Exeter CVS Booking Form

Thank you for your interest in our courses. We REQUIRE ALL sections of this form filled in (except mobile number and the correspondence address if it is the same as the invoice address)

If you would like to book on more than one course - fill in all the details for the first course, and then click on the Book on the Course button at the bottom of the page.

You will get a Thank You message - and underneath will be the page with all your details still there. You will just have to pick another Course, enter a new Previous Experience and Accept the Terms and Conditions again.

Please pick just ONE course:

Speaking Up - Exeter Surestart - Level 1 *-* Course Date: 19 12 2009
Speaking Up - Hikmat - Entry Level *-* Course Date: 19 12 2009

First name:

Second Name:

Telephone:

Mobile:

Email:

Please re-enter your Email address:

Name of Organisation:

Address to which invoice is to be sent:

Invoice Address 1:

Invoice Address 2:

Invoice Address 3:

Invoice Address Town:

Invoice Address County:

Invoice Address Postcode:

Address for all other course correspondence (if different from Invoice Adress):

Correspondence Address 1:

Correspondence Address 2:

Correspondence Address 3:

Correspondence Address Town:

Correspondence Address County:

Correspondence Address Postcode:

What is your Role within the organisation?:

Why did you choose this course? (e.g. work related, to gain a qualification, personal development, etc.):

What would you like to be able to do by the end of this course?:

What helps you learn? (e.g. working in groups, in pairs, on your own, additional specialist equipment, etc.):

Have you studied this or a similar subject before, in any way? (e.g. previous course, book, etc.):

As things are NOW how would you rate your level of skill/experience/understanding of this subject/topic/issue (1 is Non- Existent, 10 is Extremely High)

What specific needs do you have, which we need to know about, to enable you to participate fully on this course?:

Do you wish to discuss your needs with a tutor or an appropriate member of staff?:
Yes
No

How did you hear about this course:

Gender:

Your Age range:

How do you describe your Ethnic Origin:

Your Education:

Level 1 (GCSE pass / NVQ level 1)
Level 2 (5 GCSEs A-C) / NVQ Level 2)
Level 3 (2 A Levels / NVQ Level 3)
Level 4 (First degree / HND)
Level 5 (Post Grad / PGCE)

Click to see the terms and conditions

Exeter CVS Booking Form

Please pick just ONE course:

Address to which invoice is to be sent:

Address for all other course correspondence (if different from Invoice Adress):

Please tick to confirm that you have read and accept the terms and conditions