Recovery Education Centre - Registration Form

Thank you for expressing an interest in becoming a student of the Recovery Education Centre (REC). Please complete this registration form and send it back to us. 
Once received, a member of our team will be in contact with you to arrange enrolment.

If you would like a paper copy or emailed version of the registration form, please contact the office on 01202 584478 or at dhc.recovery.educationcentre@nhs.net

If you need to print the form for any reason, right-click your mouse and select 'Print'.

Please indicate in which capacity it is that you are accessing the Recovery Education Centre
You can choose more than one option. *
Please provide details of someone we could contact in an emergency:
If you are currently accessing a service, please provide details
Please indicate whether you have any unspent criminal convictions involving an offence against a person (whether violent or sexual), or an offence involving drugs or controlled substances. Having an unspent relevant criminal conviction does not automatically mean that you will be unable to access a course within the REC, however the staff team will meet to discuss your application. *
We routinely collect information on age, gender, ethnicity, and sexual orientation to ensure that we are connecting with a wide range of people. The following questions help us to monitor if we are reaching everyone.
I am happy to answer these questions *
What is your age group?
What is your sexual orientation?
To which of these ethnic groups would you say you belong?
What is your gender?
Do you consider yourself to have a disability?
Dorset Recovery Education Centre