Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Your Interest in what we can do together
Take a few minutes to tell us about you, and we will send information on programmes that are most suitable to you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Organisation
*
Your answer
Job title/role
*
Your answer
Email address
*
Your answer
Handphone number
*
Your answer
Tell me more about these programmes
*
Present: A Retreat
Pause: Tea ritual
ReDiscovery through Play: Connect with Self, Connect with Others
A peek into LEGO® SERIOUS PLAY® (Apprentice & Maker)
Mental Health Conversations x LEGO Serious Play
Career Exploration through experiential activities
I would love to have a chat to understand/explore more.
Other:
Required
These are the areas I would like to explore
*
Using Play in your organisation/area of work
Workplace mental health
Work-life balance
Healthy coping mechanisms
Looking inwards: Who am I?
Connecting with others through better conversations
Charting my career path by knowing more about myself
Other:
Required
If you could ask us one question, what would it be?
Your response will help us better sense the needs of the people around us. Thank you. :)
Your answer
Please list any accessibility needs you may have. We'll want to make our programmes accessible to you. :)
Your answer
Collection, Use and Disclosure of Personal Data
*
By submitting this form, I agree and consent that the organiser may collect, use and disclose my personal data, as provided in this form, for the purposes of the aforementioned purposes (including to contact me for the administration of the above mentioned events, programmes and purposes), in accordance with the Personal Data Protection Act 2012.
Required
Subscribe to our Mailing List
I consent to be added to The Ubuntu Space’s mailing list to receive newsletters published by The Ubuntu Space, and email updates on upcoming events, workshops, programmes and activities organised or co-organised by The Ubuntu Space.
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
