Apply for Infant observation in the perinatal period (CPD86) After completing this form, your information will be passed to the course team who will consider your application. We will be in touch to let you know if you have been accepted on the course and, if so, how to enrol.Preferred course start date 10 September 2024 7 January 2025 Section 1: about youTo get started, we need to collect some information so we can get back in contact with you.Name(Required) First Last Phone (daytime)(Required)Phone (mobile)Email(Required) Supply an enhanced DBS(Required) Should I be offered a place on this course, I confirm I will be able to supply a copy of an enhanced workplace DBS dated within three years of the course start date Section 2: employment detailsLet us know your current employment details and any other relevant positions related to this course.Your employment status(Required) I am in current employment and will be funding this course independently I am in current employment and my employer/organisation will be funding this course Role(Required) Service(Required) Organisation(Required) Section 3: details of your rolePlease describe the context of your role/s and how you hope that the Infant Observation Course will help you in your work.Details of your role(Required)Section 4: manager approvalPlease confirm you have your employer’s or line manager’s approval to attend this course. Your manager should be willing to support you in your training by ensuring you have suitable time set aside to study the course. The person named below will be kept informed about your progress and outcome of the training where appropriate.Approval(Required) My line manager has approved my attendance on this courseLine manager name(Required) First Last Line manager email(Required) Your line manager will receive an email confirming your application to this course and requesting their support in planning study time.Section 4: funding and manager approvalPlease confirm you have secured funding and your employer’s or line manager’s approval to attend this course. Your manager should be willing to support you in your training by ensuring you have suitable time set aside to study the course, if required. Your manager will also need to help to arrange funding, if you are being sponsored by your employer/organisation. They will need to provide a purchase order and invoicing details for you to upload, if your application is successful. The person named below will be kept informed about your progress and outcome of the training where appropriate.Approval(Required) My line manager has approved my attendance on this courseLine manager name(Required) First Last Line manager email(Required) Your line manager will receive an email confirming your application to this course and requesting their support in planning study time.
