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Application form

Winterbourne View JIP Workshops


PLEASE INDICAE !EL"W W#IC# DAE AND VEN$E
%"$ WIS# " AEND
Newmarket &'
th
No(ember )*&+ Leicester &,
th
No(ember )*&+
Newbur- )*
th
No(ember )*&+ Crawle- )+
th
No(ember )*&+
Wakefiel. )/
th
No(ember )*&+ Wi.nes 0
r.
December )*&+
!irmin1ham &&
th
December )*&+ aunton &2
th
December )*&+
Newcastle &3
th
December Jul-
Contact .etails
Name
Job Title
Organisation
Postal address
Postcode
Telephone
Email
%our re4uirements
If we need to be aware of any specific requirements that you have, to help you
participate fully in the training, please tell us here !These might, for e"ample concern
dietary preferences for lunches during the training, or sight#hearing issues, or
reading#writing$

Than%s for your application If possible, please send your completed form as an email
attachment to events&ndtiorgu% or send to'
National (evelopment Team for Inclusion
)irst )loor, *+,*- .estgate /uildings,
/ath /01 1E)
)02' +1--3 **4+15

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