Leader Funded Training Course Application Form

Area of interest

Course Name *

Your Details

Name *
Address
Telephone
Mobile
Email * (required)
PPS Number

EMPLOYMENT DETAILS

Current Employment Status
Are you currently employed? If so what is your employment?
If unemployed for how long?

OTHER INFORMATION

If you have already completed any certified or uncertified courses in this area, please list them here.
If you have any previous experience in working in Accounts or Administration, please list these here.
What do you hope to do once you have completed this course?
Do you have special dietary requirements?
Education Level Obtained

IRD Duhallow will be in contact in due course to confirm your place on this course. If you have
any questions please do not hesitate to contact Mary McHugh on 029 60633. Thank you

Course Costs are €40 per person. Your place will not be confirmed until payment is received.

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