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TRAIN 2 ATTAIN UK COURSE ENROLLMENT FORM
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1.
1 Day Medication Awareness
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Please complete this form fully, and your enrollment will be confirmed via email.
(A booking confirmation will be sent)
Session Fee: £20.00 per session (per person).
This payment can be made on the day of training, to your Tutor. A receipt will be given for any remittance on the day.
This enrollment form is for:
( 1) Day 'Medication Awareness' session on: TuesdayJuly 14th 2016.
Session Times are:
10 am - 2.30 pm
Session Venue:
Heantun Housing (Training Rooms) Springvale House, Millfields Road, Bilston, Wolverhampton
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Contact:
07792484280
Tutor:
Dawn Marsh
TRAIN 2 ATTAIN UK
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1.
Question 1.
About you:
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First Name
Surname
Address
Telephone
Email
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2.
Question 2.
Will you be paying for this training on the day? If so are you paying privately, or have you arranged with your work coach at JCP to fund this training? If JCP are funding this training, please supply email details/contact details, of your personal JCP work coach below.
PLEASE INCLUDE YOUR NATIONAL INSURANCE NUMBER
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3.
Question 3.
How did you hear about this training session?
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4.
Question 4.
Do you have a disability, or any special support needs?
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5.
Question 5.
Would you be interested in attending any of our other Specialized Health & Social Care (1 Day Training sessions) in the future?
6.
Question 6.
Please use the following box to add any further information, which you feel would be relevant to your booking/ enrollment.