Professional Training : One Year Diploma Course Application Form

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Please complete the following application form. You may save your form at any time and return to it at a later point using the button at the bottom of the form.

Which course are you applying for? *

Forename *

Surname *

Email Address *

Telephone *

What is your understanding of the term Holistic? *

Why are you interested in training in Holistic Massage? *

Describe your experience of massage (giving, receiving, watching; friends family therapists other) *

Have you previously studied anatomy, physiology or pathology? *

Previous Educational qualifications *

At the commencement of the course you are applying for will you be undertaking any other training/courses? *

What strategies do you have for taking care for yourself? *

Have you suffered any major illness, loss or trauma in recent years? *

Do you have any learning difficulties (e.g. dyslexia)? If you are unsure, try out the online dyslexia assessment by following this link https://qsdyslexiatest.com/ NB: students with dyslexia are entitled to extra time in the written exam. *

Do you have a physical disability? *

What qualities do you bring to the course? *

What are your aspirations for yourself after gaining a diploma in Holistic Massage? *

Do you see this training contributing to your personal development? If so how? *

Describe your life, including events that have led up to your application (continue on a separate sheet if necessary. *

I agree to provide the personal information above on the basis that it will only be used for application assessment and will not be shared with any third parties. *

What is 9 - 5 x 2? (anti-spam question) *

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Professional Training : One Year Diploma Course Application Form