On Line Application

Fill out the form below and click the Submit button To apply for your course now!

Details About Yourself

Your Full Name
Address Line 1
Address Line 2
City / Town
County
Post Code
e-mail address
Day Time Phone Number	-
Trade Union
Union Position (s) held
Employer's Name (& Plant)
Department & Job Title

Which Course Do You Want To Attend?

Health & Safety Stage 1
Health & Safety Stage 2
Health & Safety Stage Certificate
Union Reps Stage 1
Stepping Up - Stage 2
TUC Employment Law Certificate
Learning Reps Training
Disability Champions At Work
Intro to Sign Language
Beginners Spanish
Beginners Turkish
Contemporart TU Certificate
Introduction to Computers
Word Processing
Databases
Spreadsheets
Powerpoint
Web Site Design

If You Have Attended Any Of These Courses Please Indicate Below

Union Reps Stage 1
Union Reps Stage 2
TUC Certificate Course
Health & Safety Stage 1
Health & Safety Stage 2
Health & Safety Stage 3
IOSH Certificate
Using Computers - Word Processing
Using Computers - Data Bases
Using Computers - Spread Sheets
Advanced Using Computers - Desk Top Publishing
Advanced Using Computers - PC Operating Systems
Advanced Using Computers - Web Site Design
Learning Reps Training

Please Check The Boxes Below as Confirmation

I am a fully paid up member of my Trade Union
I am representative of my Trade Union (not required for computer courses or the TUC Certificate Course)
My employer has agreed to release me from work without loss of earnings (not required for computer courses)
I have informed my full time officer or Branch official that I intend to apply for this course (not required for computer courses or the TUC Certificate Course) YOU WILL NOT BE ABLE TO CLAIM EXPENSES FOR YOUR COURSE IF YOU DO NOT COMPLETE THIS REQUIREMENT*

Please use the space below to give us any other information

* Trade unions and employers all have their own policies regarding expense claims, please check with your Branch Officials for details of what expenses can be claimed and from whom.