BOOKING FORM Changing Energy Related Behaviour Webinar 3 October 2024 (9:30am – 12:00pm) TRAINING BOOKING (WEBINAR) – LEICESTER – Changing Energy Related Behaviour – 03 October 2024 (AM) This programme of training is part of our Leicester Energy Action project and specifically aimed at learners based in the LE1 to LE5 postcode areas. To book a place on this webinar please complete the following fields. PLEASE NOTE: Once you complete the booking form and select submit you should see a confirmation note on screen. If you return back to the top of the booking form your booking is not complete. Please check that all relevant fields are complete (all fields marked with a * are mandatory) then submit again. LEARNER DETAILSName* First Last Job Title Organisation* Organisation SectorPlease select the most relevant sector or select other.Advice agencyDistribution Network Operator / Gas Distribution NetworkEducationFuel UtilityGovernmentHealthHome Improvement AgencyHousing AssociationInstaller / ConstructionLocal AuthoritySmall Community GroupOtherEmail* Enter Email Confirm Email Telephone*Postcode*This programme of training is part of our Leicester Energy Action project and specifically aimed at learners based in the LE1 to LE5 postcode areas. Postcode is required to check eligibility for a funded place. What are the main services your organisation provides to households at risk/or in fuel poverty*FUNDED PLACEFunded place – confirmation of eligibility*As outlined above, this programme of training is part of our Leicester Energy Action project and specifically aimed at learners based in the LE1 to LE5 postcode areas. Places are available free of charge to non-commercial organisations in this area. Learners must also be frontline workers (staff or volunteers) that encounter those in or at risk of fuel poverty. Please tick to confirm the following eligibility questions (you must be able to confirm the first two questions in order to receive a funded place): I confirm that I encounter those at risk or in fuel poverty AND I work / volunteer for a non-commercial organisation based in Leicester (LE1 to LE5 postcode areas). Not eligible for a funded place (NEA will contact you to arrange payment) IMPORTANT NOTE: NEA relies on funding from external sources to enable us to offer free training activities. In order to fulfil our commitments to funders we need to ensure that learning takes place on time and that we meet the required minimum number of delegates. Failure to do this may impact on future funding. If you receive a funded place and no longer wish to complete the course please inform NEA as soon as possible so that your place can be reallocated. TERMS & CONDITIONSPlease read the following points carefully* Once in receipt of this completed booking form, NEA shall contact the learner to confirm the place or offer an alternative if the session is already fully booked. Bookings are for the named person only, if you wish to change the attendee name please inform NEA in advance of the webinar date so that we can update our records on who will be attending (places are limited so anyone not officially booked may be turned away on the day). CANCELLATIONS: – If you are unable to complete attend please inform NEA as soon as possible so that your place can be reallocated. Please note that while we offer these places free of charge there is a cost implication to NEA to deliver the webinar and failure to inform us that you are unable to attend prevents us from being able to re-allocate the place and can have a knock on implications to future funding. – Notice of cancellation must be confirmed in writing. – These conditions will not apply if the event is postponed or cancelled by NEA. I AGREE to the above terms and conditions of bookingDATA PROTECTIONGeneral Data Protection Regulations*NEA collects personal information when you book on to a training event; this is used to provide the services requested; report to funders (if necessary); and to evaluate our services. We will not share your details with any other third parties. I AGREE to the privacy policy.Mailing lists*From time-to-time NEA may also send details of further projects / training events including free courses. Would you like to be included in these mailings? YES NO CONFIRMATIONIf you have read and agreed to the above information please select the submit button below to complete your booking. PLEASE NOTE: Once you complete the booking form and select submit you should see a confirmation note on screen. If you return back to the top of the booking form your booking is not complete. Please check that all relevant fields are complete (all fields marked with a * are mandatory) then submit again. Once submitted you should receive a confirmation e-mail.