Course Registration

To register for a course please fill out the form below.

Course Reference Number:

Title:

Name:

Job Title:

Organisation:

Address:

Postcode:

Contact Telephone Numbers:

Email Address:

Do you have any special needs in
terms of dietary requirements
or access which you would
like us to be aware of?

If you are being released from work to attend this course please enter your line
managers details to indicate he/she has approved your attendance on this course:

Title:
Name:
Job Title:
Contact telephone no.s :
E-mail Address:

You must indicate whether you wish to complete the accreditation for this course.
Accreditation is optional.

I do not want to undertake the accreditation for this unit, simply attend the course
I wish to register for the accreditation for just this unit at this present time (you can register for others later)
I wish to apply for registration on the NOCN Level 3 Award in Substance Misuse and will be submitting registration forms for all the units I need to undertake (see list of units)

Please state which accreditation route you would like to take:
Endorsed Drug Educator Route:
Endorsed Generalist Worker Route:
General Award - standard route:
For standard route please state which courses(codes) you will take:

How did you find out about this training?

ASCERT Mailing
ASCERT Website
Edact
Other

Please note that your registered place on this course is not confirmed until you have received confirmation from ASCERT.
Please note cancellations must be confirmed in writing to ASCERT no less than 72 hours before the event. Any cancellations received after this time, will incur a cancellation fee of £30.