First Steps Womens Centre Dungannon Application Form - First Steps Womens Centre Dungannon County Tyrone

Name*

Email*

Address*

Postcode*

Phone Number

Mobile Number

National Insurance Number*

Date of Birth*

Country of Birth*

What is your first language*

Do you have a Disability* Yes
No

Please tell us about any Special Requirements

Which Courses (Please select from the following)* English for Beginners
ESOL (English for Speakers of Other Languages)
Essential Skills English
Essential Skills Maths
Digital Literacy
OCN NI L1 Award in Employability Skills
OCN NI L1 Award in Progression to Employment (Applying for Work)
OCN NI L1 Award in Progression to Employment (Interview Skills)
Allotment
African Drumming
Body - Mind - Emotions
Choir Group
Confidence & Assertiveness
Conversational Spanish
Coping with Anxiety/Depression
Creative Writing
Dancing Your Way To Health & Happiness
Food for Thought
Introduction to Holistic Therapies
Cultures Unveiled
Living Life To The Full
Meditation and Journalling
Menopause Awareness
Pilates
Relax and Unwind- Managing Stress
Spring Clean Your Life
Stretch & Tone
Tai Chi - Mindful Movement for Relaxation
Walking Group
Wellbeing in Nature
Yoga
Cultural Awareness
Defibrillator Training
First Aid
Flavours of the World
Food Hygiene
Managing Your Money

Do you require transport?* No
Yes

Do you require Childcare to attend courses* Yes
No

If yes, please give details of child's / childrens names and dates of birth (NOTE: Include children under 5 only)

Are you able to take up employment in the UK?* Yes
No

Are you in receipt of Job Seekers Allowance* Yes
No

If NO, would you like support in finding employment? Yes No

Are you looking for work?* Yes
No

How did you hear about First Steps Women’s Centre? Newspaper
Social Media
Family / Friend
Leaflet
Website
Other

Your Consent

FSWC Data Privacy Notice is available online here and by request from any member of staff. It is essential that you familiarise yourself with this policy as it details all aspects of how your data will be used by FSWC

Yes - By ticking this box I am consenting to FSWC using my personal data, as per this form, to administer any aspect of my interaction with staff or services provided by and on behalf of myself and the FSWC
No - By ticking this box I am NOT consenting to FSWC using my personal data, as per this form, to administer any aspect of my interaction with staff or services provided by and on behalf of myself and the FSWC

Courses Application Form

Online Courses Application

Your application has been received, thank you.