Training Course Booking Form Please tick course/courses interested in and your learning preference as online or classroom based. Please also add child/children’s details if you need childcare. Please be aware this is on a first come first served basis. Your Details First Name Surname Address Postcode Telephone number Email (required) National Insurance Number Date of birth (DD/MM/YYYY) Self-referred? YesNo Referred by? Courses (please tick which course you are interested in) Applying For Work and Interview SkillsPersonal Presentation and Communication SkillsUnderstanding Abusive RelationshipsVolunteer courseSelf-DevelopmentIndependent Living Skills: Women's Tenancy CourseOne day workshop - What is FeminismOne day workshop - Developing Cultural IntelligenceOne day workshop - Self-esteem and ConfidenceOne day workshop - Wellbeing Today Childcare Will you require childcare for under 5’s whilst attending the course? NoYes 1. Child's first and surname Age: Date of Birth 2. Child's first and surname Age: Date of Birth Your Consent I understand you will use the information I have provided to place my name on the waiting list for the specified course/s and to advise me when I have a place on the relevant course/s I understand I have the right to withdraw my consent, access my information, ask for it to be corrected, the right to ask you to erase my personal data from your records and that in normal circumstances my data will be retained for a maximum of 7 years. I understand that you also keep anonymous statistics which may be used in relation to the performance of the relevant projects. I understand that I can make a complaint if I do not think you are handling my data correctly and can escalate this to the Information Commissioner’s Office if appropriate. I understand if I give information that is incorrect or incomplete you may take action against me, including court action. For the purposes of the General Data Protection Regulations 2018 the data controller processing your personal data is Winner, the Preston Road Women’s Centre Ltd. Winner processes all personal data in accordance with the General Data Protection Regulations 2018 and other legislation. By ticking this box I consent to the above. Δ