household income per annum (if below £25,000) : £ (Please use information from last P60 form (March 2015) – This will determine if you qualify for funding assistance, there is no limitation on the number of candidates we can accept who meet the criteria as this is an external grant source. Are you a member of UNISON? Yes No Have you been employed within the Health Service for Yes No at two years? Date started in the Please outline courses (of over 4 months duration) completed since leaving school and the year completed? e.g. a degree, NVQ/QCF, Return to Learn, Essential Skills Applicants Signature _________________________________________ Date ______________
household income per annum (if below £25,000) : £ (Please use information from last P60 form – (March 2015) This will determine if you qualify for funding assistance, there is no limitation on the number of candidates we can accept who meet the criteria as this is an external grant source. Are you a member of UNISON? Yes No Have you been employed within the Health Service for at two years? Yes No Date started in the Please outline courses (of over 4 months duration) completed since leaving school and the year completed? e.g. a degree, NVQ/QCF, Return to Learn, Essential Skills Applicants Signature _________________________________________ Date ______________
Southern-Trust-UNISON-K101-Pack-Oct2015.docx