Application Form to attend Trade Union Courses
at Shrewsbury College, London Road Campus
Course Title & Date of Commencement ____________________________________
Name _______________________________________________________________
Address & Postcode ___________________________________________________
_______________________________________________________
Union Position Held ____________________________________________________
Employer ____________________________________________________________
Department __________________________________________________________
Job Title _____________________________________________________________
Line Manager Name & Job Title __________________________________________
Contact Telephone Number (please state if home or work) ______________________
Email address ________________________________________________________
If you have a learning difficulty and/or disability, please let us know so we can arrange the
appropriate support.
I am a fully paid up member and representative of Unison Shropshire Branch.
Signature of applicant ________________________________
Signature of Branch Officer/Branch Stamp _________________
Please complete and return immediately to
FREEPOST RSAY-RSKR-AGEJ UNISON Shropshire Branch, The
Bungalow, Shirehall, Abbey Foregate, Shrewsbury SY2 6ND. Tel:
01743 252952/8