Liverpool City Council

Course help

You will find the course code and the course title on the course list or in the full course description.

Course code

Course title

Course centre

How do you wish to be contacted about your learning?

Phone
Email
Text
I do not wish to be contacted

Personal details

All fields marked with * are required.

First Name:

Last Name:

Email:

Telephone: - optional

Date of Birth:

Address

Postcode

Use the Lookup Postcode button to find the address.

If you cannot find the address, please enter it manually

Number of years at present address:

Gender:

Female
Male
Other
Prefer not to say

Ethnicity:

Is English your first language?

Yes
No

Residential Status

Have you been a resident in the UK or a European Economic area for the past 3 years and have a National Insurance number?

Yes
No

Status

Are you seeking asylum
Do you have exceptional leave to remain
Have you recently married an EEA resident
Other

Date of entry:

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

National Insurance Number:

Agreement

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

Please click here to view the Adult Learning Service privacy notice

I have read and understood the Adult Learning Service privacy notice which sets out how you will process, share and store my personal data collected in this form

Yes

Please confirm you have read the course information sheet containing advice and guidance

Yes

Your completed application form will be dealt with by our Business Support team, who will contact you to confirm your place and collect course fees if applicable.

Please call 0151 233 3026 if you have any queries between the hours of 10.00- 16.00.

Before you submit this form please review your answers below. If you need to change anything, use the 'previous' button on the bottom left to go back to a section. Then submit the form by selecting the 'Submit button' at the bottom of this page

Liverpool Adult Learning Application Form 2023-2024