Liverpool Adult Learning Enrolment Form 2019-2020

Your personal details

All fields marked with * are required.

Use the Lookup Postcode button to find the address.

If you cannot find the address, please enter it manually

 






Course and Learner details




Residential Status


For a list of countries in the EEA, please see the following link: https://www.gov.uk/eu-eea

Qualifications




Learning difficulties, disabilities and health issues






Employment status




Your agreement with us
Please tick the boxes next to the statements below – they form your agreement with us and prove that you accept the terms of enrolment.

When you submit this form please call 0151 233 2430 to secure your place and to pay for the course. You may qualify for a free course, or a fee discount -  you will need to provide us with evidence of the benefits you receive