V4 Development Opportunity Nomination Form for staff and voluntary or partner organisations wishing to attend YST Courses

Your DetailsFirst name: Surname:

Job Title:

Workplace: Work phone:

Mobile phone: Email Address:

(please circle to indicate) Part-time Full-time Voluntary (please circle to indicate)

CorrespondenceAddress:

If you have any special needs (e.g. visual, aural, mobility difficulties or dietary preferences) please indicate:

Please enter the date you attended Safeguarding training:

Please enter the date of your last DBS check:

Signed: Date:

Course Details

Title: Date:

Non- Attendance

It is the responsibility of the Line Manager to inform the YST Training Department if the nominated member of staff leaves or is unable to attend due to illness, as non-attendance will incur charges. The charge for non-attendance is £25 per session, where a trainer is bought in, the cost per session will be £50.

Authorisation by Line Manager

This application has been approved.Document owner: Ellie Donaldson Published on: 20/06/2019Version: 3.0

Signed: Date:

Practice & Development Dept. Prospects Services, Youth Support Centre, Windsor House, 40 Brunswick Rd, Gloucester GL1 1HG

Ellie Donaldson| Mobile: 07747 471545 | Reception: 01452 551276|Email: YSSTraining@Prospects.co.uk

Document owner: Ellie Donaldson Published on: 20/06/2019Version: 3.0