Online national course enrolment form

THIS ONLINE FORM CAN ONLY BE COMPLETED FOR RESIDENTIAL TRAINING at the Eastbourne Centre, Esher Place or Wortley Hall.

Important note: Before applying for a course would you please ensure that your Regional Officer has been notified of your election/union position as this helps to alleviate problems, at a later date which may delay your application.

So that we can process your enrolment form quickly and efficiently you must complete the following sections of the form: Membership Number, Name and Address, Course Title & Course Venue. If you haven't stated this information then your enrolment form will not be submitted. The courses that are delivered by the education department are open to all Unite activists.

Once we have received your application form we will confirm in writing whether or not you have been allocated a course place. It is up to you to secure your paid release. Employment legislation entitles you to payment of wages etc for training you undertake that is connected with your trade union duties' (negotiating, representing people etc.) However, if you have been told by your employer that you won't receive paid release, you must raise the issue with your regional officer before you attend the course.


Membership Number*
Regional Officer
Course Title*
Course code
Course Date*
Course venue - please select a residential location*	Eastbourne Centre Esher Place Wortley Hall
Title
First Name*
Surname*
Date of birth*
Date of birth*
Date of birth*
Home Address line 1*
Home Address line 2
Town*
County
Postcode*
Telephone number
Mobile number
Email address
Employer name
Employer address line 1
Employer address line 2
Employer Town
Employer County
Employer Postcode
Please indicate any disability and/or special needs that we may need to accomodate (eg dyslexia, hearing, impaired sight, mobility, dietary requirements etc)
Ethnic origin	Asian or Asian British - Bangladeshi Asian or Asian British - Indian Asian or Asian British - Pakistani Any other Asian background Black or Black British - African Black or Black British - Caribbean Any other Black background Chinese Mixed - White Asian Mixed - White and Black African Mixed - White and Black Caribbean Any other Mixed background White - British White - Irish Any other White background
Any other ethnic origin, please state
What trade union courses have you attended in the last three years?
Will your employer grant you paid release to attend a union course? If no, please see information at the bottom of the page*
Are you a registered workplace rep?
Are you a registered safety rep?
Are you a pensions rep?
Are you a learning rep?
Submit

The union for life

Online national/residential education course enrolment form

The union for life

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Online national/residential education course enrolment form