Course Application Form

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Course Application Form

Please note, the co-operative learning spaces we provide can trigger emotional responses, be that either through course content, group learning and sometimes challenging group dynamics which include participants that are on different stages of the mental health and well-being spectrum including mental health service users, practitioners, family members and friends. On receipt of the completed application, the Recovery College will be in touch to ensure applicants are signing up for courses that adequately meet their needs.

Email *

Name *

Phone Number

Have you done a course with the Recovery College before?

Yes

Name of the course you would like to register for
*

Please outline briefly what interests you about this particular course *

Is there anything that might impact on your full involvement on this course that you feel we should know about?

Do you require any supports to participate fully on the course?

Please identify your interest to enrol with the Recovery College by ticking one of the boxes provided (this information will remain confidential.)

I have had experience of mental distress

I am a supporter (family member/friend)

I am a professional

I have an interest in mental health recovery

Option 5

Is there anything that might impact on either your access or involvement in the course that you feel we should know about?

Would you like to subscribe to our mailing list to be informed when we have new courses coming up?

Yes

Where did you hear about the Recovery College?

Our emancipatory approach to supporting personal transformation and recovery provides participants with an opportunity to explore mental health and well-being in ways that are diverse, holistic and sometimes challenging. Therefore all students have a personal and collective responsibility to supporting mutually respectful group spaces. Therefore all applicants must read and adhere to The Recovery College Student Charter and Code of Conduct - available online @ https://recoverycollege.ie/sign-up-for-a-course/, or alternatively on request from the Recovery College Office.

Please read and sign:

I have read the terms and conditions set out in the Dublin North, North East Recovery College Student Charter & Code of Conduct. These terms and conditions are available online or from the Recovery College Office www.recoverycollege.ie/sign-up-for-a-course. I agree that I may be contacted by telephone/ email regarding my application and that I will be asked to provide feedback about my experience at the Recovery College.

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