QQI - Special Needs Assisting - 5N1786 - Level 5 - Self Paced

REGISTRATION - Application / Booking Form

Section 1: Your Details

First name*

Do you hold a medical card or are you in receipt of social
welfare? *

Yes

Section 2: Course Details

Preferred Course Start Date*

Please let us know the date you wish to start. If you do specify a start date, we will start your course 14 days from the day you submit this form. If you want to start before the 14 days window, this will affect your cooling off period, as per the Terms and Conditions.

Section 3: Equality and Diversity

Do you have any special requirements? (hearing / vision / mobility / very frequent breaks / literacy)

Yes

Please give detail of any special requirements you may have:

Do you have the necessary English language skills to complete this course?*

Yes

If you answered No to the above, a member of our team would be happy to discuss your options with you. Please complete this English Language Proficiency Test to check your eligibility. Please contact hello@forustraining.ie to discuss your options.

Do you have access to a computer/laptop with WiFi and the computer skills required to log into our LMS, send emails, use Zoom, and submit work through our website portal?*

Yes

If you answered No to the above question, a member of our team would be happy to discuss your options for completing the course and provide you with a zoom demo to give you training on how to access your course content. Please contact hello@forustraining.ie to discuss your individual needs.

Section 4: Invoice to: if different from details above

Who is paying for your course?*

I am paying for the course myself

I am partly paying for the course

Someone else is paying for the course

If someone else is partly or fully paying for your course, please give their details below:

Please note that our accounts department will be in touch if the invoice needs to be split.

If other, please specify:

*Please ensure that the relevant funding authority has approved your funding prior to the commencement of the programme.

Funder Name

This is the name of the organisation who will be paying for your course

Section 7: Terms and Conditions - Booking, Cancellation and Refund Policy

Please ensure to read our TERMS AND CONDITIONS here on our website before you submit your registration form. By checking the box below, you are agreeing to our terms of service.

I confirm that the information provided is accurate and complete and that I have read and agree to the terms and conditions.*

If you need further information or help, please email hello@forustraining.ie.