Clinical Supervisor Training for Social Workers

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PERSONAL DETAILS First Name Surname Contact Phone No Email Address

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COURSE INFORMATION University / College Name Course Completion Year CORU Reg Number

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MEMBERSHIP INFORMATION Membership Type

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All students graduating in any given year will automatically move to ANNUAL (one payment) First Year Post Qualify membership in March of the following year (regardless of when they joined or when they paid the last student fee). To pay your fee in monthly instalments, the member must contact the Office Administrator before 1st March.

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