Enrolment Questionnaire and IA

Enrolment Questionnaire and Initial Assessment
GDPR Compliance statement

We hold your details in a secure password protected online system, with limited user access. We never use your details for marketing purposes, and we will never pass on your details to other companies for marketing purposes. We do pass on your details to relevant professional bodies relating to your study with us, for the sole purpose of registration or certification.
Please complete in BLOCK CAPITALS. Please complete all details below.

The details you give will be used to register you with the awarding body. YOUR NAME AS IT IS WRITTEN BELOW WILL BE DISPLAYED ON YOUR CERTIFICATE. Changes to this information carry a £50 charge.
Personal Information

Please enter information in full.
FULL NAME *

Prefix First Name(s) Middle Name Last Name
PREVIOUS SURNAME
Date of Birth *

Day Month Year Date Picker Icon

Address *

Phone Number *

Area Code Phone Number
E-mail *
Which sector are you planning to study *
Please list all of the qualifications you are currently enrolling on *
Please state title in full, including the name of the awarding organisation if applicable.
Training and Assessment site *
Please select the site you will be attending for teaching/assessment
Reasonable Adjustments required *

Yes No I would like to speak with someone
Emergency contact name and telephone number *

Do you give permission for the following *

Yes

Photographs/videos to be taken and used as evidence or for training purposes

Photographs to be taken and used for advertising by Essex Training Solutions only (no external parties involved)

Your details being stored and monitored for registration, certification and quality assurance purposes

To be contacted during or after your course to review your experience

Confirmation *

Please select the box to agree that the information you have provided is accurate, and that you have read and agreed to the enrolment terms and conditions as stated in the e-handbook.
Signature

Clear

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Enrolment Questionnaire and Initial Assessment