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.

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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.)

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2. Please provide the proposed Course Topic: (Required.)

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3. Please provide the contact information for the Local Course Chair: (Required.)

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4. Please upload the CV of the Local Course Chair: (Required.)

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5. Please summarise the proposed course themes identifying any potential speakers if relevant:

 (Required.)

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6. Please upload the draft course programme (if available):

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7. Preferred Dates of Course:
If possible please provide a selection of options (Required.)

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8. Please advise the closest airport, train station and any other relevant transport information to the proposed course venue: (Required.)

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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.)

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10. Date of request:

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