{"id":331,"date":"2020-09-02T14:09:17","date_gmt":"2020-09-02T14:09:17","guid":{"rendered":"https:\/\/elevationtrainingireland.ie\/?page_id=331"},"modified":"2021-11-10T10:22:46","modified_gmt":"2021-11-10T10:22:46","slug":"learner-application-form","status":"publish","type":"page","link":"https:\/\/elevationtrainingireland.ie\/learner-application-form\/","title":{"rendered":"Learner Application Form"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-750kj-a8e232dba7c9e3143233aaabb640c851\">\n.flex_column.av-750kj-a8e232dba7c9e3143233aaabb640c851{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-750kj-a8e232dba7c9e3143233aaabb640c851 av_two_third  avia-builder-el-0  el_before_av_one_third  avia-builder-el-first  first flex_column_div av-zero-column-padding '     ><section  class='av_textblock_section av-kelgj4vb-f2f0449fc35f1a4bb63dc446576bf9ec'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_2' style='display:none'><div id='gf_2' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_2' id='gform_2'  action='\/wp-json\/wp\/v2\/pages\/331#gf_2' data-formid='2' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_2_12\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_12\" ><h3>Fill in the form below to apply for a course and we will be in touch with you.<\/h3><\/li><li id=\"field_2_2\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_2\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_2_2'>\n                            \n                            <span id='input_2_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.3' id='input_2_2_3' value='' tabindex='50'  aria-required='true'     \/>\n                                                    <label for='input_2_2_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.6' id='input_2_2_6' value='' tabindex='52'  aria-required='true'     \/>\n                                                    <label for='input_2_2_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_2_3\" class=\"gfield gfield--type-email gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_3\" ><label class='gfield_label gform-field-label' for='input_2_3'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_2_3' type='email' value='' class='medium' tabindex='54'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_2_4\" class=\"gfield gfield--type-phone gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_4\" ><label class='gfield_label gform-field-label' for='input_2_4'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_2_4' type='tel' value='' class='medium' tabindex='55'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_7\" ><label class='gfield_label gform-field-label' >Do you currently have a PPS Number?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_7'>\n\t\t\t<li class='gchoice gchoice_2_7_0'>\n\t\t\t\t<input name='input_7' type='radio' value='Yes'  id='choice_2_7_0' tabindex='56'   \/>\n\t\t\t\t<label for='choice_2_7_0' id='label_2_7_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_7_1'>\n\t\t\t\t<input name='input_7' type='radio' value='No'  id='choice_2_7_1' tabindex='57'   \/>\n\t\t\t\t<label for='choice_2_7_1' id='label_2_7_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_5\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_5\" ><label class='gfield_label gform-field-label' for='input_2_5'>Please outline your previous educational experience<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_5' id='input_2_5' class='textarea medium' tabindex='58'    aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_13\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_13\" ><label class='gfield_label gform-field-label' for='input_2_13'>Which course are you applying for?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_2_13' class='medium gfield_select' tabindex='59'   aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='FullMajor' >Full Major Award<\/option><option value='Stage1' >Stage 1<\/option><option value='Stage2' >Stage 2<\/option><option value='CareOlderPerson' >Care of The Older Person<\/option><option value='CareProvision' >Care Provision and Practice<\/option><option value='CareSkills' >Care Skills<\/option><option value='CareSupport' >Care Support<\/option><option value='Communication' >Communication<\/option><option value='IntellectualDS' >Intellectual Disability Studies<\/option><option value='ManualHandling' >Manual Handling and People Moving<\/option><option value='PalliativeCare' >Palliative Care Support<\/option><option value='SafetyandHealth' >Safety and Health at Work<\/option><option value='WorkExperience' >Work Experience<\/option><\/select><\/div><\/li><li id=\"field_2_14\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_14\" ><label class='gfield_label gform-field-label' for='input_2_14'>Which training location are you applying for?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_2_14' class='medium gfield_select' tabindex='60'   aria-required=\"true\" aria-invalid=\"false\" ><option value='Please select' >Please select<\/option><option value='Cork' >Cork<\/option><option value='Dublin' >Dublin<\/option><option value='Galway' >Galway<\/option><option value='Kildare' >Kildare<\/option><option value='Limerick' >Limerick<\/option><option value='Louth' >Louth<\/option><option value='Offaly' >Offaly<\/option><option value='Wexford' >Wexford<\/option><\/select><\/div><\/li><li id=\"field_2_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_10\" ><label class='gfield_label gform-field-label' >Are you receiving funding to complete this course?