Training enquiry form

Centre for Mental Health training form

Where does the delegate work?

Mental Health IPS services (including primary care, early intervention services, homelessness)

Drug and Alcohol IPS services, funded by OHID

For Mental Health IPS workers

Delegate name

Delegate job title

Delegate email address

Delegate telephone number

Name of Organisation / Employer / IPS Service

Name of Local Authority of Service

Name of Paying Organisation

Address of Paying Organisation

Address Line 1

Address Line 2

City

Postcode

Contact telephone number within finance department

Your finance department email address to send the invoice to for £370 + VAT

Purchase Order number

Email address of the person responsible for raising the Purchase Order

Email of line manager of delegate

Email of person booking

Delegate is working in

Confirm booking and raise invoice

Agree

Hardware requirements for training

Hardware needs will be met

Cancellation policy

Agree