Name: ___________________________ Date of Birth:
________________
Address:
_________________________
Tel. No. __________________
_______________________ email: _______________________
_______________________
Previous qualifications
Qualification
College/Organisation
Year
Add further qualifications/ experience on a separate sheet.
*
Write (on a separate sheet ) a
short paragraph describing your motivation for applying for this
course.
*
Do you have a history of psychiatric
illness? Yes / No If Yes describe on a separate
sheet.
Total cost:
£1950.00 (2200.00)
Option 1. One off payment of £1950.00 (2200.00) upon application.
Option 2. Registration fee: £150.00
(200.00 non-refundable, unless you are not accepted on the course),
followed by 10 monthly payments: £180.00 ( 200.00 to be paid at the
start of each weekend).
Cheque no.:
payable to:
Kerinsian Inspirations
Signed:
..
Conditions of course
The aim of these conditions is to prevent any confusion and ensure
the smooth running of the course.
Please read and tick each box to indicate that you
understand and are in agreement with the conditions.
- The deposit does not guarantee a place on the course. π
- Full payment of the fee must be made regardless of attendance. π
- A minimum of 80% attendance on the course is required. However,
full attendance is desirable. π
- Ongoing assessment of each student will continue throughout the
course, in order to maintain a high standard of learning. π
- Regardless of previous experience / learning, attendance at all
lessons is desirable. π
- In order to fully benefit from the course, full commitment to
participation and sharing is encouraged from each student. π
- Certification will only be awarded to those students who
successfully complete the HPD portfolio and / or Kerinsian School examination
paper. π
- If a student should behave in an unethical manner or be deemed
unsuitable, he / she will be asked to leave the course. π
- A £150.00 (200.00) non-refundable deposit is required to hold a
space in the program. If unforeseen circumstances arise that
prevent you from completing the course, we will transfer your
registration to another training course. π
I have read the above conditions, ticked the boxes and sign in
agreement below:
Signed
..
Name (block letters)
Date