I hereby apply for a place on the LLTTF programme and confirm that the information I have provided is accurate and complete.
If requested, I agree to provide information, which will assist in the overall evaluation of the programme.
I understand that any such information will be provided anonymously, will be treated in strictest confidence and will not be used for any other purpose.
AWARE is the depression charity for Northern Ireland and the only charity working exclusively for those with depression and bipolar disorder.
40-44 Duncairn Gardens,Belfast,BT15 2GG
Tel: 028 9035 7820
15 Queen St,Derry,BT48 7EQ
Tel: 028 7126 0602
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