Trade Union Education West

Course Recruitment Database Registration Form

Please complete as much of the form below as possible, and then follow the instructions at the end to e-mail it to us. The information you give us will be used exclusively for the purposes of informing you about courses, and will not be given to any other organisation. Thank you.

Name:

Address to which you would like course information to be sent:

Telephone number on which you are happy to be contacted (please list any days and/or times when you do not want to be called):

Telephone number: Please don't call on:

E-mail address: @

Male Female

Employer details

Name:

Address:

Your union:

Positions you hold in the union now (please tick as appropriate):

Steward/Rep Safety Rep Branch Officer Full Time Official

As well as sending course information to you personally, we would like to send this information to your Branch, Reps' Committee, Safety Reps' Group etc. Please fill in the details of the person to whom we should send information (if that person is not you):

Name:

Address:

The positions in the union which that person holds now:

Steward/Rep Safety Rep Branch Officer Full Time Official

If you have already attended any TUC 10 day or Certificate courses, please fill in the details below as far as you can remember them:

Please list the topics of courses which you would like to attend in the future:

Course topic:

Course topic:

Course topic:

Course topic:

Course topic:

Thank you very much for completing this form. Please check the information you have given us and alter it if necessary, then:

1. Click on File on the browser menu bar.

2. Then click on Send, and then on Page by E-mail. This should launch your e-mail programme, with this page automatically included as an attachment.

3. Fill in the To: address in the e-mail message window with admin@tuedwest.org.uk

Thank you.

To return to the Course Information page, click here.