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Higher Diploma Programme Preclinical Programme Continuing professional Development

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Apply to join the Higher Diploma Programme

section 1

Personal Information

Title (Dr / Mr / Mrs / Ms / Mx / Prof / Other) *

First name *

Surname *

Date of Birth *

Nationality *

Country of Residence *

Email Address *

Phone number *

section 2

Academic Background

Name & Address of University/College *

I confirm that my degree was awarded by a recognised university. *

Full title of award *

Date of award *

Overall result *

NFQ Level

Science subject coverage — tick all that apply

Cellular or human biology

Anatomy and physiology

Biochemistry

Pharmacology

Plant chemistry or plant science

Other

Upload your degree or transcript *

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section 3

Professional Qualification

Current job title *

Current employer / organisation *

Professional field *

Medicine

Nursing

Pharmacy

Allied Health

Science

Other

Education

If you chose other, please specify which professional field *

Years of Experience *

Do you currently work in a clinical or patient-facing role? *

Yes

No - I have previously

No

Full title of qualification *

Awarding body *

Is your CPD up to date? *

Yes

No

Science subject coverage — tick all that apply

Cellular or human biology

Anatomy and physiology

Biochemistry

Pharmacology

Plant chemistry or plant science

Other

section 4

Supporting Statement

Why are you applying to this programme?

How did you hear about ICTIM? *

Google

Social media

Word of mouth

IIMH

Colleague

Existing student

Other

Upload your biodata *

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I confirm the information provided is accurate and complete *

I agree to ICTIM's Privacy Policy and consent to be contacted about my application *

Thank you! Your application has been received.
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We appreciate your interest in the Higher Diploma in Clinical Integrative Medicine. The ICTIM team will review your application and contact you by email regarding the next stage of the process.

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Higher Diploma Course Preclinical Programme Continuing Professional Development

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