LEARNING EVENT APPLICATION FORM
Please ensure that all sections of this application form are fully completed before returning. A place on this course willnot be offered until we have received a completed application form, which has been authorised by your line manager
Department of Human Resources
6th Floor, City Exchange,
61 Hall Ings, Bradford
BD1 5SG
Telephone: 01274 433803 Fax: 01274 432378
SECTION ONE - COURSE INFORMATION
Course Title:Course Date: / Course Cost:
Course Venue:
Course Provider:
Authorised Budget Approval / YES / NO / CPD Hours Available:
Financial Code to be used / COST CENTRE CODE / VOTE NUMBER / MAIL BOX NUMBER
Special Dietary Requirements:
Please note: If it does not state on the course/event information sheet that lunch is provided then you should not complete this section. Thank you. /
Special Requirements
In support of the Council’s Equal Opportunities Policy for Training and Development, please state if you require any special provisionGluten Free / Visual aid requirement (eg larger print)
Vegetarian / Lumbar Support Chair:
Vegan / Induction Loop
Halal / Disability:
Other (please specify) / Other (please specify)
Is this course to fulfil a requirement of your Appraisal and Development Interview and recorded in your Personal Development Plan? / YES / NO
Comments: (If not, why is it beneficial for you to attend this training?)
SECTION TWO - EMPLOYEE INFORMATION
Last Name: / First Name: / Job Title:Office of: / (eg Policy and Corporate)
Department: / (eg Human Resources)
Section: / (eg Employee and Organisation Development)
Current Grade
(eg Scale 3) / Job Status / Title / Gender / Date of Birth:
Full Time / Mr / Male
Part Time / Miss / Female
Job Share / Mrs
Term Time / Ms
Other
Ethnicity Categories (please tick appropriate box)
We ask you to supply these details voluntarily for equal opportunities monitoring. These ethnicity categories have been agreed atCouncil Management Board
White: / Asian or Asian British: / Black or Black British:
English / Indian / Caribbean
Scottish / Pakistani / African
Welsh / Bangladeshi / Any other Black
Irish / Kashmiri
Any other White / Any other Asian
Mixed: White and Black Caribbean / Other Ethnic group: / Any other ethnic group
White and Black African / Chinese
White and Asian / Not Stated: (please specify)
Any Other Mixed
Workplace Post Address:
Post Code: / Telephone Number:
Fax Number:
E-mail address: @bradford.gov.uk
This courses is approved / refused (please delete as appropriate) – to be completed by Line Manager.
Signed:(Employee) / Dated:Signed: (Line Manager) / Dated:
LINE MANAGER: (PLEASE PRINT NAME) / TELEPHONE NO:
PLEASE NOTE THIS SECTION DOES NOT NEED TO BE RETURNED TO THE CENTRE FOR LEARNING AND SHOULD BE RETAINED BY THE MANAGER
PRE-LEARNING EVENT ASSESSMENT
Personal Learning Objectives (What do you want the training to achieve, assist or improve?)
What team/section benefits will arise from you receiving this training?
What organisation objectives/targets will be met?
POST LEARNING EVENT ASSESSMENT
Were Personal Objectives met? (If not, please explain) Yes / No
Have the expected benefits to the team/section been met? (If no, please state reason) Yes / No
Have the organisational objectives/targets been met? (If no, please state reasons) Yes / No
Any other benefits: