Author: drostron

Tier One Training Request Form

NAME:	JOB ROLE:
ADDRESS:
MAIN TELEPHONE NUMBER:
OTHER TELEPHONE NUMBER:
EMAIL ADDRESS:
SERVICE/DEPT YOU WORK FOR:

OLDHAM (you must be working in Oldham to attend) the Oldham session)
Friday 30th July (9.00am –12.00pm)
Friday 1st October (9.00am - 12.00pm)
Friday 10th December (9.00am –12.00pm)
Friday 4th March 2022 (9.00am—12.00pm)

Any Other Comments/Notes/Needs...

Please Note: There will be a £50 charge for non attendance where 48 hours notice has not been given prior to the training session. Your line manager will need to sign here to agree to these terms:
Name : . . . . . . . . . . . . . . . . . . . . . . . . . . . . Role: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . .
Invoice Address: ………...………………………………………………………………………………
E-mail Address: …………………………………………………………………………………………
e
……………………………………………………………………….……………………………………...

Please send completed form back to ‘Early Break, Annara House, 7-11 Bury Road, Radcliffe, M26 2UG’, or you can email it to info@earlybreak.co.uk or fax to 0161 723 5544.

Early Break would occasionally like to contact you with information about our charity, any upcoming events or service updates, products, vacancies, volunteering opportunities, training courses and news. Please tick the box if you are happy to ‘opt in’ to be contacted
Early Break is committed to ensuring that all personal data is treated ethically in accordance with the Data Protection Act 1998. The information you share will not be shared with a third party. To ‘opt out’ please send the word STOP to info@earlybreak.co.uk