Frec form - EPM Global

The Qualsafe
Level 3 Award
in
First Response Emergency Care

COURSE REGISTRATION FORM

PART 1: APPLICANT DETAIL

TO ENSURE THE PLACE AT THE COURSE ON THE DATES SPECIFIED ABOVE, PLEASE PAY THE
DEPOSIT OF £150 TO:

Epm Global Ltd
Sort code: 23-14-70
Account number: 33034779
Title: FREC 3 March‘24

Cancellation Policy
We operate with the fully refundable 2 weeks’ cancellation policy, any participants who withdraw from the
course within this time will be eligible for the full deposit refund. After this timeline the deposit will no longer
be refundable.

Surname

Fornames

Home Address

Post Code

Phone number

e-mail

Date of birth

Nation

Date of the course

PART 2: PRE-TRAINING ASSESMENT

1. What kind of medical training have you undegone to date?

2. Do you hold any Qualsafe awards?

3. What is the primary reason for you enrolling for this course?

4. Do you require the First Response Emergency Care Level 3 award for your professional career?

5. Would you be interested in continuing the training journey with the FREC 4 course?