Please add me to your e-mail mailing list..
Your name:

Your email address:

 

Exclusions Advocacy Training Course Application Form
Please print and return by post

Name ..........
Home or organisation address
(whichever applicable)
..........
..........
Post in organisation (if applicable) ..........
Voluntary/community work involvement ..........
..........
Advocacy experience ..........
..........
Are you a member of cen? If not, please join
Category for payment purposes ..........
Home telephone number ..........
Work telephone number ..........
Fax number ..........
Email address ..........
Mobile telephone number ..........

Give us some idea of the reasons for your interest in the course (personal/family/community/involvement

Would you be available for voluntary advocacy work if we referred cases to you? Yes [ ] No [ ]

Fees are as follows:

Students and Unwaged: 15.00
Individuals 30.00
Employees of small charities (Fewer than 6 workers) 40.00
Employees of large charities 50
Employees of statutory organisations 100.00

20% discount for members

I wish to register for the Advocacy Training Course and enclose a cheque/postal order for in the category. Include 20% discount if you are a member

Do you wish to be invoiced instead? If so please give name and address where the invoice should be sent.

The following are the training dates for 2003. Please indicate 1st, 2nd & 3rd choices by inserting a, b, c next to dates. Note all are saturdays.

14 february [ ] 13 march [ ] 10 april [ ] 8 may [ ] 12 june [ ]
10 july [ ] 11 september [ ] 9 october [ ] 13 november [ ]


signature .................................................. Date .............................

Welcome | Membership | Parents Guidelines | Advice For Parents | News Letters
Advocacy Training | Vision Statement | Donations | Contact Us | Links

Copyright © 2001, Communities Empowerment Network
Contact post@compowernet.org

site-design