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Reading Sure Start

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					    Reading Early Years Services Training Application Form
Course Code                 Course Title                                                       Course Date

                                                                                               Time

Full name of applicant (including title):                             Job Title


Place of employment (if applicable)


Address you would like confirmation and Invoice sent to:                                       Tel:


                                                                                               Fax:


                                                                                               Email:


If you have any specific needs please tick the relevant box or boxes

    HEARING                 SIGHT                      LEARNING                   MOBILITY                   DIETARY

Please state how we can support you.
………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………..

Signature of applicant:                                                                          Date:



Statement to Applicant and Manager/Head

•     Is the training in line with the staff member’s development profile?
•     Does it fit in with the team’s business plan?
•     Has the applicant undertaken pre-required training where necessary?
•     Cancellation less than 2 days before a course date, or un-notified attendance will incur a charge of a
      minimum of £30 per day.

Signature of Manager/Supervisor/Head (Course Booking ID Number)                          Print Name

__________________________________                                             _________________________________


For RBC office use only:

Invoice request                       Amount Charged _______________


Confirmation sent                      Date _________________________

Once fully completed, please send form to:
Workforce Development, Quality Team, Early Years Services, The Avenue Centre, Conwy Close,
Reading, RG30 4BZ or Fax to 9376899 (6899 – internally) Phone No – 0118 9376880

You will receive written confirmation of whether or not your application has been successful. If you do not
receive a letter please contact us.

Data Protection Act 1998:
Reading Borough Council will collate the information you provide on the application form for the purpose of course administration
and statistical returns. This information may be passed to other departments within the Council. This will allow the Council to
monitor performance, improve quality and plan future provision.

				
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