Advanced Harness – Apply - WALSALL LEATHER Skills Centre

Advanced Harness Application Form:

Please complete the application form below to apply for Advanced Harness.

Week 1: February 9-13
Week 2: March 2-6
Week 3: April 27–May 1
Further weeks to be scheduled

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Completing the Application Form

You must complete all fields on the form below. Where information is not applicable, enter “N/A” or a dash (–).

When you have successfully completed the form, you will be redirected away from this page to a 'Thank You' page. If you are not redirected then please check that you have completed all of the fields on the form - fields that haven't been completed will be listed and hi-lighted in red.

First Name*

Surname*

Email Address*

Date of Birth*

Telephone Number*

Address*

Nationality*

Previous experience and relevant training undertaken*

Employment - If employed, job role and experience*

Health - Do you have any sensory condition or fine motor skills impediment which may require additional support during training? * Health - Do you have any sensory condition or fine motor skills impediment which may require additional support during training? * Yes No

Additional Health Related Support - Please describe and explain what help you might require.

Course Fees - How do you intend to fund the cost of your training?*

Reason For Applying - Why do you want to do this course? How do you plan to use what you learn?*

Where did you hear about this course?*

Consent: Consent: I consent to WALSALL LEATHER Skills Centre processing my data for the purposes of responding to this application*

Bursary Information Requested - please select YES if you would like to receive further information about this by email Bursary Information Requested - please select YES if you would like to receive further information about this by email Yes No