Georgia: apply for a place

To apply for a place on the course, please complete the application form below.

Please allow at least 30 minutes to complete this form. We will ask you to tell us about your workplace, the children that you work with, your professional experience and any prior training.

You can download a Word version of the form showing all the questions that you can use to help prepare your application.

You do not have to complete the form in one sitting. You can save it by clicking the Save and continue link at the bottom of the form and return at a later date to continue completing your application.

Application form

1Your details

2Your place of work

3Motivation for applying

4Relevant Education or Training

5Relevant Work Experience

6Practical Assignment Planning

7Course payment

8Final commitments

Your details

First name(Required)

Last name(Required)

Email(Required)

Enter Email Confirm Email

Phone(Required)

Name of workplace(Required)

Your role / job title(Required)

Workplace address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Where did you hear about this course?

Facebook

Instagram

Online / on the internet

At work

Music as Therapy International

Another organisation

A friend or colleague

Other

Please specify

Your place of work

How many children do you work with at present?(Required)

How many children attend your setting (total capacity)?(Required)

How many Hours per week do you work directly with children?

How would you describe the children you work with? What are their primary needs?(Required)

What is your role at work? Please describe the type of work you do with these children each week?(Required)

Motivation for applying

Why have you chosen to participate in this course?(Required)

You may find it helpful to consider what benefits the course will bring to you personally, to your work, to the children you work with now and to your work in the future?

Relevant Education or Training

Please provide details of any training courses you have attended that are relevant to your work with children with disabilities.(Required)

Where possible, include the course name, provider, date, and what you learned.

Relevant Work Experience

Please provide details of any paid or voluntary experience you have had with children with learning disabilities.(Required)

Include the period of work, the children’s ages, and details about your role and responsibilities.

Practical Assignment Planning

The Practical Assignment is an integral component of the Distance Learning Programme. All students must lead 8 weekly music sessions with a small group of children with learning disabilities (please read the course guide for more information). If your application is accepted, you will be asked about your Practical Assignment plans during the interview.

Please choose one of the statements below(Required)

I will carry out the Practical Assignment at my workplace

I will carry out the Practical Assignment at a different location

I do not yet know where I will carry out the Practical Assignment, but I will find a suitable place for the music sessions

Name of Practice placement setting(Required)

Address of Practice placement

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Permission from manager(Required)

In accordance with safeguarding requirements, you must speak with the manager where you will conduct your Practical Assignment and obtain permission to deliver Therapeutic Music sessions. Please tick the box below to confirm you have done this.

I confirm I have spoken with the manager where I will conduct my Practical Assignment and obtained permission to deliver Therapeutic Music sessions with the children in my care.

Course payment

Romania

The full fee for the course is 200 EUR (with COPSI credits) or 150 EUR (without credits). This fee is paid in advance and is nonrefundable if the applicant accepts a place but cannot complete the programme. Payment is made by bank transfer; instructions will be provided if your application is successful. This is a not-for-profit programme.

Please indicate which option you are applying for(Required)

with credits

without credits

Georgia

The full fee for this programme is ₾1,500 covering the cost of development and delivery. This fee is paid in advance and is non-refundable if the applicant accepts a place but cannot complete the programme. Payment is made by PayPal; instructions will be provided if your application is successful.

We want this course to be accessible to all interested individuals. If you have difficulty paying the fee, please select the relevant option below to discuss the possibility of a scholarship.

Please select one of the options below(Required)

I, myself, will pay the full course fee

My place of work is able to pay the course fees in full for me.

Please can I talk to you about how I intend to pay the full course fees?

I would like to speak with someone about a scholarship because I cannot afford the course fee.

Final commitments

Please indicate your agreement with each of the statements below by ticking the boxes.(Required)

1. I have read and understood the information provided about the time commitment required to complete this course and am confident I have time to meet the course requirements.

2. I understand attendance at the Intensive Study Training is mandatory and as soon as the dates are released, I will commit them to my schedule.

3. I have read and understood the information about the Practical Assignment and am committed to putting my learning into practice.

4. I have read and understood the course guide.