7/28/2019 Information Sheet Application Form

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7/28/2019 Information Sheet Application Form

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Please complete yourname and address in BLOCKCAPITALS

Communi ty Addiction Studies Course

Application FormCASC 2013/14

Name: Margaret Kinsella

Address: 8 Linnetsfeild Park Clonee Dublin 15

Age: 28 Email:

__margaretkinsella@coolminetc.ie_____________________________

Phone No. 0852832386 (Home) (Mobile) (Work)

1. Are you involved in any community activity? Do you work in the community? Please describe

I am currently night worker in Ashleigh house coolmine womens Treatment centre.

2. How did you hear about the course?

My Partner done the course 2 years ago.

3. Have you participated in any other courses which related to drugs or community development? Pleasedescribe

I have done Cra training and i am currently awaiting to be certified.

4. Why would you like to do this course?

I would like to do the course as i want to future my Career in drug and alcohol addicition.

5. Do you have any ideas how you would like to use what you learn? Please outline

Well As i am currently working with women in recovery I would use what i learn to hopfully one day

become a keyworker in the treatment centre I am currently working in.

6. Can you make a commitment to be present for each Monday evening 7.00pm10.00pm, some full day

Saturdays 10.00am5.00pm, to attend the weekend away and also set time aside for individual

coursework?

Yes i can make a commitment

Signed: Margaret kinsella Date: 05.07.13

7/28/2019 Information Sheet Application Form

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Please return this completed form to: -Greater Blanchardstown Response to Drugs, 1 Weavers Row,Clonsilla, Dublin 15 by Friday 6th September 2013.