Request for On Site Training

Course Title

Please tell us your course if it is not listed above

Point of contact for this booking *

Email *

Phone *

Sponsor

Company/hospital where you work *

Address

Street Address

Country

State

City

Postal Code

What is your title/position at work?

Logistics

Please confirm that you have an appropriately-sized room to host the training *

Yes

Full address and postcode for training location: *

Please confirm if you will be providing some of your own equipment for the course *

Yes

Will you need us to provide any equipment?

Depending on the course, this might include otoscopes, otolights, impression materials, audiometers and/or tympanometers. Please let us know what you can provide, and how many. (We can also supply, but need to know beforehand.)

Do you have complimentary parking on site? *

Yes

Is there access to a TV screen or projector within the room? *

Yes

Is there electrical socket access in the room? *

Yes

Will there be internet access available as guest or password and login? *

Guest

Password protected

No internet access

Payment

How will your course be funded? *

Name, email and billing address of individual or finance department who will raise and deal with the PO *

Please confirm your understanding that you will be charged either mileage at 55p per mile as per HMRC, or train costs. *

Yes

Please confirm you understand you will be charged for overnight accommodation if the location is more than 2 hours away from Newbury. *

Yes

Please upload your list of participants. For each participant, please provide name, email address, position/role and any specific learning requirements (eg dyslexia), additional support needs, or medical condition that we should be aware of. We need full details of all participants no later than two weeks prior to your course date.

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Would you like a phone or email discussion about how your participants fared on the course, including any issues etc? *

Yes

Would you like to be included in certificate emails so you are aware when participants receive either their BSA Certificate or Attendance Certificate? *

Yes

Keeping in Touch

Do you wish to receive two emails only a year, informing you of future course dates, new developments (such as new courses), etc? (I understand what it was like when I worked in the NHS to get too many emails from external individuals, so we will limit our email communications to important updates).

We also issue a newsletter (different from, and more regular than, the biannual managers email).This will contain case studies, new research, an interactive Q&A section etc. We will ask students directly if they’d like to receive this newsletter. We will not automatically send it to you, but if you would like to receive it, please tick this box.