West Essex Stay Safe Conference 25th March 2026 (Harlow)

Page 1 of 3

Closes 27 Feb 2026

This service needs cookies enabled.

Introduction

1. First Name
2. Surname
3. Job Title
4. Organisation
5. Delegate email address - confirmation details will be sent by email to this address
6. Course fee - please select the fee that applies to you
(Required)
7. Purchase order number

If your organisation needs to provide a purchase order number for ESCB to raise an invoice for this course, please provide this in the box below. (ESCB uses the ECC finance system) THIS APPLIES TO MOST HEALTH ORGANISATIONS, POLICE AND LOCAL AUTHORITIES. 

Failure to do so will mean your place will not be allocated. 

If your organisation does not require a purchase order for ESCB to raise an invoice then please put N/A in the box below

If you are an Essex County Council employee, please state 'ECC Staff' in the box below and go to question 8

8. Finance contact email address - a copy of the invoice will be sent to this email address
9. Billing address for invoice
10. Please provide a contact number in case we need to contact you regarding the course on the day (preferably a mobile number)
11. Your manager's email address or your own (if self employed)
12. Please select the sector you work in
(Required)
13. Please select the area of Essex you work in
(Required)
14. Please advise us if you have any access requirements
15. We will be supplying a sandwich lunch. Do you have any dietary restrictions?
(Required)
16. Do you have any food allergies?
17. Please note

If you have not received an automated confirmation of your application within 24 hours - please check your junk email in the first instance. If the email does not arrive please contact escb.training@essex.gov.uk as you may have entered your email incorrectly on the application form