ESAB - Designated Safeguarding Adults Leads: 12.01.2027 - Page 1 of 3 - Essex County Council

Page 1 of 3

Introduction

1. What is your first name?

(Required)

2. What is your surname?

(Required)

3. What is your organisation?

(Required)

4. Do you work for a Charity or Voluntary organisation?

(Required) Yes No

5. What is your email address?

(Required)

6. What is your job title?

(Required)

7. Address: First line of your work address?

(Required)

8. Address: Second line of your work address?

9. Address: Town?

(Required)

10. Address: Postcode?

(Required)

11. What is your Telephone number

(Required)

12. Please provide your Managers email address.

(Required)

13. Please provide your organisations Purchase Order* (PO) Number; failure to provide this may result in you not being allocated a place on this course. *Please note: if your organisation does not generate PO's, ESAB may be able to generate one for you; please request this in the box below.

(Required)

14. If you are an Essex County Council employee, please provide your Cost Code (i.e., 5 numbers - 4 letters - 4 numbers) instead of a PO number; failure to provide this may result in you not being allocated a place on this course.

(Required)

15. Please provide the email address of your finance department.

(Required)

16. Please provide any additional information here.