Day 1 & 2 Multi-Agency Training (November 2018 / Jan-Feb 2019)

Please note that this booking form submission will be acknowledged by email, however, your training place is not confirmed until you receive a formal confirmation letter from Standing Together.

Cancellation Policy: You will be fully charged for any cancellations made two weeks or less before a training. We do, however, allow for an eligible colleague to fill this space, at no additional administrative cost if notified in advance of the course date.

Name*

First NameLast Name

*Eligibility: Because Day 2 "Skills and Tools to Support Survivors of Domestic Abuse" course is an advanced skills course, you must have completed a one day domestic abuse dynamics foundation course run by Standing Together or an equivalent domestic abuse course in the last 2 years.

Course Applying For

Day 1: 17th January 2019 - Understanding the Dynamics of Domestic AbuseDay 2: 7th February 2019 - Skills and Tools to Support Survivors of Domestic Abuse 2018

(If you are applying for our Skills and Tools day only) Have you attended a full-day foundation/ Dynamics of domestic abuse course recently?*

YesNo

When did you attend this course?

Who delivered the course (insert name of organisation)?

Are you familiar with the Duluth Model of Power & Control?

YesNo

To be eligible to attend the Skills course you must have attended a full-day foundation domestic abuse course in the past two years. You have selected no at the moment.

To fulfill this criteria you can select to attend our foundation Dynamics course on the 13th September 2018. If you cannot attend at the moment or the course has passed, please email the training department and we can notify you when our next upcoming foundation course is.

Job Title*

Organisation Name*

Department

Address*

Town / City*

Post Code*

Phone Number

Area CodePhone Number

Mobile:

E-mail*

Confirmation Email

Access Requirements:

Managers Name*

Managers Email*

Borough(s) your agency covers*

H&FK&CWestminsterOther

Please note that if you require a Purchase Order Number to make a payment that you must get this and either place it in the box below when indicated, or if you cannot get one immediately, please email it to training@standingtogether.org.uk as soon as possible after you have filled out the booking form.

Course costs:

£75 for 1 Course

£140 for 2 courses (a saving of £10)

Number of Courses Attending*

Total Cost For your Booking 1 Course

£75.00

Total Cost For your Booking 2 Courses

£140.00

There may be another delegate attending from your organisation who should be included on your bill. If so, please state their name (s) in the space below

Payment options*

ChequeInvoice MeSecurely online with PayPal

Send a cheque payable to 'Standing Together Against Domestic Violence' with your full name and organisation written on the back

Invoice Contact Name and Address with Purchase Order Number (if required)*

Instructions for paying by paypal will be sent once your booking is confirmed

Any Comments or Instructions

Cancellation Policy: You will be fully charged for any cancellations made two weeks or less before a training. We do, however, allow for an eligible colleague to fill this space, at no additional administrative cost if notified in advance of the course date.

We will never sell your personal details to anyone and will only use your data for the purposes we tell you about. We will always explain clearly what the information we are collecting about you and why.

www.standingtogether.org.uk / training@standingtogether.org.uk / 020 8748 5717

Booking Form - Domestic Abuse Training

Delegate Details

Payment Details