CYP Application Form

Application Form - Awareness in Children and Young People's Bereavement Care

Name *

First

Last

Contact Address and Postcode *

Contact Email *

Contact Phone Number *

Work *

Mobile *

Please State previous relevant training and qualifications *

Do you have any specific needs? *

Have you had any previous experience of Cruse? *

Yes No

If yes, please give details *

Do you have personal experience of being bereaved? *

Yes No

If yes, please give details *

Please give details of your work with children

Have you worked with children and/or young people recently? *

Have you at least 2 years or 100 years of working with children? Please give details including details of dates, details of the organisation and the nature of the work undertaken? *

What has prompted you to apply for this course? *

Please give the names and contact details of two people who have know you for some time (not relatives) and who are willing to act as referees. If possible one should be from a place of work/ organisation where you have worked/ volunteered in a role working with children. Both referees should know you from your work with children/ young people.

First Referee

Name *

First

Last

Address and Postcode *

Email *

Phone Numbers

Home *

Work *

Mobile *

Second Referee

Name *

First

Last

Address and Postcode *

Email *

Phone Numbers

Home *

Work *

Mobile *

Please submit this form along with a statement of about 200-300 hundred words outlining your knowledge, skills and awareness in relation to working with children to above address or by email. The closing date for applications will be January 24th and interviews will take place early in February.

Submit Course Application Form

Awareness in Children and Young Peoples Bereavement Care

Application Form - Awareness in Children and Young People's Bereavement Care