CONI Coordinator Training Booking Form Please fill in this form if you would like to attend one of the CONI Coordinator training sessions. Please complete the below form to register for CONI Co-ordinator training. For further information you can email us or go to the professional's page of The Lullaby Trust website. Which training would you like to book?*- Select -InitialUpdate (refresher)Title*- Select -MrMrsMsMissMxDrOtherPrefer not to sayTitle if 'Other'*First name*Last name*Name of employer*- Select -Abertawe Bro Morgannwg University Health BoardAchieving for ChildrenBarnet, Enfield and Haringey Mental Health NHS TrustBarnsley Metropoliton Borough CouncilBelfast Health and Social Care TrustBerkshire Healthcare NHS Foundation TrustBetsi Cadwaladr University Health BoardBirmingham and Solihull CCGBirmingham Community Healthcare NHS TrustBlack Country Partnership NHS Foundation TrustBradford District Care NHS Foundation TrustBridgewater Community Healthcare NHS TrustBromley HealthcareBuckinghamshire Healthcare NHS TrustCambridge Community ServicesCambridgeshire and Peterborough NHS Foundation TrustCambridgeshire Community Services NHS TrustCardiff and Vale Health BoardCentral and North West London NHS Foundation TrustCentral London Community Healthcare NHS TrustCentral Surrey Health (CSH) SurreyChesterfield Royal Hospital NHS Foundation TrustChild and Family Health SurreyCity Health Care PartnershipColchester Hospital University NHS Foundation TrustCornwall County CouncilCounty Durham and Darlington NHS Foundation TrustCoventry and Warwick Partnership NHS TrustCroydon Health Services NHS TrustCwm Taf University Health BoardDerbyshire Community Health ServicesDerbyshire Healthcare NHS Foundation TrustDevon County CouncilDoncaster and Bassetlaw Teaching HospitalDorset Health Care University NHS Foundation TrustEast and North Hertfordshire NHS TrustEast Cheshire NHS TrustEast Kent Hospitals University NHS Foundation TrustEast London NHS Foundation TrustEast Sussex Healthcare NHS TrustEpsom and St Helier University Hospitals NHS TrustFalkland Islands GovernmentFamily Nursing and Home Care JerseyFirst Community Health & Care C.I.CGuernsey GovernmentGuy's and St. Thomas' NHS Foundation TrustHarrogate and District NHS Foundation TrustHartlepool Borough CouncilHerefordshire & Worcestershire Health & Care NHSHertfordshire Community NHS TrustHomerton University Hospital NHS Foundation TrustHull and East Yorkshire HospitalsHywel Dda University Health BoardImperial College Healthcare NHS TrustIsle of Man GovernmentKent Community Health NHS Foundation TrustLancashire and South Cumbria NHS Foundation TrustLancashire Healthy Young People and Families ServiLeeds Community Healthcare NHS TrustLeicestershire Partnership NHS TrustLincolnshire County CouncilLivewell South WestLocala Community PartnershipsManchester University NHS Foundation TrustMedway Community Healthcare (CIC)Mersey Care NHS Foundation TrustMidlands Partnership NHS Foundation TrustNewham Borough CouncilNorth Bristol NHS TrustNorth Cumbria Integrated Care NHS Foundation TrustNorth East London NHS Foundation TrustNorth Middlesex University Hospital NHS TrustNorth West Boroughs Healthcare NHS Foundation TrustNorthamptonshire Healthcare NHS Foundation TrustNorthern Care AllianceNorthern Health and Social Care TrustNottinghamshire Healthcare NHS Foundation TrustOxford Health NHS Foundation TrustOxleas NHS TrustPennine Care NHS Foundation TrustPowys Teaching Health BoardProvideRedcar and Cleveland Borough CouncilRotherham, Doncaster and South Humber NHS Foundation TrustRoyal Cornwall Hospital NHS TrustSalford Royal NHS Foundation TrustSandwell and West Birmingham Hospitals NHS TrustSheffield Children's NHS Foundation TrustSheffield Teaching Hospitals NHS Foundation TrustShropshire Community Health NHS TrustSirona care & health C.I.CSomerset County CouncilSomerset Partnership NHS Foundation TrustSouth Eastern Health and Social Care TrustSouth Tyneside and Sunderland NHS Foundation TrustSouth Warwickshire NHS Foundation TrustSouthend Borough CouncilSouthern Health and Social Care TrustStates of JerseyStockport NHS Foundation TrustSuffolk County CouncilSwansea Bay University Health BoardTameside and Glossop Integrated Care NHS Foundation TrustThe Newcastle upon Tyne Hospitals NHS FoundationThe Royal Wolverhampton NHS TrustTorbay and South Devon NHS Foundation TrustVirgin Care Integrated Children's ServicesWalsall Healthcare NHS TrustWestern Health and Social Care