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  • ESF+ SKILLS CONNECT APPLICATION FORM (Summer 2025)

    Please complete in order to be assigned to interview for LHP Skillnet's Healthcare Support Course (QQI Level 5, Major Award). Please make sure your answers contain no errors. If you pass your interview and we submit the wrong details to the Garda Vetting Bureau, the process will be greatly delayed.
  • Personal Information

    PLEASE ENSURE YOU SPELL YOUR NAME CORRECTLY AS THIS SPELLING WILL BE USED ON CERTIFICATE AWARDED
  • EMAILS DO NOT MATCH

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  • Date of Birth*
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  • I will provide documentation to validate my identity as required and I consent to making this application in the knowledge that it will be processed by a third party organisation (the NRF) and to the disclosure of information by the National Vetting Bureau to the Liaison Person via that third party organisation (the NRF) pursuant to Section 13(4)(e) National Vetting Bureau (Children and Vulnerable Persons) Acts 2012 to 2016.*
  • Declarations

    Please complete in order to be assigned to interview for LHP Skillnet's Healthcare Support Course (QQI Level 5, Major Award).
  • In order to participate on this course, it is a requirement to have Garda Clearance..*
  • I hereby consent to my data being used for the purpose of course administration which will involve my details being shared with LHP Skillnet staff, the contracted tutor(s) and QQI. I am aware that if I do not commence the course as allocated, or if I drop out without completing any modules, or are no longer on a course for any reason, that my details will be destroyed in line with data protection policy.*
  • I hereby confirm that I am medically fit to undertake this course and the associated work placement.*
  • I understand that a laptop or desktop computer is required for this programme and that a phone or tablet is not suitable. I confirm I am able to complete basic computer tasks and will have the use of a suitable device for the duration of the programme.*
  • I confirm that I have the technical aptitude to use Microsoft Word, send and receive emails, and follow basic IT instructions.*
  • I also confirm that I will be in possession of a desktop or laptop that has both a webcam and microphone by the time the course begins and will have access to it for the duration of the programme.*
  • What We Use Your Personal Data For:

    By booking a course or registering as a trainee you give consent to Leading Healthcare Providers Skillnet and Skillnet Ireland to collect and process personal data for the necessary legitimate interest of managing and delivering the course and in accordance with their privacy policy. Skillnet Ireland and Leading Healthcare Providers Skillnet will comply with all applicable Data Protection Legislation in the processing of this information. You understand that the data will be shared with Skillnet Ireland. The data will be used to provide the Department of Further and Higher Education, Research, Innovation and Science with statistical information only in aggregate format. You can view the Trainee Privacy Statement of Skillnet Ireland at: https://www.skillnetireland.ie/data-protection/ may also be shared with the training provider in order for them to communicate with the trainee in relation the training event.To read our privacy policy in full, visit: https://www.lhpskillnet.ie/website-privacy-policy/ You can withdraw your consent at any time by sending an email to office@lhpskillnet.ie
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