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Governor Services - Course Booking Form

Fields which are with an Asterisk (*) are mandatory.

Course Code

Date of Course ^*

Course Title

Your Details
Title

Forename ^*

Surname ^*

Contact Details
Telephone ^*
Area Code ^*
Number ^*

Please enter your e-mail address if you wish to receive a copy of your completed form
E-mail Address

Further Information

School where you are a governor ^*

Any special requirements? If yes please specify

If you have any queries about your booking please call the information line 0116 305 6519.

Internet e-mail and web based e-forms are not secure media as messages can be intercepted and read by someone else. Please bear this in mind when deciding whether to send information by either of these methods. Postal addresses for Leicestershire County Council are available from http://www.leics.gov.uk/contact_us.htm

The contents of this form will be emailed to someone at the County Council who may then respond to your email.

Please refer to the County Council's Privacy Policy (www.leics.gov.uk/privacy)

Personal data supplied on this form will be held on computer and will be used in accordance with the Data Protection Act 1998 for statistical analysis, management, planning and in the provision of services by the County Council and its partners.

The County Council will treat all information as confidential.

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