TrustWhittington Health NHS TrustWirral Community NHS Foundation TrustWorcestershire Health & Care NHS TrustWrightington, Wigan and Leigh NHS Foundation TrustWye Valley NHS TrustOtherName of employer if 'Other'*What is your CONI role*- Select -CONI Co-ordinatorCONI AdministratorCONI DoctorCONI ChampionCONI LinkCONI ContactCONI Role UnknownProfessional role*- Select -AcademiaAdministrationAsylum / Refugee ServicesBereavement support servicesCDOPCharity / Third Sector ServicesChild & Family SupportCoroner’s ServiceCounselling / AdviceEarly YearsEducationEmergency ServicesFostering / AdoptionHealth VisitingHousing ServicesMedicineMidwiferyNursingPregnancy SupportPrison ServicesPublic HealthResearcherSafeguarding ServicesSleep ConsultantsSocial ServicesOtherAcademia*Adjunct / Visiting ProfessorAdministrative StaffAssistant / Associate ProfessorCoordinatorDepartment Head / ChairInstructorLecturerPostdoctoral ResearcherProfessorProgram DirectorResearch AssistantTeaching AssistantCDOP*CDOP nurseCoordinatorEarly Years*NannyChildminderEarly Years Teacher (or worker)Nursery nurse/practitionerManagementEducation*NannyChildminderEarly Years Teacher (or worker)Nursery nurse/practitionerManagementEmergency Services*Ambulance servicePolice serviceFire serviceMedicine*AudiologistHealthcare assistantG.PHospital doctorInfant feeding workerOccupational therapistPaediatrician/neonatologistPathologistPhysiotherapistSpeech and language therapistHealth Visiting*Health VisitorFamily Nurse PractitionerCONI CoordinatorMidwifery*MidwifeBereavement midwifeNursing*Paediatric/NICU nurseA&E/ED nurseMaternity nurseMental health nurseChildren’s outreach service nurseCommunity nurseCommunity nursery nurseLearning disability nurseMental health nursePractice nursePublic health nurseSchool nursePregnancy Support*DoulaBirthing support workerSocial Services*Family support worker/practitionerOccupational therapistSocial workerCare workerUniversity*LecturerStudentStudent*DoctorHealth visitorMidwifeNurseSocial workerOther*Work address Your training package includes a leaflet resource pack, which will be sent to you by post.Work Address 1*Work Address 2Work Address 3Work Town/City*Work Postcode*In what county do you currently work?*- Select -AlderneyAntrim and NewtownabbeyArds and North DownArmagh City, Banbridge and CraigavonBedfordshireBelfastBerkshireBlaenau GwentBridgendBristolBuckinghamshireCaerphillyCambridgeshireCardiffCarmarthenshireCauseway Coast and GlensCeredigionCheshireConwyCornwallCounty DurhamCumbriaDenbighshireDerbyshireDerry City and StrabaneDevonDorsetEast Riding of YorkshireEast SussexEssexFermanagh and OmaghFlintshireGloucestershireGreater ManchesterGuernseyGwyneddHampshireHerefordshireHertfordshireIsle of AngleseyIsle of ManIsle of WightJerseyKentLancashireLeicestershireLincolnshireLisburn and CastlereaghLondonMerseysideMerthyr TydfilMid and East AntrimMid UlsterMonmouthshireNeath Port TalbotNewportNewry, Mourne and DownNorfolkNorth YorkshireNorthamptonshireNorthumberlandNottinghamshireOxfordshirePembrokeshirePowysRhondda Cynon TafRutlandSarkShropshireSomersetSouth YorkshireStaffordshireSuffolkSurreySwanseaTorfaenTyne and WearVale of GlamorganWarwickshireWest MidlandsWest SussexWest YorkshireWiltshireWorcestershireWrexhamIf you work across more than one county/London borough, please name those areas*Work email address* Work telephone number*What type of telephone number is this?*- Select -MobileDirect Dial/OfficeHave you agreed attendance at this training with your manager?*YesNoKeeping in touch We will use the details you have provided to arrange your training session. We will also use these details to support you to manage the CONI programme in your area, share referrals that have come to the Lullaby Trust and to keep you updated about CONI. We will also record your information on our database in order for a unique CONI ID number to be generated for you. We’d also like to keep in touch with you about our charity's work, news and opportunities to support us, for example send you our Professionals e-newsletter. Would you also like to receive these emails?Would you also like to receive these emails?*- Select -Yes pleaseNo thanksShould you change your mind in the future, it is easy to unsubscribe. All you’ll need to do is click the opt-out link at the bottom of our emails. For information about how we collect, use and look after your details, please read our Privacy PolicyNameThis field is for validation purposes and should be left unchanged.