Level 3 Certificate Neurodiversity & Inclusion (Train the Trainer) Application Form

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Section A – Level 3 Certificate Neurodiversity & Inclusion Train-the-Trainer

First Name*

Last Name*

Mobile Number*

Email Address*

Address*

Address Line 1 Address Line 2 City County/State/Province ZIP / Postal Code Country

Nationality

Gender

Female

Male

Other

Age

18-25 years

26-35 years

36-50 years

51+ years

Are you a Professional Member of PPG?*

Yes

Section B – Level 3 Certificate Neurodiversity & Inclusion Train-the-Trainer

1. Which course enrolment date are you applying for?*

View course enrolment dates here

2. Which qualifications or certifications do you currently hold?*

(Please attach copies to your application at the end)

3. Have you previously studied Neurodiversity & Inclusion?*

Yes*

3. Details

If Yes: Please share further details below:

Section C – Level 3 Certificate Neurodiversity & Inclusion Train-the-Trainer

1. Why are you interested in Neurodiversity & Inclusion and/or Positive Psychology?*

Examples could include your current work role, a parenting role, or a role in your community that has inspired you to learn more about these subjects so you can educate others on them and seek to make a positive difference for neurodivergent individuals.

2. Do you have any learning differences we should be aware of?

If you do, please mention these below. For example, oral presentations in place of written assignments or a slower learning pace.

3. How do you hope to use your course knowledge and learning after graduation?*

Examples could include delivering Positive Psychology-informed strengths-based approaches to neurodiversity and inclusion training sessions at work or in your community, or integrating the subject knowledge into an existing role (e.g. as a manager, practitioner, or parent).

Section D – General – Level 3 Certificate Neurodiversity & Inclusion Train-the-Trainer

1. How did you come across the Positive Psychology Guild?*

Search Engine

Friend / Colleague

Other

2. Why did you choose to apply to study with the Positive Psychology Guild?*

Examples could include this being an online course led by a neurodiverse team, or the course content areas, or the flexible pacing, or the course being accredited by the Positive Psychology Guild.

3. Please confirm below how you will be funding your course fees.*

Course fees and deposits are due on invoice receipt prior to enrolment unless otherwise agreed.

Self-funded (one payment due prior to enrolment with £100 discount)

PPG Payment Plan 1 (deposit due prior to enrolment and 10 monthly instalments*)

PPG Payment Plan 2 (deposit due prior to enrolment and 5 monthly instalments*)

Company Payment (one payment due prior to enrolment with £100 discount)

*View course fees and instalment options here

Company Details For Payment

If work is funding your studies, please provide the company name and address, the name and email address of the company finance focal point (if this is not yourself), and a purchasing order number (if your company requires this). PPG can also fill out a supplier sheet on request

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Does your company require a PO number for invoices?

Yes

Please note that if a PO number is required, this should be received prior to issuing the invoice. The invoice should also be issued prior to the enrolment date. If you have any questions on this, please contact us at: training@ppnetwork.org

PO Number for Invoicing

If your company requires a purchasing order number please enter this here.

Does your company require PPG to fill out a supplier form?

Yes

Should a supplier form need to be filled out, please email this along with your full name to: training@ppnetwork.org

Attachments

Please attach any copies of your qualifications or certifications to support your application.

Drop files here or

Max. file size: 5 MB, Max. files: 20.

If copies are not available for any reason, please explain this above under question 2.