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

UNISON LEARNING AND ORGANISING IN SCOTLAND

COURSE APPLICATION FORM

Course Title: Employment Equality (Sexual Orientation) Regs 2003 Dates……10 and 11 September 2004

………………………………………………. Venue……Travel Inn, Glasgow

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.

………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

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 £50 residential: £20 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

Irish

Pakistani

Black Caribbean

Bangladeshi

Black African

Chinese

Black other

Please specify

…………………

Other

Please specify

………………..

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). Cheques (payable to UNISON) must be enclosed.

EQUALITY MONITORING

Please tick one box

This information will only be

used to ensure equality of

access and opportunity to

all members.

White

Indian

Irish

Pakistani

Black Caribbean

Bangladeshi

Black African

Chinese

Black other

Please specify

…………………

Other

Please specify

………………..


Return this form to: The Learning and Organising Unit, UNISON Scotland, UNISON House, 14 West Campbell Street, Glasgow G2 6RX