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_10'>\n\t\t\t<li class='gchoice gchoice_2_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='Yes'  id='choice_2_10_0' tabindex='61'   \/>\n\t\t\t\t<label for='choice_2_10_0' id='label_2_10_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='No'  id='choice_2_10_1' tabindex='62'   \/>\n\t\t\t\t<label for='choice_2_10_1' id='label_2_10_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_11\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_11\" ><label class='gfield_label gform-field-label' for='input_2_11'>Please give the name, email address and contact details of your funding provider.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_2_11' class='textarea medium' tabindex='63'    aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_15\" ><label class='gfield_label gform-field-label' >Do you require any additional support to allow you to complete this course?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_15'>\n\t\t\t<li class='gchoice gchoice_2_15_0'>\n\t\t\t\t<input name='input_15' type='radio' value='Yes'  id='choice_2_15_0' tabindex='64'   \/>\n\t\t\t\t<label for='choice_2_15_0' id='label_2_15_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_15_1'>\n\t\t\t\t<input name='input_15' type='radio' value='No'  id='choice_2_15_1' tabindex='65'   \/>\n\t\t\t\t<label for='choice_2_15_1' id='label_2_15_1' class='gform-field-label 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.av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-29tuk-34315acefe59f37f6253628d9c62f1c8 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-29tuk-34315acefe59f37f6253628d9c62f1c8 av-special-heading-h3 blockquote modern-quote  avia-builder-el-3  el_before_av_hr  avia-builder-el-first '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Contact Details<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-keirj48q-20543c219e25e3fffbe1ff86531c8bbe\">\n#top .hr.av-keirj48q-20543c219e25e3fffbe1ff86531c8bbe{\nmargin-top:10px;\nmargin-bottom:30px;\n}\n.hr.av-keirj48q-20543c219e25e3fffbe1ff86531c8bbe .hr-inner{\nwidth:100px;\nborder-color:#f2344e;\n}\n<\/style>\n<div  class='hr av-keirj48q-20543c219e25e3fffbe1ff86531c8bbe hr-custom  avia-builder-el-4  el_after_av_heading  el_before_av_textblock  hr-left hr-icon-no'><span class='hr-inner inner-border-av-border-fat'><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-kelax4nu-796c30c764cbef06bbb3cca6e49c2989'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Head Office Address:<\/strong> Unit 1 &amp; 2 Woodford Court, Woodford Business Park, Santry, Dublin 17 D17 KW59<\/p>\n<p><strong>Email Address:<\/strong> <a href=\"mailto:info@elevationtrainingireland.ie\">info@elevationtrainingireland.ie<\/a><br \/>\n<strong>Phone Number<\/strong>: <a href=\"tel:018047333\">01 804 7333<\/a><\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1aln0-3856f67d3b069a23fbe6157979064ea7\">\n#top .av-special-heading.av-1aln0-3856f67d3b069a23fbe6157979064ea7{\npadding-bottom:5px;\n}\nbody .av-special-heading.av-1aln0-3856f67d3b069a23fbe6157979064ea7 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-1aln0-3856f67d3b069a23fbe6157979064ea7 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-1aln0-3856f67d3b069a23fbe6157979064ea7 av-special-heading-h3 blockquote modern-quote  avia-builder-el-6  el_after_av_textblock  el_before_av_hr '><h3 class='av-special-heading-tag'  itemprop=\"headline\"  >Our Locations<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-keirj48q-20543c219e25e3fffbe1ff86531c8bbe\">\n#top .hr.av-keirj48q-20543c219e25e3fffbe1ff86531c8bbe{\nmargin-top:10px;\nmargin-bottom:30px;\n}\n.hr.av-keirj48q-20543c219e25e3fffbe1ff86531c8bbe .hr-inner{\nwidth:100px;\nborder-color:#f2344e;\n}\n<\/style>\n<div  class='hr av-keirj48q-20543c219e25e3fffbe1ff86531c8bbe hr-custom  avia-builder-el-7  el_after_av_heading  el_before_av_textblock  hr-left hr-icon-no'><span class='hr-inner inner-border-av-border-fat'><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-kelax4nu-796c30c764cbef06bbb3cca6e49c2989'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Training Locations:<\/strong> Elevation Training has 9 established training locations nationwide in Dublin, Cork, Galway, Kildare, Limerick, Louth, Offaly and Wexford.<\/p>\n<\/div><\/section><\/p><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/elevationtrainingireland.ie\/wp-json\/wp\/v2\/pages\/331"}],"collection":[{"href":"https:\/\/elevationtrainingireland.ie\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/elevationtrainingireland.ie\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/elevationtrainingireland.ie\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/elevationtrainingireland.ie\/wp-json\/wp\/v2\/comments?post=331"}],"version-history":[{"count":1,"href":"https:\/\/elevationtrainingireland.ie\/wp-json\/wp\/v2\/pages\/331\/revisions"}],"predecessor-version":[{"id":800,"href":"https:\/\/elevationtrainingireland.ie\/wp-json\/wp\/v2\/pages\/331\/revisions\/800"}],"wp:attachment":[{"href":"https:\/\/elevationtrainingireland.ie\/wp-json\/wp\/v2\/media?parent=331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}