1. Course Application Form Use this form to apply for a place on any of our courses. It is divided into 3 short sections. Once you have completed it, you will then be asked to pay the deposit (using PayPal or Credit/Debit card or cheque or Direct Transfer). Step 1 of 3 - Who you are and your contact details 0% Who you areName* First Last PhotoPlease choose your photograph (or email it to us separately). A head and shoulders snapshot is ideal. Your contact detailsAddress*Address Line 1, Town, County, Postcode and Country are all required fields (Address line 2 is optional) Address Line 1 * Address Line 2 Town * County * Postcode * Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Daytime phone*Evening phone*Email* Course(s) and dates Course(s) you would like to apply for* Funeral Celebrant Diploma (5 days) Funeral Director: Modern Funeral Arranging (3 days) Funeral Director: Care and Management of the Body (2 days) Funeral Director: Managing the Funeral Process (2 days) Funeral Director: Staying Ahead of Changing Trends in Funerals (1 day) Grief and Bereavement (2 days) Funeral Director: Starting Your Own Funeral Business (2 days) Funeral Director: Funeral Conducting (1 day) IMPORTANT We do not normally accept applications for our funeral directing courses from within a 50 mile radius due to conflict of interest with our own funeral directing business. Please call us to discuss this on 01803 840779. Total DuePlease pay us a deposit when booking your place. You can pay using PayPal but if possible we prefer payment by bank transfer. Details of deposits, instalments and due date for full payment are shown in the 'Terms and conditions' below.How would you like to pay the deposit?You can pay through our website using PayPal, there is an option within PayPal to pay using your Debit/Credit Card. Alternatively our preferred methods are by Direct transfer (BACS) or by posting us a cheque.Online - with PayPal (Debit/Credit Card options)By Direct TransferBy Cheque Start date of Funeral Celebrant Diploma course you wish to apply for*Availability - March module - fully booked - enquire about waiting list - places available on all other courses 22nd March 201814th June 201813th September 201822nd November 2018Start date of Modern Funeral Arranging course you wish to apply for*Availability - places available on all courses5th March 201818th June 20185th November 2018Start date of Care and Management of the Body course you wish to apply for*Availability- places available on all courses 8th March 201821st June 20188th November 2018Start date of Managing the Funeral Process course you wish to apply for*Availability - places available on all courses16th April 20183rd September 2018Start date of Staying Ahead of Changing Trends in Funerals course you wish to apply for*Availability - places available on all courses7th September 2018Start date of Grief and Bereavement course you wish to apply for*Availability - places available on all courses4th July 2018Start date of Starting Your Own Funeral Business course you wish to apply for*Availability - Places available on all courses5th September 2018Start date of Funeral Conducting course you wish to apply for*Availability - places available on all courses18th April 2018 Please state briefly why you are interested in attending this/these course(s)*Do you have any dietary allergies or intolerances?*And if none, please enter 'none' Terms and ConditionsPlease read the following terms and conditions for the course(s) you have chosen and if you are okay with them please tickTerms and conditions for Funeral Celebrants Diploma*The Funeral Celebrant’s Diploma is five days, split into three and two days with a gap of about three months between. The cost of the course includes assessment and ongoing supervision for the first five funerals you conduct. You can pay in four instalments of £550. The non-returnable deposit is £550, to be included with the application. The next payment is due 21 days before the course begins, and the other two payments are due each month after the first part of the course. We will ask you either to set up a standing order or to give us post dated cheques to cover these. If you need to pay over a longer period, please let us know and we can discuss it. Please note, once you have made a firm booking, paid the deposit of £550, and the course is due to begin within 21 days, you are committed to paying the whole course fee of £2,200 unless we can find a replacement. We guarantee you a place on the corresponding second module of the course, if for some reason you wish to delay your second module this is subject to availability. I agree Terms and conditions for Funeral Director courses*Relevant for: Modern Funeral Arranging (3 days) Care and Management of the Body (2 days) Managing the Funeral Process (2 days) Staying Ahead of Changing Trends in Funerals (1 day) Grief and Bereavement for Funeral and Bereavement Practitioners (2 days) Starting Your Own Funeral Business (2 days) Funeral Conducting (1 day) When booking we require full payment for one day courses. For two or three day courses we require a non-returnable deposit of £300 and the remainder of the payment at least 21 days before the course begins. If you need to pay over a longer period, please let us know and we can discuss it. We may accept post-dated cheques to spread the payments. Please note, once you have made a firm booking, paid the non-returnable deposit/payment of £300 per module, and the module is due to begin within 21 days, you are committed to paying the whole cost of each module booked unless we can find a replacement. I agree Once you click 'SUBMIT': your application will get sent to us you should receive an automated email with your details you will get sent to our payment page CommentsThis field is for validation purposes and should be left unchanged.