Learner Form

If you have booked a place on one of our courses please complete this form. Joining information will be sent to you by email ahead of the course.

Have you completed this form before?

First Name (required):

Surname (required):

Email Address (required):

Name of course (required):

Date of course:

Home address (required):

Postcode (required):

Telephone Number:

Union project that supported learning:

Has / Will this course:

a) Raise the level of your previous qualification (required):

b) Progress you within your career (required):

Job title:

Employment status:

Which industry sector most closely describes your current role:

Are you a Union member?

Which Union do you belong to?

What is your membership number (if known)?

How do you define your gender?

DO YOU CONSIDER YOURSELF TO HAVE A DISABILITY?

Do you have any access requirements to help you take part in this training?

Are you willing to provide a case study for use in reports to Welsh Government?

What do you hope to get out of this course?

Do you have any requests or suggestions for further training you would like NUJ Training Wales to run?

By ticking this box I acknowledge I have read the policy and agree.