SCPD application form ALL OTHER Regions - Social Health Education Project

SHEP CERTIFICATE IN PERSONAL DEVELOPMENT APPLICATION FORM
– ALL OTHER Regions 2025/2026 –

Step 1. – (Important) Before proceeding with the application, it is important that you read the following 2 documents

>> PLEASE READ FIRST – DATA PROTECTION – How SHEP manages information of course applicants. <<

>> PLEASE READ FIRST – Information on SHEP Fees, Reduced Fees, Funded Places & Payment Methods <<

Step 2. Please review the appropriate funding streams for your circumstances

Please choose Tab A in Step 3 if you are paying for a full fees place (€850). (Can be paid in instalments)

Robert Herlihy2025-05-01T13:28:01+00:00

‘Tab A’ Notes (Click – sign to drop down)

For the full fee option, the applicant pays all of the fee themselves. – Course Fee: €850

The fee can be paid upfront or in instalments;

There is a €60 discount if you pay upfront before course start, Course Fee: €790
If you choose to pay instalments, you must pay an initial deposit of €50 followed by a payment plan of 6 instalments of €134 monthly with an initial deposit of €50 (Breakdown of fees: €850 full fee, €800 after €50 deposit = €134 per month over 6 months).

Important;

Once we receive your application you will receive an email regarding a booking deposit. (There is a booking deposit of €50.00 to secure your application. A Stripe link will be sent to you within a few days from when we receive your application, once we receive the payment you will then be added to the course . The €50 will only be refunded if you are not offered a place on the course).
Once the deadline has passed and you have been considered eligible for a place, we send you a letter of offer and payment link via email.
We can confirm your place on the course when ‘payment in full’ or a €50 deposit and payment plan is setup via the payment link.
The first €100 in all payments is non-refundable.
If you decide in the first three weeks to discontinue an additional fee of €75 (€175 in total) remain non refundable. The balance of the fee paid will be refunded.
If you drop out after the first three weeks no refund of the fee will apply.

If you need assistance in any way to complete this form or further information please phone :- (021) 466 6180 or email :- info@socialandhealth.com

Step 3 Select chosen funding ‘Tab’ and fill out form

Tab A) Full Fee Place {€850}

Tab A) Full Fee Place {€850}

Full Fee Place Application Form SHEP Cert in Personal Development (€850)

Preferred payment method:
Pay upfront before course starts and receive €60 discount, fee due - €790Payment plan of 6* €134 instalments with an initial deposit of €50 (Breakdown of fees: €850 full fee, €800 after €50 deposit = €134 per month over 6 months)

First Preference:

Second Preference:

Applicant's Name:

Home Address:

Home Phone:

Mobile Phone:

Email Address:

Date of Birth:

Occupation(If Applicable):

Emergency Contact Name:

Emergency Contact No:

Briefly outline your interest in applying for this course?

How did you hear about this course?

Have you completed any previous courses on any aspect of health-education, personal development or group work? Please specify:

Do you have any special needs or medical conditions that we should be aware of for practical purposes? If yes, please provide additional information:

Are there any additional supports you need to participate in this course?

Is there any other information about yourself that you would like SHEP to know?

DATA PROTECTION :
I have read and I understand the Data protection statement, important information on SHEP fees, reduced fee/funded places & payment method documents.

CONSENT :
I understand and give my consent to how SHEP will use my personal data.

SHEP MAILING LIST :
Please indicate if you wish to join SHEP's Mailing List to receive information about project news and future programmes. You can 'Unsubscribe from the SHEP Mailing List at anytime.
Please add me to SHEP's mailing list.

Please attach a passport photograph here:

To attach a photo:
1) Take a profile shot of yourself with your smartphone/tablet or get someone else to take it for you.
2) If you are applying for the course on your smart phone or tablet when you 'choose file' you will be given the option to
select the image from the gallery on your device.
3) If you are using a laptop or PC to make the application then complete the following steps:-
4) Email the photo to your own email account from the smart phone or tablet
5) Access the email account on the machine that you are applying from
6) Open the email and download the photo to your desktop or downloads section of your device.
7) Click 'Choose File' and a browser window will open that will allow you to locate the file on your machine.

SHEP CERTIFICATE IN PERSONAL DEVELOPMENT APPLICATION FORM
– ALL OTHER Regions 2025/2026 –

Step 1. – (Important) Before proceeding with the application, it is important that you read the following 2 documents

Step 2. Please review the appropriate funding streams for your circumstances

‘Tab A’ Notes (Click – sign to drop down)

Step 3 Select chosen funding ‘Tab’ and fill out form

Tab A) Full Fee Place {€850}

Tab A) Full Fee Place {€850}

Full Fee Place Application Form SHEP Cert in Personal Development (€850)

SHEP OFFICE

PHONE

EMAIL

SHEP LOCATIONS

OTHER INFO

ACCREDITATION

SHEP CERTIFICATE IN PERSONAL DEVELOPMENT APPLICATION FORM – ALL OTHER Regions 2025/2026 –

Step 1. – (Important) Before proceeding with the application, it is important that you read the following 2 documents

Step 2. Please review the appropriate funding streams for your circumstances

‘Tab A’ Notes (Click – sign to drop down)

Step 3 Select chosen funding ‘Tab’ and fill out form

Tab A) Full Fee Place {€850}

Tab A) Full Fee Place {€850}

Full Fee Place Application Form SHEP Cert in Personal Development (€850)

SHEP CERTIFICATE IN PERSONAL DEVELOPMENT APPLICATION FORM
– ALL OTHER Regions 2025/2026 –