E-AHPBA Education & Training - Application to host a Platinum / Gold Seal course

Thank you for your interest in hosting an E-AHPBA led course. 
Please complete the following application form to host an E-AHPBA Gold Seal course, once complete the application will be reviewed by the E-AHPBA President, once approved the motion will be passed by the E-AHPBA Council. 
To review the E-AHPBA Governance of Educational Activities please visit the click here.
1.Please indicate the course seal that the course application is for:
For more information on the different categories please visit the website - http://eahpba.org/education-and-training/educational-activities/
(Required.)
2.Please provide the proposed Course Topic:(Required.)
3.Please provide the contact information for the Local Course Chair:(Required.)
4.Please upload the CV of the Local Course Chair:(Required.)
No file chosen
5.Please summarise the proposed course themes identifying any potential speakers if relevant:

(Required.)
6.Please upload the draft course programme (if available):
No file chosen
7.Preferred Dates of Course:
If possible please provide a selection of options
(Required.)
8.Please advise the closest airport, train station and any other relevant transport information to the proposed course venue:(Required.)
9.Please provide a summary of approximate costs involved (venue, AV, hotel etc):
E-AHPBA will produce a detailed budget should the course be selected, therefore only approximate costs are required at present
(Required.)
10.Date of request:
Date / Time