Print out this form and ensure it is endorsed by your
branch before being forwarded to the L&O Unit at the address below.
Before you
apply .............
Back to Courses
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Course Title Dates . Venue .. |
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Name Address .. .. Part-time/Full-time |
Male/Female Branch No & Name . Membership No Positions held (duration) |
Employer Workplace . Job .. |
Mobile No.. .. e-mail address.. .. Daytime Tel No.. . |
To promote participation of all members, assistance is available to meet individual needs, e.g., Childcare, Dietary, Wheelchair space, signer etc. Please give any details of your requirements.
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Tick if required Overnight Accommodation For information on partners accommodation on Residential Courses For information on accommodation on Non-Residential Courses |
Remember : Start to make arrangements for time off to attend.
The section below must be completed. |
BRANCH ENDORSEMENT:
This application is approved on behalf of .. .. Branch.
Branch Education Officer/Secretary ..
This signature guarantees that payment of any course fee will be made. This fee will not be refundable if the member cancels their place within ten days of the course start date or fails to attend. Course fee is £20 per day: £150 per weekend (residential): £40 per weekend (Non-Residential). Branch will be invoiced by headquarters.
EQUALITY MONITORING Please tick one box This information will only be used to ensure equality of access and opportunity to all members. |
White |
Indian |
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Irish |
Pakistani |
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Black Caribbean |
Bangladeshi |
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Black African |
Chinese |
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Black other Please specify
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Other Please specify .. |
Return this form to: The Learning and Organising Unit, UNISON, 14 WEST CAMPBELL ST, GLASGOW, G2 6RX |