Public and Commercial Services Union

National black members seminar 2010 - Apply online

Closing date for applications: Thursday 23rd September – all information will be held in the strictest confidence

Please insert your PCS Membership number below (must be completed). Application forms without this number will not be accepted.
PCS membership number *
First name *
Family name *
Email address (All seminar correspondence will be sent via email) *
Mobile telephone number - Please add just the number, no spaces *
Daytime telephone number - Please add just the number, no spaces *
Address *
Postcode *
Name of Employing Dept./Agency *
Are you able to travel from your home to the seminar on a daily basis? *
- Yes
- No
If you require creche facilities, please provide name, gender and age of child/ren (Facilities are provided for children from 6 months to 14 years old). Family accommodation will be provided.
No. of Child/ren?
Name/Age/Gender of children (Please complete for each child)
Please indicate what help you need from PCS, if you have any particular requirements such as medical condition (which we need to be aware of), dietary or prayer needs, access needs, interpreter support, prayer facility.
If required, please state name of person sharing or carer
Have you attended the black members seminar previously? *
- Yes
- No
Please state which year/s
Please explain why you want to attend the seminar in no more than 150 words (This information is used for the selection process) *