COURSE BOOKING FORM
To complete electronically click in (or tab) to grey areas and type response
and return to Sue Walden at CIB, sue@cibwilts.org.uk
OR
Print, complete and post to address shown on Page 2 of this form.
Name of Course:
Advising VCS Groups on Funding Issues
Date:
12 & 13 July 2011 & 13 & 14 September 2011
Location:
The Lansdowne Hotel, The Strand, Calne, Wiltshire
Personal Details
(as you wish it to appear on your OCN certificate)
Full Name
Job Title
Organisation
Tel No
Address including
PostCode
Email
Please note that your contact details may be shared with other learners on this course. Should
you wish your details to remain confidential, please tick here
*Disability, medical conditions and learning needs –
please let us know if you have a disability, medical
condition or learning need that CIB can prepare for, eg
hearing loop required.
Personal and dietary requirements - please let us
know if you have any other particular training needs or
dietary requirements
* This information is vital for the tutor and course administrator and will be treated in strict confidence
Additional Details required by Open College Network
* Please see page 4 for OPUS coding details
Date of Birth
Home Post Code
Gender
Enter gender *
Ethnicity
Enter ethnicity *
Employment Status
* Enter employment status
Ability Status
Enter Ability *
Payment details * One-off special rate *
The course fees, which include refreshments and a light lunch, are as follows (please tick the relevant category
for your organisation).
£600 - participants from voluntary/community organisations providing free funding advice *
£800- participants from statutory organisations
£1000- orgs that charge for funding advice
I enclose a cheque made payable to Charities Information Bureau South & West
I would like to request an invoice to be sent to:
Booking Form – Page 1 of 4
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Funding Advice Role
In what way are you currently responsible for providing
funding advice to voluntary/community groups?
Length of time in post
Please provide information on any other previous
experience of funding advice, fundraising or
fundholding
If no funding advice experience, please detail any
other relevant experience you have which you bring to
your role as funding adviser, eg advice worker within
different organisation (CAB)
Please state why you wish to attend this course and
what your personal objectives are
Please provide us with any other information you feel
the tutors need to be aware of including any medical
conditions and/or how you may need to be supported
with your learning
How did you find information relating to this course?
_________________________________________________________________________
Thank you for completing this form. Please complete and return to Sue Walden at CIB
(sue@cibwilts.org.uk) or post to:
Sue Walden
Administration Officer
Charities Information Bureau South & West
Unit 7a
Bath Road Business Centre
Bath Road
Devizes
Wiltshire
SN10 1XA
Tel: 01380 729279
You will be sent full joining instructions on return of this completed form
I have read and understood the Terms and Conditions
Please now see Terms and Conditions on following page and
tick this box to confirm you have read them
Booking Form – Page 2 of 4
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Charities Information Bureau Terms and Conditions
Bookings and Payment
Sessions are run by Charities Information Bureau South & West. Payment must be made with
application. If you are unable to send a cheque without first receiving an invoice, please indicate this
on the booking form.
Cancellation Policy
Cancellations are only accepted in writing (letter, e-mail, fax). Whether payment has been received or
not, charges will be made according to the following periods of notice:
28 days notice minimum:
21 days notice:
14 days notice:
7 days notice or less:
Full refund
10% administration charge (subject to a £5 minimum)
50% course fees
100% course fees
Refunds will only be made in exceptional circumstances and then only at the discretion of the Chief
Executive.
Marking Fee
The tutor will set a course finish date when all work to be marked and moderated must be submitted
to the tutor. Work submitted after this date may incur a £50 administration fee unless pre-arranged
with the tutor.
Data Protection
Charities Information Bureau South & West will use the information you provide on your booking form
for administering our training courses. Additional information you may be asked to give about your
organisation, before or during the training programme, will be used for our monitoring and to ensure
we are reaching our target audience. CIB may share this information with partner agencies (including
funding agencies) where this is necessary and consistent with the purposes stated above.
Equal Opportunities
Charities Information Bureau South & West is committed to providing a training environment that
ensures equality of opportunity and freedom from discrimination for all learners and staff, regardless
of class, age, race and religion, gender and sexuality, politics or trade union membership. All learners
will be respected equally, rewarded fairly and supported appropriately.
Access and other needs
If you have any accessibility requirements or support needs please indicate on the booking form so
we can make arrangements that allow you to fully participate and benefit from the course.
Complaints Procedure
Charities Information Bureau South & West is committed to providing a high quality learning
experience. We encourage a positive, open environment in which feedback and constructive criticism
is welcomed from learners and evaluation forms are provided for each learner as a resource for doing
this. However, if there is a complaint to make, CIB has established a complaints procedure with a
complaint report form, which are both available on request from CIB.
Please tick box on previous page to confirm you have read and understood these
terms and conditions
Charities Information Bureau South & West
Company Limited by Guarantee ◦ Registered Charity No 1119080 ◦
Registered Company No 6055651 ◦ Registered in England and Wales
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OPUS Codes
Ethnicity
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
99
White British
White Irish
Any Other White background
Mixed White & Black Caribbean
Mixed White and Black African
Mixed White and Asian
Any Other Mixed background
Indian
Pakistani
Bangladeshi
Any Other Asian background
Caribbean
African
Any Other Black background
Chinese
Any Other Ethnic Group
Not Specified
Employment Status
FS
FT
PT
RE
UN
NS
Full Time Student
Full Time Employed
Part Time Employed
Registered Unemployed (Seeking employment)
Unwaged (Not seeking work)
Not Specified
Ability
1
Learner considers himself/herself to have a learning difficulty
and/or disability
2
Learner does not consider himself/herself to have a learning
difficult and/or disability
3
No information provided by the candidate
Booking Form – Page 4 of 4
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