Accelerating Inclusion through Allyship

Application Form

Please complete this Application Form to Book your place

Question Title

* 1. Delegate Details

Title:

First Name:

Surname:

Organisation Name:

Organisation Address (inc. postcode):

Email Address:

Phone Number:

Personal Assistant Contact Details, if applicable:

Please state any specific access, audio and/or visual, disability requirements

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* 2. What is your Job Title ?

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* 3. What are your areas of responsibility?

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* 4. Please confirm which cohort you would like to book on to

May 2023

January 2024

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* 5. Booking Confirmation

The delegate fee is £1,500 plus VAT.

You must provide a purchase order number on this booking form to enable us to process your application. Once your place is confirmed, an invoice will be emailed to you and payment must be made before the start of the programme.

Note: Please ensure that a copy of your Purchase Order is emailed to finance@wmemployers.org.uk before the start of the programme

Please state your Purchase Order Number

Please provide an email address where we should send your invoice for payment

Please confirm whether member or non member

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* 6. Terms & Conditions

An email will be sent to your email address to confirm your booking application has been received and that we have reserved you a place on your selected cohort.

Once we confirm your place, an invoice will be sent to the invoice email address provided and payment should be made at least 5 working days before the start of the course to activate your access to the programme and delegate materials.

Full joining instructions will be sent to the delegate email address no later than 5 days before the programme start date or as soon as payment is made if less than 5 days before the programme start.

Cancellation Policy

All cancellations must be made in writing to info@wmemployers.org.uk and the following cancellation charges will apply.

Cancellation of a confirmed booking within 30 working days of the cohort start date will be charged at 50% of the fee.

Cancellation of a confirmed booking within 15 working days of the cohort start date will be charged at 100% of the fee.

Yes, I accept all Terms & Conditions

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* 7. Data Protection

Managing Your Information - Please read our Privacy Notice and give consent for your contact details to be used for the administration of this programme and related Inspire communications or activity.

Yes, I have read and understood how my contact details will be used.

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* 8. Evaluation and Feedback

We will be asking all participants to provide feedback and participate in evaluation of these programmes.

Yes, I confirm that I am happy to participate in the evaluation process

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* 9. I confirm that all the information on this form is true, complete and accurate

Yes

Accelerating Inclusion through Allyship

Application Form

Question Title

* 1. Delegate Details

Question Title

* 2. What is your Job Title ?

Question Title

* 3. What are your areas of responsibility?

Question Title

* 4. Please confirm which cohort you would like to book on to

Question Title

Question Title

Question Title

* 7. Data ProtectionManaging Your Information - Please read our Privacy Notice and give consent for your contact details to be used for the administration of this programme and related Inspire communications or activity.

Question Title

* 8. Evaluation and FeedbackWe will be asking all participants to provide feedback and participate in evaluation of these programmes.

Question Title

* 9. I confirm that all the information on this form is true, complete and accurate

* 7. Data Protection

Managing Your Information - Please read our Privacy Notice and give consent for your contact details to be used for the administration of this programme and related Inspire communications or activity.

* 8. Evaluation and Feedback

We will be asking all participants to provide feedback and participate in evaluation of these programmes.