Dreamstore UK - Register your interest

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Register your interest

Required fields marked with *

Your details

First name: *

Last name: *

Your Email: *

Date of Birth: [example: DD/MM/YYYY] * / /

Home address

Address: *

Town: *

County: *

Postcode (without spaces): *

Contact telephone (without spaces): *

College / University

Are you a student / trainee?: *

No Yes

College / University name:

Current academic course:

Graduation date:

Term address: if different from above.

Address:

Town:

County:

Postcode:

Employment

Are you in part-time or full-time employment?: *

No Yes

Education/youth/community programme

Name of education/youth/community team/project programme: *

Location: *

Postcode: *

Please write a brief description of how you would use a Level 2 Angling Coaching Qualification, and how it would benefit your work: *

Child protection awareness

Have you any training in Child Protection Awareness? *

No Yes

Child protection check

Are you registered with the C.R.B?: *

No Yes

First aid training

Have you any qualification in First Aid?: *

No Yes

Please name the award body:

Disability requirements

Do you have you a disability or special needs requirement?: *

No Yes

Please give details of your requirements: *

Preferred location of attendance

Please select the location of the Dreamstore Academy you would prefer to attend: *

No Preference England Scotland