Course Title	2. Online Designated Safeguarding Person Training
Dates:	26/06/2024
Venue:	Online via Zoom
Time:	6.30pm

Applicant Details
Title
First Name
Surname
Telephone
Email
Postcode
Agency Details
Agency Name
Employing Agency Address

Special Requirements
Invoice Address
Do you have any sight, hearing or mobility problems that require assistance? If so which?
This application is supported by my line manager (name)
line manager's email address
Email address will only be used by us to distribute the Newsletter and any relevent  information.  Distribution will be anonymised.
	I agree