Training Events & Courses –
Application and Post Evaluation Form
Part 1: Application & Monitoring Section
Instructions
For all internal and external courses, please send this form to Learning and Development, Silver Birch House, Uplands
Business Park, Blackhorse Lane, Walthamstow E17 5SD. For qualification courses, such as NVQs, DMS, PQ1, please
use the In-Service Education Form, which must be returned to the same address. Please note both forms are available on
the Intranet. http://ssdnt1/services/training/
Details of Employee
Details of Course
Full Name
Course Title
Date and Length of Course
Job Title
Course Venue
Organiser
Course Fees
Other Expenses
Special Requirements
Details of Requirements
Grade
Phone No.
Full Workplace Address
E-mail Address

dietary

sight

access

hearing
How was need identified? (please tick)

Appraisal

Supervision

Service (please tick)
If LBWF please tick one of the following
LBWF
Learning Disability Partnership
NELMHT
Mental Health
WF PCT
Physical/Sensory
Private
Older Persons
Voluntary/Not for Profit
Strategy & Resources
Whipps Cross
Housing
Redbridge
Libraries/Cultural Service
Other
Children & Families
Are you a direct provider of a service
to clients (e.g. day care, residential)
Cost Centre Code
Yes
Other (specific)
No
Signature of Authorising Manager
Print Name
Date
Monitoring Section
The London Borough of Waltham Forest is committed to equality of opportunity, both in the provision of service and in our
role as a major employer. We believe that all people have the right to be treated with dignity and respect. We are
committed to the elimination of unfair discrimination and we are determined to ensure that everyone should have equal
access to learning and development opportunities. By monitoring training courses and events, we will ensure that our
equal opportunity initiatives are having effect. Participants can return this form separately.
Unit/Section & Directorate/Service you work for…
Monitoring Ethnic Origin
In order to monitor the effectiveness of the Council’s Equal Opportunities Policy and to comply with the Race Relations
Amendment Act 2000 you are required to complete this section.
White
Black or Black British

British


Irish


Any other White
background. Please specify
below

African
Caribbean
Any other Black
background. Please specify
below
Dual or Multiple Heritage

White and Asian

White and Black African


Asian or
Asian British
Chinese or Other
Ethnic Group

Bangladeshi


Indian


Pakistani

Any other Asian
background. Please specify
below
Chinese
Any other Ethnic
background. Please
specify below
Monitoring Gender
Please tick one box:

Female

Male
White and Black
Caribbean
Any other dual or multiple
heritage background.
Please specify below
Monitoring Disability
Answering the following questions is voluntary. However, the completion of these questions
will help yourself
in the Council
ensuring
Do you consider
to have
a
that all staff are treated fairly and equally. This information will be treated withdisability
the utmost
confidence
and
will
as defined* in the Disability
be used for monitoring purposes only.
Discrimination Act.
Monitoring Sexuality
Monitoring Religion/Belief
Please tick one box:


None
Buddhist



Christian


Hindu

Muslim
Sikh
Any other
religion please
specify

Heterosexual


Gay Man

Yes
Monitoring Age
 Notick one box:
Please
Please tick one box:
Jewish

Bisexual
Lesbian
*The
Act 20
defines
disability
as: “a

Under
 20-29
 30-39
physical or mental impairment which
has40-49
substantial
and long-term
effect

 50-59
 60 and
overon
a person’s ability to carry out normal
day to day activities”.