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* 1. The course comprises two modules - the April and the October Module. Ideally people should take the course in this order - but we realise this is not always possible - so you can start in October. Indicate which dates you can make from the three below

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* 2. In each of the two modules we split the group into officer specialisms on the Tuesday and Wednesday - which officer spcialism are you - choose only one

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* 3. Can you come to all elements of the programme or just the officer specialisms

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* 4. To apply we need to send you an official application form - ideally we need your email address plus give us your membership number and contact details in the box below - the Regional Education Officer is the only person who can see this information once you send in your answers - thanks

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* 5. Please use the box below for any further comments you may have

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