Employee / Trainee Profile Form - Limerick Chamber Skillnet

Please Complete (All Fields Mandatory)

Course/Event Name *

Start Date of Course / Training day *

Format: dd/MM/yyyy

First Name: *

Surname: *

Gender: *

Male Female

Please select your age range below: *

Under 20 20 - 24 25 - 29 30 - 35 35 - 39 40 - 49 50 - 59 Over 60

Your email Address: *

Email Address we should send Invoice to: *

Phone Number: *

Employment Status

Employed/Self-Employed Unemployed /Job seeker

Unemployment Time Length before this training

0-1 year 1 to 3 years Over 3 years

County of Residence(E.G. Clare, Kildare, Limerick, not "Ireland"): *

Please be sure to fill in the name of the County you live in, and not the Nation.

Company Name: *

What is your occupation category? *

Owner Manager Managerial/Supervisor Professional Semi Skilled Technician/Technical Skilled Manual Operative Level

Company Address: *

Further Information

Yes via email Yes via telephone Yes via text No

Do you wish to be contacted in the future by the Limerick Chamber Network about their Training Programmes?

The Skillnet Ireland Data Protection Officer can be contacted at dpo@skillnetireland.ie

The Limerick Chamber Skillnet Network Data Protection Officer can be contacted at m.maccurtain@limerickchamber.ie For further information on Skillnet Ireland and our Learning Networks please visit www.skillnetireland.ie

Employee / Trainee Profile Form - Limerick Chamber Skillnet

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