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Funding

Are you being funded (full or partial)?: *

Yes

Personal DetailsN.B. All fields marked * are required

Name: *

This is the name that will appear on your certificate

Phone Number: *

Email Address: *

Address: *

How did you hear about this course?: *

Do you hold a Medical Card: *

Yes

Are you currently unemployed?: *

Yes

You are liable for the €20 QQI Certification Fee, this will be added to your total

You are exempt from the QQI Certification Fee

Application Questions

Why do you want to register for this course?: *

Up to 3/4 lines

Have you any relevant life and/or work experience in the field of Addiction?: *

Up to 3/4 lines

What is your understanding of the term "Addiction"?: *

Up to 3/4 lines

What would you like to obtain and achieve from this course?: *

Up to 3/4 lines

Please let us know of any learning difficulties or special requirements you may have.: *

Please tick here to confirm you have read our Terms and Conditions? *

The Learning Curve Institute offers validated programmes leading to QQI awards