Multiple Attendee Request Form

Please complete the form below if you have several staff members who need to attend the same course (N.B. you can select diferent dates if necessary). Your request will be sent to the administrator of the specified course who will confirm your booking by email or phone. If you have any questions about the online booking request process, please email charlie.joseph@porthosp.nhs.uk If you would like further information on courses available on this site please click here


Course title
Manager's name *
Department
Work extension
Contact email


Who needs to attend this course:


Full name-1 attendee
Preferred-1 date (view dates)
Full name-2 attendee
Preferred-2 date
Full name-3 attendee
Preferred-3 date
Full name-4 attendee
Preferred-4 date
Full name-5 attendee
Preferred-5 date
Full name-6 attendee
Preferred-6 date
Full name-7 attendee
Preferred-7 date
Do you have any specific requirements
e.g hearing loop, wheel chair access? *
Please specify
Additional comments
 


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Page last modified: 04 August 2010
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