Lead to Succeed Programme
Expression of Interest Form – Taster Sessions 2014/15
Please complete all sections below and return the completed application form to
leadership@nsasocialcare.co.uk
SECTION 1: ABOUT YOU
Name
Title (Mr, Ms, Dr etc)
Designation/Post
Department/Service Area
Organisation Name
Correspondence Address &
Postcode
Telephone
Email
Number of staff on payroll*
Annual budget / turnover*
*These details are used to determine whether your organisation can be classed as an SME and
whether you are therefore eligible for 2 free places on one of the taster sessions.
SECTION 2: EXPRESSION OF INTEREST
Taster sessions are being arranged for Autumn/Winter 2014-15. Dates will be published on the NSA
website once confirmed. Please use the table below to list your preferred locations.
Preferred location (please state which region(s) would be your preferred location)
Participant Eligibility
This programme is aimed at Operational Leaders (AKA Service Managers, Registered Managers,
Branch Managers and their deputies) working in adult social care services. The National Skills
Academy reserves the right to evaluate the suitability of participants put forward for taster sessions.
Based on this level of management, we will expect that they are fully conversant and competent in
accessing moderate ICT functions and systems.
Lead to Succeed - Taster Sessions - Expression of Interest Form
Page 1 of 3
Participants (please detail below how many places you would be hoping to book and roles)
SECTION 3: HOSTING OPPORTUNITY
If you have the facilities to host one of our taster sessions we would love to hear from you. The
following facilities are required for each Lead to Succeed Taster Session that we are running:










Training venue suitable for up to 16 learners and up to 2 facilitators
Tables and chairs accommodating 4 people around each table facing the front of the room
with ample space for both the facilitator and learners to move around
One table and chairs for the facilitator(s) and projector equipment
Table for participants on entry to sign attendance list and collect name badges
Screen for PowerPoint presentation, flipchart and marker pens
Wall space or other suitable display stands/flat surfaces to stick up flip chart paper
Support on the day to accommodate facilitator and learner requirements (e.g. room
temperature)
Accept and store handouts couriered prior to commencement of the workshop
Necessary AV equipment including data projectors laptop, sound equipment, etc.
Facilities / venue would need to be suitable in accordance with the provisions of the
Disabilities Discrimination Act 1998.
The Skills Academy would reimburse the costs of catering and refreshments up to a maximum rate
of £150. This should cover morning and afternoon tea, coffee and biscuits and a sandwich lunch,
with fruit juice, water, tea and coffee.
If you would like to offer up a venue for consideration please fill in the details in the table below and
we shall follow up with you directly. As a hosting organisation we would be able to offer you 2
additional free places on the Taster Session.
Training Facilities
Details
Venue name
Address
Capacity (classroom style layout)
AV equipment and flip chart available
Parking and transport information
Other useful information
Available dates (please provide details of
dates from 1 November to 30 January when
the venue would be available)
Lead to Succeed - Taster Sessions - Expression of Interest Form
Page 2 of 3
SECTION 4: NEXT STEPS
Please return the completed Expression of Interest Form to leadership@nsasocialcare.co.uk and we
shall aim to get back to you as quickly as possible.
Signed
Title / job role
Full name
Date
(typed)
Lead to Succeed - Taster Sessions - Expression of Interest Form
Page 3 of 3