APPLICATION FORM - Step 1 of 2

General Information

Please complete the following application form and submit a non-refundable deposit of £500 to reserve a place on a course.

You must state the date of the course you would like to attend or select the month you prefer; and
Payment in full is required 14 days before your course start date.

Cancellations

Cancellations of 28 days to 14 days clear notice will receive back their course fee less the deposit; and
Cancellations of less than 14 clear days notice will receive no refund.

*We reserve the right to amend any of the above information or fees without prior notice.

Course name: (*)

Title:

First name: (*)

Last name: (*)

National Insurance No.:

Date of birth: dd/mm/yyyy

Ethnic origin:

Gender:

Address 1:

Address 2:

City:

County:

Post code:

Home tel: (*)

Mobile: (*)

Email: (*)

Confirm email: (*)

Current job title:

Please list your highest qualifications, NVQ level 2 or above
Qualification	Level	Date Achieved
		dd/mm/yyyy
		dd/mm/yyyy
		dd/mm/yyyy
		dd/mm/yyyy
		dd/mm/yyyy
		dd/mm/yyyy
		dd/mm/yyyy

Please give details of your experience gained in the last three (3) years:

I confirm that all the above is true and correct:

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