Contact details in case of emergency
Please indicate in which capacity it is that you are accessing the Recovery Education Centre
If you are accessing a service which is provided by Dorset HealthCare University NHS Foundation Trust, please provide details of your GP, and the Trust Team/Service that you are working with.
Section 2: Courses for which you want to enrol
Please indicate courses below. If you would like to attend more than three courses this term please add details at the end of this form.
Section 3: Additional Support/Assistance
Section 4: Student Declaration
Having an unspent relevant criminal conviction does not automatically mean that you will be unable to access a course within the Recovery Education Centre, however the staff team within the Recovery Education Centre will meet to discuss your application.
Equal Opportunities Monitoring
The NHS has an absolute commitment to equality in the services we provide.
The information provided here is only used to monitor and analyse how services are provided.
Please answer all questions.