Cheshire County Council - Nomination Form for Training Programme 2008-09

Domestic Abuse Header
Training Programme 2008-09

Both Level 1 and 2 courses are primarily for professionals. Level 1 is aimed at any worker who may come into contact with survivors e.g. Children's Services, Health, Police, Housing and the voluntary sector and Level 2 for those who are in regular contact.

Lunch is NOT provided so please bring a packed lunch to the training event.

Please note that submitting an application DOES NOT guarantee you a place on the course. Confirmation letters/course programme will be sent out approximately 4 weeks before the course is due to run. If you do not receive confirmation you have not been allocated a place and are advised to apply again.

The completed form must be accompanied by an email from your line manager agreeing to release you from work to attend the training for the whole duration of the course. NON-ATTENDANCE WILL RESULT IN A CHARGE OF £100 IF NOTICE IS NOT GIVEN 10 WORKING DAYS BEFORE THE START OF THE COURSE, EXCEPT UNDER EXCEPTIONAL CIRCUMSTANCES.

1. Name

2. Agency/organisation

3. Job Title

4. Work base and address

5. Work telephone number

6. Email address

7. Please tick which course you wish to attend

Responding to Domestic Abuse Level 1

Working with Families Experiencing Domestic Abuse Level 2

8. Date:

9. Have you applied for this course before?

Yes

10. Please provide details of any specific needs e.g. access.

11. Manager's Name and job title:

12. Manager's email address:

13. Manager's telephone number

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