Further & Higher Education Booking

Click on the box below to book a date from our drop-down calendar. Please wait for the drop down menu to load before proceeding.

Further & Higher Education Name

Department

Address

Town

County

Postcode

Location for delivery of programmes if different from above

Lecturer Name

Contact phone No.

Please note that a Cancer Focus NI officer will deliver a minimum of two and maximum of six 45 minute sessions to your place of education over the course of one day. One or both programmes can be repeated to different student groups as required. Please fill out ALL fields:

Lifestyle Essential programme:

Insert average student numbers per session for the Lifestyle Essential programme

Insert number of times the Lifestyle Essential programme needs to be delivered on the selected date

You Only Live Once programme:

Insert average student numbers per session for the You Only Live Once programme

Insert number of times the You Only Live Once programme needs to be delivered on the selected date

Please indicate the preferred start time for delivery of your first session

How did you hear about this programme? (required)

If you selected 'other', please indicate your answer

I would like to hear more about: (Please check one of the options below)

Care and Support Services

Fundraising

Both

None

We do not sell or swap your details with any third parties

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Find out more about Cancer Focus NI.