Team-Teach 12 Hour Basic Course

Contact Details:

Title:
Contact Person:		Employer/Company:
Building No/Name:		Street Name:
Town/City:		County:
Postcode:		Telephone:

Email Address:

Nature of Service

Please select type of service:

Adult Services		Children Services
Learning Disabilities		Learning Disabilities
Elderly		Mainsteam (SEBD)
		Primary Age
		Secordary Age

Personal Safety Elements and Course Content

Select the behaviours which cause concern:

Grabbing and dangerous behaviours
Arms	Neck Area	Hair	Clothing
Biting	Punches	Kicking	Fights

Physical supports / interventions required
Small child support	Guilding	Escorting	Holding
Teenage support	Guilding	Escorting	Holding
Adult support	Guilding	Escorting	Holding

Personal Safety Elements and Course Content

12 Hour Basic courses are organised on an "In House" basis #. Minimum cost is based on 12 course numbers. Courses are billed in units 12 (i.e. 13 would be billed for 24).

# venue costs will be extra.

Number of Staff to trained:
Preferred Date(s):

Once you submit this form someone from e.r.i.c. will contact you to discuss your requirements further.