course enrolment form (please indicate) -...

PBHC Clinic & School of Holistic Therapies Inc. Company No. 36915

Barbados Accreditation Council No:003/08

CVQ Centre No: C036 ________________________________________________________________________

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COURSE ENROLMENT FORM

Surname: …………………………………………………….

Mr/ Mrs/ Ms /Miss: …...…………… (please indicate)

First Name/s: …………………………………………………………………………

Date of Birth Day…………. Month……………Year……………..……………

Barbados lD Number:…………………………………………………………………

Address:…..…………………………………………………………………………..

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Post Code……………………………….

Tel# Home:………………..Work:…...…………...….Mobile/Cell:……………..

Email:…………………………………………………………………………………...

Present Occupation:…………………………………………………...……………..

Qualifications held: …………………………………………………………………....

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Course for which you are applying:……………………………………………….



CVQ Centre No: C036 ________________________________________________________________________

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Reason for application:

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Can you commit to at least 6 hours a week home study: YES □ NO □

Are you able to give and receive treatments in a mixed setting of males and

females: YES □ NO □

Please indicate any special needs that PBHC should be aware of:

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Please indicate any medical conditions that PBHC should be aware of:

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Please indicate any other information that PBHC should be aware of or do

you have any special requirements:

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You are required to write a short essay stating why you wish to study this course and attach to application. Please include all related experience and as much as possible about yourself.



CVQ Centre No: C036 ________________________________________________________________________

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STUDENT INFORMATION You will be registered for the course that you applied for, if accepted. Should you wish to switch courses, after starting on your first choice for any reason, please note that fees are non-refundable. FEES A deposit of $500 dollars (non-refundable) is required on acceptance and the remaining is payable in installments at the beginning of each term. All outstanding fees must be paid in full at the beginning of the last term to be entered for the ITEC exams. ASSESSMENTS AND ITEC EXAMS Course requirements must be completed and all course assessments passed prior to sitting the ITEC exams. Students that fail any assessment must re-sit that component. A student failing an ITEC exam may re-sit a maximum of 3 times. Additional fees will apply each time. HOMEWORK A homework sheet is given to students; the homework is to be submitted to the tutor in a homework folder each month for checking. This will be submitted to the ITEC Examiner along with your Case Studies at the practical exam. CASE STUDIES Case Studies have to be completed and submitted before a student can participate in the ITEC Practical Exam.



CVQ Centre No: C036 ________________________________________________________________________

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PROFESSIONAL CONDUCT - CODE AND ETHICS The PBHC has strict guidelines for our Code and Ethics which all students must adhere to. Failure to abide by all rules and regulations will lead to disciplinary action. I confirm and fully understand all of the above and understand that:

• I must complete and pass all components required by ITEC in order to be entered for the examination.

• All fees must be paid on time as agreed with PBHC in order to be entered for examination.

• Fees and deposit are non-refundable. Signed: …………………………………………………………………………….

Date: ………………………………………………………………………………...

Please ensure you have completed the application form fully and attach any relevant certificates. Please return to:

PBHC SCHOOL OF HOLISTIC THERAPIES INC. “Nuestra Casa” 1A Endeavour Plantation Endeavour, St. Thomas Tel/Fax : (246) 424-127/234-0187 Email: [email protected]

“Withoutahumblebutreasonableconfidenceinyourownpowersyoucannotbesuccessfulorhappy” - Norman Vincent Peale



CVQ Centre No: C036 ________________________________________________________________________

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course enrolment form (please indicate) -...

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