Please complete all questions on both pages
Course Title:Date of Course:
Personal Details:
Full Name : / Daytime Phone :Email Address / Evening/mobile Phone:
Organisation Name: / Your role in the Organisation:
Organisation Address:
Postcode:
Meeting your support requirements:
Do you have a disability or learning difficulty we need to be aware of in order to meet your needs? Yes ☐ No ☐If yes – what requirements do you have: (e.g. wheelchair access, learning needs etc):
Your Learning Needs:
What is your main reason for attending the course?What would you like to achieve from the course and are there any elements which are particularly important to you?
What is your present level of knowledge about the course topic?
What is the Status of your organisation (please tick)?
Charity/Community Group/Voluntary Sector ☐ Statutory Sector ☐ Private Sector☐
What is your organisation’s main area of work?
Community Action Training – Booking Form continued
Payment Details:
Payment Amount : £Payment type:
☐ Paypal: at www.farehamaction.org.uk/training/coursepayment.htm
(You can pay with a credit/debit card through PayPal even if you do not have a PayPal account set up)
☐ Cheque (payable to Community Action Fareham)
☐ Invoice Required
Invoice details:
Name of the person invoice to be addressed to:
Email address of person invoice to be sent to:
Purchase Order: if you require an invoice, please indicate your whether a Purchase Order number needs to be quoted on the invoice:
☐ No Purchase Order required
☐ Purchase Order No to follow
Purchase Order No: ………………………………….
How did you hear about the course? Choose an item.
Are you happy with our terms and conditions (please see overleaf) Yes ☐ No ☐
How We Use Your Personal Information
Please return to:
Community Action Training
Community Action Fareham
163 West Street
Fareham,
PO16 0EF.
E mail
Telephone 01329 223 155
Community Action Training
Terms & Conditions
1. Course Bookings
Bookings can be made by phone, email or online via our website: www.actionfareham.org.uk, top tab support for groups and scroll down to training.
2. Provisional Bookings
A provisional booking may be taken pending a deposit or payment as above, but this will not guarantee your place on the course. Bookings secured as in section 3 and 4 have priority over provisional bookings.
3. Payment Terms
Our standard payment terms are full payment or 50% deposit of the total price taken at the time of booking to secure your course place unless otherwise agreed. The remaining balance will become due no later than 14 days before the commencement of your course. Late Bookings made within the 14 days before the commencement of your course we will require full payment
4. Payment Invoice
See section 3 Payment Terms. A course will be held as a provisional booking and an invoice will be issued and sent to you or your employer. Please note we will require details of the organisation to be invoiced. If your organisation requires a purchase order please quote this directly when booking. You can only pay an Invoice by BACS, cash or cheque. Please ensure that you use the invoice number as payment reference. Invoices cannot be paid by PayPal.
5. Payment by Cheque
See section 3 Payment Terms. Posted Cheques must have a covering note with attendee name and course date. Cheques must be payable to: Community Action Fareham
and addressed to: Community Action Training
163 West Street
Fareham
PO16 0EF
6. Payment by PayPal
If booking online you can pay by PayPal using the link on the booking confirmation page and full payment of the course is required.
7. Cancellations
If you do not attend a booked place or fail to cancel within 14 days of the course commencement date, you or your organisation will be invoiced for the full cost of that place, unless otherwise agreed.
8. Once booked
A booking confirmation will be sent to you within a week of receipt of your booking form. A reminder will be sent approximately one week before the commencement of the course. This will include joining instructions, location details and a map.
Community Action Training reserves the right to cancel courses where there are insufficient attendees. In this event full refunds will be given, unless an alternative date or course is agreed.
Community Action Training
Terms & Conditions continued
9. Free courses
We would appreciate you letting us know as soon as possible if you are unable to attend to ensure we only run courses for a viable number of people, and allow us to contact anyone on a waiting list and offer them a place.
10. Absence
If for any reason you are unable to attend a session through illness or unforeseen circumstances please contact us as soon as possible.
11. Meeting your needs
Our booking form asks for your specific learning needs. This may be physical access for people with mobility problems, sight or hearing needs, a language problem such as dyslexia or other issues affecting your ability to participate fully. Please help us to meet your requirements by letting us know in advance.
12. Equality & Diversity
We value diversity and we are committed to making training inclusive and welcoming for everyone. All learners can expect the same high standard of service, regardless of gender, marital status, sexual orientation, religion, age, disability or race.
13. Feedback
We are keen to meet our learners’ expectations, so we value feedback on our administration, content and delivery of the training courses. You will be asked to complete a feedback form at the end of the course.
14. Complaints
If anything is not as you expected please let us know. We use our complaints process to improve our service. You can view our complaints procedure at http://www.actionfareham.org.uk/docs/policies/ComplimentsandComplaintsPolicy.pdf
15. Teaching and learning strategies
Teaching is normally in small groups and learners will at times be asked to work with a partner or independently depending on the course content.
Our booking form asks what you wish to achieve by the end of the course. Our trainers will try and tailor the content to meet your needs.
16. Safer Learning
We are committed to ensuring your wellbeing, security and providing a safe environment. You have the right to feel safe where you learn. Your responsibilities are to respect other people’s rights to safety; not to hurt or abuse others; and not to threaten to hurt or abuse others.
17. Data Protection
Your personal data is protected by the Data Protection Act 1998 and the Privacy and Electronic Communications (EC Directive) 2003. We aim to exceed our legal obligations by following best practice and reviewing our procedures regularly. Your information will not be passed to other organisations, except as required under any funding agreement, this would be made clear in any paperwork you complete.
Talk to us
If you would like to speak to someone in confidence to discuss additional learning needs or any aspect of the course please contact the training department.
Learner Entitlement
We offer a wide range of adult learning courses to help you achieve your career and life goals, to learn a new hobby, keep active and for enjoyment. We are committed to ensuring your wellbeing, security and providing a safe environment.
We will also aim to provide all the information you may need to succeed on your course as follows:
Before the course starts
· start date, times, number of weeks, fees and costs, location
· level of course – eg beginners’ level
· what the course will cover
· whether any previous knowledge is required
· any necessary preparation prior to the start of the course
· any materials you will need to provide
· compliments / complaints procedures
· an opportunity to discuss, in confidence if you prefer, any particular needs you may have and how we can support you to achieve your learning goals
At the first session
· the qualifications / experience of your tutor
· the learning and teaching methods that will be used
· how your progress will be monitored
· relevant health and safety issues
· arrangements for learning support, if required
· help to access your course if you have a disability or learning difficulty
· how we can ensure a safe learning environment and how you can contribute to this
During your course we will ask you:
· to take part in regular reviews of your progress
· whether you have the right level and type of support to achieve on your course
· whether you want to discuss any safety issues or anything else you feel concerned about
· to comment on how you think your course might be developed and improved to help you and other learners
At the end of the course you will have the opportunity to provide feedback on all aspects of your learning experience.
Please contact:
Community Action Training
Tel: 01329 223155 or email:
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