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Course Information

Select course category you are enquiring about: (optional)

Please tell us the name of the course you want to join. You can also use this box to ask us a question about this course. (optional)

Your personal details

First Name

Last name

Email address (optional)

Telephone number (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

Is English your first language?

Yes

How do you wish to be contacted about your learning?

Phone

Text

I do not wish to be contacted

Your agreement with us

Please tick the box next to the statement below - it forms your agreement with us and proves that you accept the terms of applying.

Please click here to view the Adult Learning Service privacy notice

Agreement

I have read and understood the terms and conditions

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 Course Enquiry form

Page 1

Course Information

Your personal details

Your agreement with us