Version 1.0, 2019-2020
COURSE APPLICATION FORM 2019-2020
Workforce Development Team, Kingsway House, 1
st
Floor,
Room 102, West Precinct, Billingham, Stockton-on-Tees, TS23 2YL
(For Sat Navs etc. please use - TS23 2NX)
Tel: 01642 528362/527698, Email: workforcedevelopmentcesc@stockton.gov.uk
A separate application form must be completed for each course
Please note all sections must be completed, including invoice/recharge details and your
sector, incomplete applications will be returned
COURSE BOOKING DETAILS
Course Title:
Date: Time:
Venue:
CONTACT DETAILS:
Name:
Job Title/Role:
Your Organisation:
Section/Team:
Work Address:
Telephone Number:
Email of person to receive con
firmation email:
Second email address (If necessary):
Please ensure your email address is accurate as it will be used for all communication regarding the requested
training
Managers Name:
Telephone / Email:
Special Requirements (communication aids, access, dietary requirements):
INVOICE/RECHARGE DETAILS (TO BE COMPLETED FOR ALL COURSES)
Invoice Organisation:
Invoice Address:
Order Number/SBC Cost Centre Code if internal:
Email Address (if different from above):
Data Protection Act 1998 - I hereby give my consent for information provided on this form to be held on
computer and other relevant filing systems and to be shared with my employer and partner organisations in
accordance with the Data Protection Act 1998. I understand that the data will be used for purposes of
administration, financial record keeping, monitoring of training provision and for statistical purposes only
Terms & Conditions of Booking
Please be aware that by submitting this application form you are agreeing to the terms of the Workforce
Development Non Attendance and Cancellation Policy and charges will be made in accordance with the
appropriate policies. The policies are clearly stated in the training programmes or can be downloaded from
www.stockton.gov.uk/cpd
Applicants will be notified in due course if their application has been successful or not via a confirmation email
Version 1.0, 2019-2020
Please ensure the reverse of the form is also completed
WORKING TOGETHER
To support our multi-agency training we need to know which sector you come from
RETURN COMPLETED FORMS TO:
Email: workforcedevelopmentcesc@stockton.gov.uk
Post: Workforce Development Team, Kingsway House, 1
s
t
Floor, Room 102,
West Precinct, Billingham, Stockton-on-Tees, TS23 2YL
Fax: (01642) 528676
Independent Schools
Maintained Schools
FE Colleges
Academies
Faith/Community/Voluntary Sector
Harrogate Trust
TEWV
NTHFT
Public Health
Police
Fire Service
Probation
Thirteen/Housing Provider
Other Local Authority
Childminder
NHS England
Hartlepool & Stockton CCG
Private Sector
SBC Adults & Health
SBC Children Services
SBC Intergrated Youth Services
CAFCASS
SBC D&NS
SBC Resources
Foster Carer/Carer
Self Employed
Other, please specify: