CEVAS Course Application
* Required
Email address
*
Your email
Which Course are you applying for?
314 - Home Farm, Stoney Stoke, Wincanton, Somerset BA9 8HY - 4th & 5th March 2020 (Educational)
312 - Dorrington Hall Farm, Dorrington Lane, Woore, Cheshire CW3 9RR - 31st March 2020 & 7th April 2020 (Educational)
319 - Lower Sizergh Farm, Lower Sizergh, Kendal, Cumbria LA8 8AE - 2nd March 2020 and 9th March 2020 (Educational)
321 - Houghton Farm, Arundel, West Sussex BN18 9LW - 10th November 2020 & 11th November 2020 (Educational)
Distance Learning - Please discuss with us first (Educational)
320 - Askefield Care Farm, Howgarth Lane, Friskney, Boston PE22 8PQ - 17th March 2020 & 18th March 2020 (Therapeutic)
322 - Lincoln Showground, Grange-de-Lings, Lincoln, LN2 2NA -- 13th & 14th February 2020
Distance Learning - Please discuss with us first (Therapeutic)
Clear selection
Price
Full Price £350 +VAT (£420)
Standard Subsidised Rate £250 + VAT (£300)
Previously accredited (*) £175 + VAT (£210)
Extra Subsidised Rate £200 + VAT (£240) - Where available. Please see course listings
Distance Learning £300 + VAT (£360)
Clear selection
*Previous students MUST have completed the course not more than 18 months before the start of the next one, AND must have already received their certificate.
Title
Mr, Mrs, Ms etc.
Your answer
First name
*
Your answer
Last name
*
Your answer
Are you
An Employer
An Employee
A Dairy Pro member
A Pig Pro member
Registered with the BASIS professional register
Other:
Farm / organisation name
The place that is or will be offering educational or therapeutic activities
Your answer
Basis Registration Number
If you are Basis registered then please enter the Basis Registration Number below
Your answer
Organisation/mailing address
*
Your answer
Farm Holding Number
If your application relates to work at a farm
Your answer
Personal contact address (if different from above)
Your answer
Telephone number
*
Your answer
Date of birth
*
This is required for OCN registration
MM
/
DD
/
YYYY
Next
Never submit passwords through Google Forms.
This form was created inside of LEAF.
Report Abuse
Forms