WKCIC/SFA - enquiry form

Course enquiry form - WKCIC/SFA

If you would like further information on this programme, please complete the form below and we will contact you shortly with more information

Which programme(s) are you interested in?

Aged 19+ adult vocational skills training
18-24 NEETs Project
16-24 Year old young people with learning difficulties and /or disabilities


Your details

Name *

Your address *

Postcode *

Borough *

Main contact telephone number *

e-mail address *

Date of Birth *

DD 01020304050607080910111213141516171819202122232425262728293031   MM 010203040506070809101112   YYYY 2012 2011 2010 2009 2008 2007 2006 200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916

Gender *

Male
Female


Do you have the right to work in the UK? *

Yes
No


Are you currently unemployed *

Yes
No


If 'yes', how long have you been unemployed

If you are currently unemployed, what type of benefits are you receiving?

Job Seeker’s Allowance Employment Support Allowance Income Support None Other

If ‘Other’ please specify

Do you have a disability or health condition *

Yes
No


If 'Yes', please give details

How did you hear about the Learning Centre? *

Please indicate your ethnic origin? *

White-British
Chinese
White-Irish
Black/Black British-Caribbean
White-Other
Black/Black British-African
White – Turkish / Turkish Cypriot
Black/Black British-Other
White – Greek / Greek Cypriot
Mixed- White & Black Caribbean
White - Kurdish
Mixed - White & Black African
Asian/Asian British-Indian
Mixed- White & Asian
Asian/ Asian British-Pakistani
Mixed - Other
Asian/ Asian British-Bangladeshi
Asian / Asian British – East African Asian
Prefer Not to Say
Asian/ Asian British-Other
A diverse range of people
Other


If Other please specify

I agree with the privacy policy

The HCT Group is committed to safeguarding your privacy policy. Before you provide us with your personal information, please read our privacy policy. This well help you understand how and why we use your personal information and your rights and options.

Our privacy policy can be found here: http://hctgroup.org/information_and_technical/privacy