Hertfordshire Work With Parents Level 3 Award

Application Form

To apply, please complete this form. You will then need to complete and submit a Learner Initial Task and you and your manager will have to sign and return a Learner Contract.

Fields marked with a star * are mandatory.

Your choice of course
First preference
Second preference
Your contact details
Full name *
Address *
Email *
Telephone *
Date of birth *
Please indicate how you would describe yourself. This is used for monitoring purposes only.
Ethnicity
Your work details (the most relevant if more than one job)
Organisation name *
Address
Telephone *
Your position *
How many hours per week do you work (paid)?
How many hours per week do you work (voluntary)?
How many hours are face to face with parents? *
Describe your role
Your work details (the next most relevant if more than one job)
Organisation name
Address
Telephone
Your position
How many hours per week do you work (paid)?
How many hours per week do you work (voluntary)?
How many hours are face to face with parents?
Describe your role
Your experience
Have you facilitated parenting courses before? *	Yes No
If Yes, how many?
Are you trained in delivering any Evidence Based Parenting Programs? *	Yes No
If Yes, which programs and have you delivered them?
Details of any other parenting courses you have delivered
Your qualifications
Please give details of any previous relevant training and qualifications you have completed that support your application
Course
Dates
Location
Certificate number
Details of other relevant qualifications
Accessibility
We aim to make our courses as accessible as we possibly can. If there is any information that may help us ensure you are able to participate fully in the course, please let us know. We will offer support as discretely as possible.
Do you have any impairment in Hearing, Vision, Mobility, Learning, Communication, Reading, etc?
Do you require any support communicating in English?
Is there any other information that may help us support you?
Work place witness
You will need to find a work place witness who can support your work within parenting groups, ideally a practitioner with a level 3 relevant qualification or with equivalent experience. Please supply the name and contact details of this person.
Witness name *
Telephone *
Organisation and role
Almost done
Learners Charter *	I have read and understood the Learners Charter
To prove you are not a machine, please read this four digit number and type the four digits (numbers not words) in the box without any spaces
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Hertfordshire Work With Parents Level 3 Award

Application Form

Your choice of course

Your contact details

Your work details (the most relevant if more than one job)

Your work details (the next most relevant if more than one job)

Your experience

Your qualifications

Accessibility

Work place witness

Almost done