Course Application Form

Please print off, complete and return to us by post. We cannot accept application forms online since they require the countersignature of a senior union rep or full-time official. Thank you.

I wish to apply for a place on the course listed below

Course Title
To be held at
Starting on

Name

Address
 
 
Postcode Tel.No. -

E-mail address @

Please list any form of practical assistance that will make attendance at the course easier for you:

Wheelchair access Large print text Mobile hearing loop
Other (please specify):

Union

Union positions(s) held: Union Rep Safety Rep Full time officer

 

Employer
Address
 
 
Postcode Tel.No. -

Your Job Title

I am a paid up member and representative of my trade union, and my employer has agreed to my attending this course without loss of pay.

Signature of applicant
Signature of union officer
Date

Please complete and return this form to:

Trade Union Education West
City of Bristol College
Ashley Down Centre (Room D1:18)

Ashley Down Road
BRISTOL BS7 9BU
Telephone 0117 - 3125607 or Fax: 0117 - 3125052

This information will be entered onto our database, which is used to send out our course programme each term. It is not used for any other purpose whatsoever, and is not divulged to any third party. Please tick this box if you do NOT wish this information to be entered on our database. Thank you.

If you wish to apply for more than one course, please:

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