Application Form

Please fill out the form below, or alternatively download a printable version and post to the address below.

Your Details

Name

Address

Home Tel/Fax

Work Tel/Fax

Email

Occupation

The Course

Course Title

College/Training Institution

Cost of Course

Does this include VAT? Yes No

Reasons for wanting to attend training (please write no more than 500 words)

Please enter a website address where we can find a brochure/background material giving details of the course.

NOTE: Funds are NOT available for university/college foundation, graduate or post graduate courses.

Referees

We require names and addresses of two referees – one from recent professional employment, the other from the minister of the church you regularly attend or church group leader. Please provide their names and addresses below. Please download the referee form and ask your referees to fill it out and return it to the Address below.

Professional Referee

Church Referee

Additional Information

Applicants are also asked to provide a recent Curriculum Vitae (and a photograph if possible). Please send the files to info@jerusalemproductions.org.uk.