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It is hoped
that those working in the VOLUNTARY SECTOR who are unable to pay
for themselves – or whose employers won’t pay – will be
able to apply for an educational grant/financial support from
The SEXplained... Foundation and British Liver Trust Joint Education
Fund.
We may need your help with fundraising, so please assist us to assist
you.
This fund is not in operation yet....... sorry.......
but still let us know who you are so we can keep you informed.
Please send a stamped, self-addressed
envelope, for details of fees, supporting sponsors and an application
form. Confirmation of placement can only be given after we receive agreement
in writing from your chosen sponsor.
Statutory sector, please
apply to your manager for support through training budgets.
School Nurses and other
nurses - please contact SEXplained... Ltd incase a pharmaceutical
company may be prepared to help you.
Payment - up front - confirms
placement
Thank you for your interest
in undertaking SEXplained… Training.
Information for sponsorship
: To enable us to approach sponsors and/or potential sponsors on your
behalf, we need to tell them as much as possible about you, therefore
please assist this process by completing
this form, fully.
Please
either fill in this form, printed off, or provide the following information
in a letter.
| Preferred
course dates (or approx): |
1st
choice |
2nd
choice |
| Name |
|
| Permanent
address line 1 |
|
| Permanent
address line 2 |
|
| Town |
|
| County |
|
| Post
Code |
|
| Telephone
Number |
|
| Mobile
Number |
|
| Work
e-mail address |
|
| Personal
e-mail address |
|
| Your
age |
|
|
Academic/formal
qualifications (if any)
|
|
|
Name and address
of employer (if applicable)
|
|
|
Your present
occupation
|
|
|
Your previous
employment in the last 10 years (if applicable) (continue on separate
sheet if necessary):
|
|
|
In what types
of setting, and with what mix of people do you work?
|
|
| Please
state the average number of people with whom you come into contact
(or expect to contact) (training and/or influencing), during the course
of your work, per week. |
|
| Why
do you want to undertake SEXplained… Training? |
|
| Have
you previously bought or read SEXplained… Books? |
|
| Do
you have any special needs or requirements (of any type)? If so, what?
|
|
| How
did you first hear about this course? |
|
| Which
area of the training is of most interest to you and why? |
|
| How
do you envisage using the information you will learn on the course?
|
|
| What
can you give back to your sponsor, in return for supporting your training?
|
|
| Other
arrangements: |
|
| From
how far will you be travelling, to attend the course? |
|
|
Do you need
information about local accommodation (cost not covered in the training
fees)?
|
|
| If
yes, please state the type of accommodation preferred.(please tick). |
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Local
hotel
|
|
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Local
bed & breakfast
|
|
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Accommodation
not required
|
|
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Please provide
any additional information you think may be of interest to a potential
sponsor.
|
|
|
|
|
|
| Thank
you for your time and we hope the information given will enable sponsorship
as soon as possible. |
Please
return this form quickly. We will keep you informed of progress with
your application for funding and will contact you if sponsors require
further information. |
|
(If
insufficient room – please continue on a separate page.)
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Thank you.
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