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Home
Our Story
Jobs & Opportunities
Training
Events
Teen Mental Health
Voices Thrive Summer Programme
Suicide Prevention & Awareness – Connections Link Life
Connections Link Life Training of Trainers
Parents
Teachers/The Amber Classroom
Essential Oils for Self Care & Managing Emotions
Services
Lets Grow Together
FME Shop
Support Us
Family Referral
Help Heal Hearts
Commissioners – Get Involved
Professionals – Get Involved
Parents – Get Involved
Resources
Keeping Safe
Help, Services and Information for Veterans
Downloadable Resources
Contact Us
Search for:
Fresh Little Minds Learn To Teach FORM
Adam Wallace
2020-08-03T11:22:39+00:00
FLM FACILIATOR TRAINING REGISTRATION FORM
SECTION 1: Getting to Know you.
We use this section to get to know you in advance of the training.
1. What are your reasons for wanting to train as a Fresh Little Minds Facilitator? (50words approx)
*
2. Briefly describe your experience of working with children (if any)? eg How many years and in what capacities.
*
3. Briefly describe your experience working as a group facilitator (if any)?
*
5. Are you a facilitator for any other agency/franchise/licence?
*
Yes
No
If Yes; Name of Programme:
6. How, where and with whom do you hope to deliver this programme?
*
SECTION 2: Personal Details
Name:
*
First
Last
Contact Number:
*
Phone Number for Business:
(we will publicise this)
Email: ( we will use for correspondence )
*
Enter Email
Confirm Email
Email for Business: (we will publicise this)
If different from above
Enter Email
Confirm Email
Organisation:
(if any)
Current Job Role?
*
eg. Mum at Home, Teacher, Youth Worker, Accountant etc.
Any special assistance?
Any dietary needs?
Anything else we would benefit from knowing in advance of training?
REGISTRATION WITH FRESH LITTLE MINDS
Do you intend to deliver this training within an organisation or within a geographical area?
*
Please indicate (we will publicise this)
Do you have a full driving licence and access to a car?
*
Yes
No
(We will not publicise this info)
Do you have a criminal record?
*
Yes
No
(We will not publicise this info)
Relevant and Recent References
Please supply 2 Relevant and Recent References. (Family references are not acceptable). Include Name, Relationship to you, phone number and email address. (We will not publicise this info)
Reference 1:
*
Reference 2:
*
SECTION 3: Cancellation Policy
Section 4: Cancellation Policy More than 8 weeks in advance of the training date 100% refund 8 to 4wks in advance of the training date - 50% refundable less than 4 weeks in advance of the training date- non refundable
Please tick below to indicate you understand and accept our Cancellation Policy.
*
I understand
SECTION 4: Confirming your place
We will be in contact to confirm your place as soon as possible. Please note Fresh Minds Educations reserves the right to refuse any application.
Please tick below to indicate you understand and accept the above statement.
*
I understand
Name
This field is for validation purposes and should be left unchanged.
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