Education course booking form

Please complete the booking form below for each event that you would like to attend. Or you can download the form, fill it in and send back to us:

Education course booking form

Please complete and submit this form for each event you would like to attend. (Our inboxes are only monitored during working hours, not including weekends or bank holidays.)

"*" indicates required fields

Course title*

Date of the course you want to attend*

We run some courses several times in the year, so please make sure you know which course you want to attend. If the course you're signing up to is over multiple dates - please enter in the date of the first session.

Participant's name*

First name Surname

Job title

Place of work (please provide full postal address)*

Street Address Town/City County Postcode

Employing Organisation

Work phone number*

Mobile number*

Email address*

Enter Email Confirm Email

Any dietary requirements?

Please provide details regarding any special requirements or support you may need

For Sussex Community NHS Foundation Trust (SCFT) staff applying for half or one day courses

Manager's contact details

Purchase Order Number

For Sussex Community NHS Foundation Trust (SCFT) staff applying for courses of more than one day

Have you completed the SCFT request form?

Yes

Have you received approval from SCFT?

Yes

For non SCFT staff - this section must be completed for all courses requiring payment

Please note payment is required prior to attendance. Cancellation must take place 7 days prior to the course for the cost to be waivered. Please email education@stbh.org.uk.

Invoice address (please provide full postal address)

Street Address Address Line 2 Town/City County Postcode Country

Purchase Order Number (if required)

Data Protection

Keeping in touch

We’ll use the information you provide to send you occasional updates and let you know how you can continue helping. We’ll never sell or share your data.

Are you happy for us to stay in touch? (Please select all the options that you're happy to be contacted via)

By email

By phone

By text

If you’d like to change any of your communication preferences, or would prefer not to hear from us by post, please email us or call on 01903 254777. For more information on how we use and look after your data, please read our Privacy Policy an Supporter Promise

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For use by the Education department

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Booked and confirmed

Invoice

View all training courses

Education and training courses

Education course booking form

Please complete the booking form below for each event that you would like to attend. Or you can download the form, fill it in and send back to us: