1 Enquirer Form Course Info Master
1 Enquirer Form Course Info Master
1 Enquirer Form Course Info Master
PERSONAL DETAILS:
SURNAME
ADDRESS
FORENAME
TITLE
POSTCODE
OTHER NAME
TELEPHONE HOME
MALE / FEMALE
TELEPHONE WORK
DATE OF BIRTH
TELEPHONE MOBILE
NATIONALITY
OCCUPATION
OTHER
Please give brief details of any related courses or classes you have attended and of your education:
Please give a short life history, in the process highlighting any personal
experiences as a patient, home prescriber, student or any general life
experiences, which you feel will contribute to your chosen role, initially
as a student and later as a professional Homoeopathic Practitioner:
Your signature
Date
(I understand that the College reserves the right to change any part of
the course or its conditions if it considers this to be in the best interest
of those concerned, and I agree to abide by the College guidelines and
instructions).
Please send this completed form to: The Homoeopathy
454Hagley Road West, Quinton, Birmingham, B68 ODL.
Or Email it as an attachment to: [email protected]
Data protection - The information on this form may be held on a database but will not be
passed on to any other party or organisation.
Methods of payment
Fees may be paid as a single sum before
the beginning of the course or in
instalments by bankers standing order
during the year details are available in
the Prospectus and from the College office.
Payments in instalments adds 100
administration to the fees.
It may be possible to obtain a career
development loan. Free Phone 0800 585
505 or
www.lifelonglearning.dfes.gov.uk/cdl
Other expenses
Books and stationery. Pathology study
guide and text book.
External Tutorialsyour travel expenses
plus any fees, as negotiated with your tutor.
External sitting in hours with practitioners
your travel expenses plus any fees, as
negotiated with the practitioner involved.
There is often no charge for this service.
Access to email, typing or word processing
facilities for your assessments.
Books
These are the basic tools of the working
Homoeopath and are an investment in your
future career. A booklist will be provided on
joining the course. The vast majority of the
books you use on the course are the same
as those on which you will rely when in
practice.