Social and Therapeutic Horticulture Facilitator Training Programme Application Form

Name*

First Last

Country*

Street Address*

Address Line 2

City \ Town*

County*

Postal Code*

Email*

Enter Email Confirm Email

Mobile Number*

Is English your first Language?*

If your first language is not English you may be required to come in for an interview./test

PPS Number \ UK National Insurance Number*

Needed for QQI certification

Date of Birth*

Qualifications & Experience

Please list all your qualifications:*

Do you have experience of working with any of these groups? If so, please select and describe below.*

Children aged 1-10yrs
Young People aged 11-19 years
Adults
People on the Autism Spectrum
Job Seekers
Those with drug or alcohol misuse
People with learning difficulties
Young people with social, emotional or behavioural difficulties
Offenders / Ex-Offenders

Description of your experience with the above groups*

What is your experience with horticulture?*

Please provide details of current employment and relevant work experience (if any):*

Broad outline of responsibilities:*

Please tell us how you would envisage using the skills and knowledge you will gain from this Training Programme:*

Please provide some information as to why you feel you would be a good candidate for this course:*

What is your main interest in participating in this Training Programme?*

We want to ensure this course is accessible and inclusive for everyone.*

Please advise if you have accessibility needs or if you have additional Learning or other support needs"

How did you hear about this course?*

Festina Lente Website
Festina Lente Facebook
Festina Lente Instagram
Festina Lente Newsletter
I heard about you from family & friends
I saw an advertisement online
I saw a printed advertisement
Other

Do you give permission for any photos taken by staff to be used for Festina Lente purposes (Website, Social Media etc)?**

Yes
No

Would you like to join our mailing list?

Yes
No

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Social and Therapeutic Horticulture Facilitator Training Programme Application Form

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