Blended MHFA Community Course – Registration

Blended MHFA Community Open Course - REGISTRATION

NAME AND SURNAME:*
I.D. NO:*
DATE OF BIRTH:*

DD
MM
YYYY
PERSONAL ADDRESS:*
Street Address Address Line 2 City ZIP / Postal Code
EMAIL ADDRESS (For receipt)*
TELEPHONE:
MOBILE:*
GENDER (As per ID card):*
- Male
- Female
RESIDENCE (As per ID card):*
- Malta
- Gozo
EMPLOYMENT STATUS:*
- Employed
- Self-Employed
- Unemployed
- Inactive
- Inactive, not in education or training
Employed [Persons should be working on a part-time or full-time, or on reduced hours. Persons in “subsidised” employment should also be considered as employed. Persons currently on maternity leave should also be considered as employed.] ; Unemployed (Persons should be registered with Jobs Plus); Inactive are those persons who are neither in employment nor are they registered unemployed. Full-time students are also considered as inactive; Inactive not in education or training are those persons who are not in employment, registering for work, and/or in education or training.
NAME OF ORGANISATION (If Applicable):
Fill in only if you are attending through an organisation (company, school, NGO, etc)
PROFESSION:*
EDUCATIONAL BACKGROUND:
- Level 4 Diploma
- Level 5 Diploma
- Level 6 Degree
- Level 7 Masters
- Level 8 PhD
MARK YOUR TRAINING GROUP*
- BMHFA Central Region Group 1 - 14th & 21st Nov, 9am-11:30am
- BMHFA Central Region Group 2 - 16th & 18th Nov, 9am-11:30am
- BMHFA Central Region Group 3 - 24th & 26th Nov, 4pm-6:30pm
Terms and Conditions*
- I have read and accept the terms & conditions including the data handling policy
1. Booking will be confirmed by Richmond Foundation. 2. Data given with the registration form will be processed in accordance with the Data Protection Act 2001 and the General Data Protection Act. 3. Certificates will only be given to those participants who attend the 12 hours of training. 4. Richmond Foundation reserves the right to cancel the training course, for example if insufficient bookings are received. In such cases participants will be offered either a refund or the choice of attending another course. 5. All materials used in this training course, including the MHFA manual which course participants will receive after the course, are copyright of Richmond Foundation. None of the materials, nor any part of the MHFA manual, may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without prior, written permission of Richmond Foundation.