Practitioner Training Application

Fields marked with a * are mandatory

Trainer Details

Title*:

Surname*:

Firstname*:

Address 1*:

Address 2:

Country*:

City*:

Postcode:

Main Phone* (e.g. Mobile):

Other Phone (e.g. Landline/Work):

Email Address*:

It is a requirement that all authorised trainers have been subject to appropriate vetting checks as required by statutory bodies/Police as the role will involve access to clients and their families, failure to obtain or maintain such ‘clearance’ may result in the trainer agreement being terminated.

Please tick below:
Do you have a child protection certificate?

Note: You can optionally upload now, or follow up with later.

Do you have a current criminal check certificate?

Note: You can optionally upload now, or follow up with later.

State the qualification/s you have to meet the criteria of a Level 3 in Training or Facilitation skills (max 200 words):

Words remaining: 200

Parenting NI may make allowances in some circumstances for candidates who have equivalent experience.

What experience do you have which meets the criteria of 3 years of supporting diverse families? (max 250 words):

Words remaining: 250

Detail your proven experience of facilitating groups (max 250 words):

Words remaining: 250

Referee Details (Mandatory)

In order to complete your application Odyssey Parenting NI requires verification by reference from a senior member of staff who works, or has worked with you.
Name*:

Position Held*:

Date*:

Organisation Address*:

Post Code*:

Relationship*:

Phone*:

Email*: