Please return the completed application form to: Email: Post: The Training Administration Coordinator, 70 Warren Street, London, W1T 5PB Signed ______________________________ ___________ Date __________________ Checklist of enclosures Please tick Application Form Application Fee Cheque: Course Application Fee £120 2 x Passport Photographs Equal Opportunities Form Equal Opportunities Policy Monitoring Form Role: Date: The purpose of the following is to ask you to assist us in the process of monitoring our Equal Opportunities Policy. At Tavistock Relationships we aim to be a fair and inclusive organisation. Understanding our clients, staff, visiting clinicians and trainees within our organisation is important, as it helps in the development of the services we offer. The information you provide is completely anonymous. If there are any questions you do not wish to answer, then please leave these blank. Female Gender/Gender Identity Male Transgender (Please choose all that apply) Other Prefer not to say White British Irish Any other White background How would you best describe your Ethnic Origin? (Please choose one only) Mixed White and Black Caribbean White and Black African White And Asian
Please return the completed application form to: Email: Post: The Training Administration Coordinator, 70 Warren Street, London, W1T 5PB Signed ______________________________ ___________ Date __________________ Checklist of enclosures Please tick Application Form Application Fee Cheque: Course Application Fee £120 2 x Passport Photographs Equal Opportunities Form Equal Opportunities Policy Monitoring Form Role: Date: The purpose of the following is to ask you to assist us in the process of monitoring our Equal Opportunities Policy. At Tavistock Relationships we aim to be a fair and inclusive organisation. Understanding our clients, staff, visiting clinicians and trainees within our organisation is important, as it helps in the development of the services we offer. The information you provide is completely anonymous. If there are any questions you do not wish to answer, then please leave these blank. Gender/Gender Identity (Please choose all that apply) Female Male Transgender Other Prefer not to say How would you best describe your Ethnic Origin? (Please choose one only) White British Irish Any other White background Mixed White and Black Caribbean White and Black African White And Asian
2019_Training_Application_Form_4_2.docx