Acupuncture Foundation Application Image
Application Form
* - required
ACUPUNCTURE FOUNDATION COURSES
Able to select more than one
Personal Details
in full as per Birth Certificate
this address is for home and correspondence
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- - x
include extension, if applicable
MM-DD-YYYY - please add in this format for month-day-year
Education Qualifications
(chars left: 500)
Please give details of school leaving, college examination results, etc.
MM-DD-YYYY - please add in this format for month-day-year
(chars left: 500)
If you are currently studying for a degree, diploma or other, please list the main subjects
(chars left: 500)
list awards
(chars left: 500)
List main subjects that your currently studying
Give anticipated date of completion MM-DD-YYYY - please add in this format for month-day-year
Professional Qualification
(chars left: 2000)
Please provide details of personal qualification, name of educational institution and/or personal body and date of award or entry
Employment Experience
List recent employer
Give first date of hire with listed employer above MM-DD-YYYY - please add in this format for month-day-year
if you are still employed with this employer, please leave blank MM-DD-YYYY - please add in this format for month-day-year
(chars left: 2000)
Please give any further information which is relevant to your application, in particular your reasons for wishing to join the programme. State what benefits you expect to gain, plus the attributes and abilities you possess relevant to the programme for which you are applying.
(chars left: 500)
Is there any reason known to you why you would be considered unfit to practice a primary healthcare therapy? If applicable, please give details.
Select Yes if you confirm that all of the above information is true on the date of submission
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