The document appears to be a registration form for a training course called "Let's Get to Work". It requests information such as the registrant's name, date of birth, residence, phone number, email, current or previous profession, and any notes. It notes that the course will only run if the minimum number of participants is reached. The form is from an organization called Mobildonne located in Mantova, Italy.

1. SCH E D A D I I S CR I Z I O N E “ M E T T I A M O CI A L L A V O R O ”
I l/L a
so t t o s c r it t o /a _________________________________________________________
Nata a_____________________________il
________________________________________
Residente in
_________________________________________________________________
Tel________________________________________________________________________
_
Email______________________________________________________________________
_
Professione attuale o precedente
professione________________________________________________________________
Note______________________________________________________________________
__________________________________________________________________________
Il corso partirà solo al raggiungimento del numero minimo di partecipanti previsto.
C.so Vittorio Emanuele II, n. 85 – 46100 Mantova c. fisc. 93049390201
web www.mobildonne.it e-mail info@mobildonne.it Tel/ fax 0376.288416