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Living Life to The Full - Application Form

Please note - This programme is not suitable for you at this time if you are currently affected by severe depression or if you have experienced a recent major life event, e.g. bereavement, trauma, relationship breakdown etc which might affect your ability to participate fully. If in doubt about your suitability, please contact training@aware-ni.org to discuss.

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Please read the following and choose YES or NO

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Please only complete the rest of the form if you have answered YES to the above questions

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If someone else referred you, please give their details below

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GDPR Agreement

We really appreciate your ongoing support of our cause. We would love to tell you occasionally about events and campaigns going forward. You can always unsubscribe at any time and can choose how you would like us to contact you. We will never sell your details to another organisation and they will be held securely and confidentially. To read our full privacy notice contact it is available on the website here: Privacy Policy

I wish to apply for a place on the above course. 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 the strictest confidence and will not be used for any other purpose.

Please tick to agree

AWARE is the depression charity for Northern Ireland and the only charity working exclusively for those with depression and bipolar disorder.

Aware Defeat Depression, known as AWARE, Queen Street, Londonderry, Northern Ireland, BT48 7EQ, Company No: NI30447. Registered with the Charity Commission for Northern Ireland with charity registration number NIC100561

BELFAST OFFICE

Tel: 028 9035 7820

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DERRY/LONDONDERRY OFFICE

Tel: 028 7126 0602

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