Booking form for Envision Access to Employment Campaign training event

Tuesday 13th October 2015

Venue: RNIB, Judd St, London

Deadline for applications:Monday 7 September

We will confirm places for this training day early September

The main focus of this event will be to shape Envision’s next campaign which will look at access to employment for blind and partially sighted young people. What are the barriers, how we overcome them and what we need to say to decision-makers. In particular, you will have the chance to share your views and experiences with a smaller delegation of members who will be visiting parliament the following day, representing Envision, to discuss this issue with key politicians. This is your chance to make sure your views are heard.

In addition, we will also be offering campaign skills training including engaging with MPs, working with media, how to design an effective campaign etc.

If you would like assistance completing this application form, please contact Libby Rhodes on 020 7391 2123 or email

Please provide the following information:

First Name:

Surname:

Address (where train tickets will be sent to):

Postcode:

Home telephone number:

Mobile telephone number:

Email address:

Preferred format for communications – both on the day and after the event:

Emergency contact (please include a name and both a landline and mobile number):

Are you blind or partially sighted?Please give details:

Do you have any additional disabilities, health issues or support needs? Please give full details:

Do you have any other support / faith needs?

Do you have a guide dog?

Do you have any dietary requirements?

Do you have a Disabled Person's Railcard? Please note we will only reimburse the cost of travel to the value of that available with a disabled person’s railcard.

We are aiming to start the training event at 10am. As such, will you need overnight accommodation the night before?

Yes / No

With support, would you be willing to talk to media and be included in press releases about this event?

How did you hear about this event?

Do you want to be added to our mailing list if you are not already?

Please email this form back to:

End of form