Courses for Teachers: Application Form

Course name

Course date

Number of places

Delegate Name & job title: 1.

Delegate Name & job title: 2.

Delegate Name & job title: 3.

Delegate Name & job title: 4.

Your organisation

Contact address

Postcode

Invoice address

Postcode

Contact Email Address

Daytime Telephone Number

Emergency Telephone Number

Where did you hear about this course?

Please send an invoice to

(please enter name of organisation or person to go on invoice)

OR: I will *post a cheque for (£):