OCN Level 2 Supporting Activity Provision in Social Care Application form

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Please complete the form fully
We will invoice NAPA Members at a rate of £450.00 per learner.
We will invoice Non NAPA Members at a rate of £1,500 per learner. If you would like to become a member to click on the link to the membership application form : https://tinyurl.com/Join-NAPA
Further discounts will be applied for Skills for Care ASC-WDS users.
Please contact : info@napa-activities.co.uk with any questions
Many thanks
The NAPA Team

Name of care setting: *

Organisation: *

NAPA Member * *

Yes

Not sure * We will check and let you know

What is your NAPA membership number?

Do you have a NAPA discount code? Please enter it here - Please note only one discount per learner will be applied

Please provide your ASC-WDS number to claim the Skills for Care Bundle discount?

FULL Address, including postcode for learning materials *

Telephone number: *

Email address for any queries *

Invoice address, if different to above:

Email address for invoice: *

Purchase Order Number (if applicable :)

Managers email address *

Full Name of Learner 1 *

Learner 1 Email address *

In addition to the 3 mandatory units the learner wishes to complete the following course *

Dementia Awareness

Understand the context of supporting individuals with learning disabilities

I confirm that the student named above has good standard English( written , spoken) and English comprehension, and understand the registration is only valid for 2 years, and if the course is not completed within the timescale the student will be withdrawn, without refund. I confirm that the above details are correct and I understand that once the student pack has been sent out the fee is non-refundable, but the place can be transferred to another person prior to registration FOC , within 2 months of registration the place will be non-transferable, or transferable with a fee of £150, after 2 months of registration the place will be non-transferable. *

Yes

Name of person completing form *

Date *

YYYY

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