Stage 1: Certificate in Exercise and Health Fitness (CEHF):
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Limerick Day October 2010
Limerick Weekend Oct 2010
Cork Weekend Oct 2010
Stage 2: NCEF Specialist Module:
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Fit for Life E-Learning
Pilates & Corrective Exercise - Limerick May '10
Studio Cycling (Spinning) - Limerick May '10
Personal Training Dublin September 2010
Health Related Activity for Children-Limerick October 2010
Stage 3: DEHF Dual Strand:
Stage 3 Tutor Education University of Limerick September 2010
Stage 3 Practicioner Education University of Limerick September 2010
First Name*:
Surname:*:
Correspondence Address:*:
Tel Home::
Tel: Work:
Mobile::
Email: *:
Date of Birth*:
Country of Birth*:
Nationality*:
Irish PPS No. *:
Gender:
Male
Female
NCEF Educational Qualifications (please only select the qualifiactions you hold):
Leaving Certificate
NCEF Certificate in Exercise & Health Fitness
NCEF Level 1 Current (Recertified)
NCEF Level 1 Expired (not recertified)
Stage 2 Specialist Module- Team Sports Fitness
Stage 2 Specialist Module- Personal Training
Stage 2 Specialist Module-HRA for Children
Highest Qualification attained. (i.e.. Official qualifications, Junior / Leaving or equivalent, Certs, Dips, Degrees etc., HETAC or FETAC qualifications, NCEA, Trade Certs, City & Guilds). *:
Name & Address of Last Institution attended (Primary, Post Primary, IT's, University etc...)*:
Years attended (from mmyy to mmyy)*:
Employment Record (most recent employment first)*:
Physical Activity Habits (types of exercise,frequency,level reached etc)*:
Supporting Statement (Please use this section to include information which you may consider pertinent to your application e.g nature of work experience, reasons for applying for the NCEF etc)*:
Where did you hear about the NCEF*:
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Website
Newspaper
Friend
Other
Signature: