

* Indicates required field

Pre-course survey

Name *

First

Last

Email *

PHONE *

Gender *

What is the main ethnicity you identify with? *

Other Ethnicity. Only answer this if you answered OTHER to the previous question) *

Please advise your date of birth in the following format (dd/mm/yyyy) *

What is your employment status? *

Would you consider yourself to have a disability? *

Disability (Relates to previous question. Only answer if you answered yes to the previous question). *

Do you receive a government benefit? *

If you receive a benefit please advise what type? Only answer this question if you answered yes to the previous question. (This is helpful for some business grants). *

What is your business idea? (In 5 - 10 words) *

Have you ever run your own business? *

Is the business still running? *

On Website Wednesdays 28th November and the 5th December 2018, participants will need their laptop. We have a limited number available. Do you want to register for one of these laptops? *

How did you hear about this PopUp Business School? *

If you heard about us through Facebook, which Facebook marketing did you hear about the PopUp Business School Aotearoa? *

Only answer if you selected OTHER on the previous question. What other FB Post/Group did you hear about PopUp Business School Aotearoa? *

How would you currently rate your happiness? *

How would you currently rate your confidence? *

How would you currently rate your business skills? *

How would you currently rate your motivation? *

How would you currently rate your self-efficacy (business capability)? *

What are the top three barriers stopping you from moving forward? *

Confirmation: I will be available to attend all 10 days of the PopUp Business School. *

Confirmation: I will let the PopUp Business School know of any changed circumstances that prevent me from attending the course. *

By clicking 'SUBMIT' you are declaring that you accept the terms and conditions above.
If successfully submitted your Thank You acknowledgement will appear at the top of the page.

Terms and Conditions
for those participating in a PUBSA event

This PUBSA course is offered completely free for you thanks to the generous funding of our event partners. The purpose of the course is to help you build your own business and make money doing what you love to do. All the information you provide in this form will be used to help us understand the needs of future participants. It will not be shared with anyone except our partners. For all reporting purposes, all information will be anonymised.

Data Protection
Under the Data Protection Act 1998, we have a duty to protect any personal information we collect. Personal data collected on this form will only be used for the purpose of reporting on project success and will not be disclosed to any external organisations (except our partners) without your permission. The information will be anonymised for reporting purposes.

Media
There may be media present at our events. Photos and video will be taken. By submitting this form and attending the PUBSA event you give permission for any photos or video to be used in promotional activity by PUBSA or PUBSA's partners. Promotion may be online, on social media or in print. Please talk to us before the course if you have any concerns or email [email protected]

Workshops
You are signing up to attend the ten day PUBSA course. Please note that priority has been given to you on the understanding you can attend all ten days. We will contact you in the future to find out if the workshops have been useful for you. You will be invited to join our Facebook Support Group for PopUp participants/alumni. This is a closed group where you can privately share ideas and ask for help from past participants from all PopUp Business Schools.

Respect
Every participant will have a different concept or idea for business that is unique for them. This applies not only to business but to all culturally different backgrounds. We have found that everyone learns from everyone else irrespective of age, ethnicity, gender and experience. We ask that during the two weeks you find ways to be positive and proactive for the benefit of all attendees - listening, supporting, collaborating and learning.

Health and safety
PUBSA is committed to meeting its health and safety obligations as required by New Zealand legislation in order to minimise risks to your health and safety. For your information, some risks may include: tripping on chairs, stairs etc in the workshop; fire and earthquake risk (we will brief you on the evacuation procedure at each venue we use). By completing this survey you agree and acknowledge that to the extent permissible by law, PUBSA and its partners have no liability to me for any injury, loss or indirect loss sustained by me during or in any way related to your participation in this course.

Finally
The most important thing for us is that you have fun, make progress and learn what you need to learn. If you need anything or have concerns about any aspect of the course, please chat to a member of the PopUp Business School Team or email our CEO, [email protected]

By clicking 'SUBMIT' (below) you are declaring that you accept these terms and conditions.

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PopUp Business School Aotearoa (PUBSA)

Pre-course survey

Terms and Conditions
for those participating in a PUBSA event

Home

About

Services

Website T&C's

Contact

PopUp Business School Aotearoa (PUBSA)

Pre-course survey

Terms and Conditionsfor those participating in a PUBSA event

Home

About

Services

Website T&C's

Contact

Terms and Conditions
for those participating in a PUBSA event