ESCB North Essex Stay Safe Conference 22nd April 2027, 9.30am-4.30pm (Clacton on Sea)

1. First Name

(Required)

2. Surname

(Required)

3. Job Title

(Required)

4. Organisation

(Required)

5. Delegate email address - confirmation details will be sent by email to this address, please provide an individual email address where possible

(Required)

6. Course fee - please select the fee that applies to you

(Required) Essex Council for Voluntary Youth Services (ECVYS) Member - £20 All Other Agencies - £25

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

(Required)

8. Finance contact email address - a copy of the invoice will be sent to this email address

(Required)

9. Billing address for invoice

(Required)

10. Please provide a contact number in case we need to contact you regarding the course on the day (preferably a mobile number)

(Required)

11. Your manager's email address or your own (if self employed)

(Required)

12. Please select the sector you work in

(Required) City/Borough/District Council Community Interest Company Early Years Education (Schools/Colleges) Essex County Council - Children and Families Essex County Council - Youth Service Essex County Council - Education Essex County Council - Other Essex Child & Family Wellbeing Service Health Housing Provider Police Private/Independent Provider Probation Services Voluntary/Community/Charity Other

13. Please select the area of Essex you work in

(Required) Countywide Mid (Chelmsford, Braintree, Maldon areas) North East (Tendring, Colchester areas) South (Basildon, Brentwood, Castle Point, Rochford areas) West (Epping Forest, Uttlesford, Harlow areas) Southend Thurrock Other

14. Please inform us of any access requirements or adjustments you may need, including the provision of training materials in an alternative format.

15. We will be providing a sandwich lunch, do you have any dietary needs, allergies or intolerances that require an alternative lunch option?

(Required) No Yes (please state below)

16. If you have answered yes to the above question, please provide details

max 20 characters

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

Introduction