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3. Where are you based (geographically) *
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4. What is your role/job? *
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5. What type of setting do you work in? *
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6. Which age ranges do you work with? *
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7. Why would you like to be involved in this course? *
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8. What do you hope to gain from taking part in this course? How might it impact on your practice? *
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9. Do you commit to the £150 cost of the course? *
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10. Do you fully commit to being involved in feedback to support the development of the course, including a dedicated development session? *
11. Anything else you would like to tell us?