Better Bodies UK Learner Enrolment/Booking Form

Learner Enrolment Form

Better Bodies UK
1. Personal Details:

Tell us about yourself
Full Name*

First NameLast Name
Birthdate:*

DayMonthYear
Mobile No. :*

Area codePhone Number
E-mail :*
Where the confirmation will be sent to
National Insurance Number (Construction Only):
If you are completing the L1 Health and Safety in Construction please provide your NI number to enable us to set up your CITB account
Home Address :*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry
Gender:*

MaleFemaleNeutral
Are you a UK citizen?*

YesNo
Ethnic Origin:

WhiteMixed/Multiple EthnicityAsian/Asian BritishBlack/African/Caribbean/Black BritishOtherNone
Do you consider yourself to have any neurodivergent considerations:*

YesNoDo not wish to disclose
Do you think you may require additional support or reasonable adjustment whilst on this programme:*

YesNo
Please describe your neurodivergence and any additional support you may require:
Better Bodies UK is committed to equal opportunity in employment and education. The College does not discriminate in any course or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
TO BE COMPLETED BY BETTER BODIES UK. Detail all reasonable adjustments made:
2. Course Information
COURSE*
Please detail which course or course package you are applying for:
Course start date*

DayMonthYear
Date
What is your Course Objective:*

0/300
3. How did you find out about us
How did you find out about Better Bodies UK:*
If you have indicated 'other' referral above please provide further information:
4. Applicant's E-Signature & Identification Check
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
ID Check (to be completed by staff at Better Bodies UK):
Should be Empty:

Learner Enrolment Form

1. Personal Details:

2. Course Information

3. How did you find out about us

4. Applicant's E-Signature & Identification Check