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Training & Workshop Enquiry Form
After you fill out this enquiry form it will be added to a register of interest and we will contact you with further details.
If you would like any further information call the helpline on 07883 304 090 or email info@noisno.org.uk or visit our website
www.noisno.org.uk
.
* Indicates required question
Email
*
Record my email address with my response
Full Name (of client)
*
Your answer
Please select one - Are you a...
*
Choose
Member
Non - Member
One off workshop
Address (Please complete full address)
*
Your answer
Contact number
*
Your answer
Contact email
*
Your answer
Referred by:
*
Self-referral
Organisation
Local authority
Other:
Required
Name of organisation (if applicable)
Your answer
Contact name and no. (if applicable)
Your answer
Reason for referral (give brief description)
*
Your answer
Additional support needed
*
EAL - Language needs
Mental Health diagnosis if relevent
SEN Needs
None
Other:
Required
Details of additional support if needed
Your answer
Service needed (please tick the services you are interested in and we will email you back with a quote as some services may incur a fixed fee)
*
Street Savvy
Freedom + NEFA Awareness Programme
ROSE Programme
Domestic & Sexual Abuse Awareness in the Workplace
Sexual Abuse, grooming, exploitation, trafficking
Honour Based Violence, Cultural Abuse, FGM, Forced Marriages
Bespoke Training/Workshop
Other:
Required
Funded by (you will be emailed with costs that apply for you/your client and payment options if applicable):
Choose
Local Authority
Charity
Organisation
Self funded/Private
Other
Any other information
Your answer
Questions and comments
Your answer
info@noisno.org.uk
www.noisno.org.uk
07883 304 090
Many thanks for completing the form. You will be added to our waiting list and we will be in touch to arrange an assessment.
No Excuse for Abuse CIC (Registered No. 14333367)
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