ADVANCED COMMUNICATION Sklls Development Course Book a course "*" indicates required fields Step 1 of 3 33% Advanced Communication Skills Development Course Face-to-face Course (1 week/18 hours) Online Course (12 Weeks/18 hours) Face-to-face Course Dates (Shrewsbury) 22-26 April 2024 3-7 June 2024 Online Course Dates 12 weeks starting: week commencing 19 August 2024 Online Course Fees Price: Face to Face Course Fees Price: 1st Choice Starting dates (Online Course)*MondaysTuesdaysWednesdaysThursdaysFridays2nd Choice Starting dates (Online Course)*MondaysTuesdaysWednesdaysThursdaysFridays3rd Choice Starting dates (Online Course)*MondaysTuesdaysWednesdaysThursdaysFridaysAccommodation No accommodation needed Self-catering (University Residence) - £190 (subject to availability) Self-catering (Private 2-bedroom) - £475 (subject to availability) Total Personal detailsFirst Name* Last Name* Sex* Passport Nationality* Date of Birth DD slash MM slash YYYY Email* PhonePlease provide UK mobileEmergency Contact Name* Emergency Contact Phone Number* GMC Number* Stage of Training*ST1ST2ST3OtherPlease provide your CCT Date* DD slash MM slash YYYY Level of English (estimate)*Please selectBeginnerElementaryLower IntermediateIntermediateUpper IntermediateAdvancedProficientPlease provide the details of the Medical School that awarded your primary qualification* (name and country)Other languages spoken* RCA Taken?* Yes No RCA Passed?* Yes No Number of RCA attempts*Training Programme Director, Name:* Training Programme Director, Email:* Educational Supervisor, Name:* Educational Supervisor, Email:* Why are you applying for this course?*What do you hope to gain from doing this course?*What do you feel are your current areas of strength regarding communication?*What do you feel your areas of weaknesses?*Do you have any special learning needs? Payment DetailsBooking conditions and privacy policy (opens in new window)Agreement* I understand and agree the booking conditions and provide consent for Severnvale to transfer data to relevant NHS departments to administer the course and to process this registration according to its privacy policy. I understand that attendance, punctuality and full participation is expected as a course requirement and that Severnvale is obliged to inform and get consent from my educational/clinical supervisor regarding attendance and any absences. Agreement* I understand and agree the booking conditions and provide consent for Severnvale to transfer data to relevant NHS departments to administer the course and to process this registration according to its privacy policy. I understand this is a 12 week course and I can confirm I can attend the full course I confirm I will log on to lessons from a suitable learning environment using a desktop/laptop, a webcam and working microphone. I understand that attendance, punctuality and full participation is expected as a course requirement and that Severnvale is obliged to inform and get consent from my educational/clinical supervisor regarding attendance and any absences. Preferences We would like to keep in touch – please tick this box to confirm we can contact you periodically by email both before and after your course. You can opt out at any time. Total Payment MethodPayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Date DD slash MM slash YYYY
