become a leader

Please complete this form and hit the Submit button. All fields in bold must be filled in before the form can be submitted. Once you submit the form, Unislim staff will contact you directly to complete the process.

Your Name:

Address:

Phone Number:

Email:

Were you ever a Unislim member? No Yes

Why are you interested in this position?

Have you tried any other slimming organisations? (If so, please specify which ones.)

If so, what classes did you do?