FLM T4T ANTRIM

Fresh Little Minds Facilitator Training

SECTION 1:
We use this section to get to know you in advance of the training

* Indicates required field

What are your reasons for wanting to train as a Fresh Little Minds Facilitator? (50words approx) *

Briefly describe your experience of working with children (if any)? *

Briefly describe your experience working as a group facilitator (if any)? *

Are you a facilitator for any other agency/franchise/licence? *

Yes No

If yes - NAME the PROGramme *

How, where and with whom do you hope to deliver this programme? *

SECTION 2:
YOUR DATA / PERSONAL DETAILS

Name *

First

Last

Phone Number *

Email (for correspondence) *

Email (business - that we will publicise) *

Organisation *

Current Job Role *

Any special assistance? *

Yes No

If yes then detail below *

Any dietary needs? *

Anything else we would need to knowing in advance of training? *

CLOTHING

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? (We will not publicise this info) *

Yes No

Do you have a criminal record? (We will not publicise this info) *

Yes No

REFERENCES

2 x 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: Name *

First

Last

Relationship to you *

Phone Number *

Email *

Reference 2: Name *

First

Last

Relationship to you *

Phone Number *

Email *

SECTION 3
Payment Details

Invoicing Address *

Any other special invoicing or finance instruction *

Method of Payment *

Bacs transfer Paypal Standing Order (payment by instalments)

Submit

Fresh Little Minds Facilitator Training

We Would Love to Have You as part of our facilitator team! JOIN HERE

Telephone

Email