unionlearn - TUC Diploma in Occupational Health and Safety



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	TUC Education\|Regions Online learning for reps Union reps Safety reps Union Learning Reps Union professional development programme TUC Educational Trust Bursaries 2012 Contact TUC Education International Development Education Newsletter ETUI REHS Schools Programme Online learning for union professionals Keeping Up to Date Add a comment to the discussion. See all discussion topics. Subject Search term Advanced search We can alert you by email about anything new in your chosen subjects. Register your interests now.	Occupational Health and Safety Diploma - Northern - Application Form Please complete the application form below, the personal information you submit will allow us to assess your eiligibility for the course, the rest of the form assesses your suitabilty for the course. Form fields marked like this * are mandatory. Occupational Health and Safety Diploma - Northern - Application Form Course locationPlease select your preferred location* Course datePlease select the course date* Personal details Title* First name* Last name* Home addressPlease specify at least the first two lines of your addressAddress 1Address 2Address 3TownPostcode* Email address* Home telephone Date of birthIn the format of dd/mm/yyyy* Male/Female* Male Female Additional information How did you hear about this course?* www.unionreps.org.uk www.unionreps.org.uk is an online community for TUC reps full of information, resources and tools. We will sign you up to this service. If you do not want to become a member, please tick below. I do not want to join the useful service www.unionreps.org.uk. Are you happy to receive future TUC communications?* Yes No Monitoring TUC Education is commited to a policy of equality of opportunity. The following information will allow the TUC to monitor performance, improve quality and plan future provision. Ethnicity Do you have a disability?Do you consider your self to have a disability? Learning requirementsDo you have any additional learning requirements? If yes Your union I am an appointed or elected rep from my union. Trade Union Education courses are exclusively for union reps.* Yes No Trade union* Union posts heldPlease give a brief description of any trade union experience and posts held Region* Your workplace Job title Name of employer* Address of employerPlease specify at least the first two lines of your employer's addressAddress 1Address 2Address 3TownPostcode Work pattern Number of employees Paid releaseHas your employer given you time off to study? Previous experience and qualifications Please give details of any previous TUC or union courses that you have attended Data protection I give my consent to the TUC to record and process the information contained in this form. My consent is conditional upon the TUC complying with their obligations and duties under the Data Protection Act 1998. Information provided by you will be used by the TUC for effective course administration. We will not disclose any details to any third party, except to any service provider managing or administering the site on the TUC's behalf. Page 1 of 2 top of page
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Occupational Health and Safety Diploma - Northern - Application Form