Liverpool Adult Learning Application Form 2023-2024

Progress

Course and Learner details

Course help

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

How do you wish to be contacted about your learning?

Your personal details

Personal details

All fields marked with * are required.

Address
 

Use the Lookup Postcode button to find the address.

If you cannot find the address, please enter it manually

Gender:
Is English your first language?

Residential Status

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?
Status

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

Your agreement with us

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.

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

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