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Family Learning

Course Application

The Course

(Please make sure these are the dates you would like to attend.)

About You

Telephone

About Your Child (if applicable)
Other Information

Please answer the following questions as this will help us gain funding for you to do this course.

Are you on a low income or receiving benefits?

Do you or your family have additional needs or have support from other agencies (e.g. health visitor/social worker)?

Do you think you may need support with this course (e.g. visually/hearing impaired, learning difficulties)?

(If yes, we will make contact prior to the course date to discuss this with you.)

Please list any literacy and numeracy qualifications you have achieved in the last 5 years.

Please note that places on courses cannot be guaranteed. We will let you know whether you have a place on the course you have applied for TWO WEEKS before it starts.

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