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Our Mission: To provide our online distance learning students and client customers with guidance, support and motivation.

Application Form

Surname: First Name:
Address Line 1:
Address Line 2:
City:
Postal/City Code:
Country of Residence:
Telephone Number: Mobile Phone Number:
Fax Number: Email Address:
Course Applying For:

Personal Information

Date of Birth:   Age:
Gender: Male
Female
  Disability Status:

Please let us know how you found us, as this is very helpful to our Marketing team

If you selected 'Other' please specify:

Secondary & Higher Education / Professional Membership

Please give details of all examinations passed and professional qualifications obtained, including dates taken, subject, level, the name of the examining organisation, and grade obtained:


Work Experience

Please give details of your employment experience, including employers' names and addresses, your job title and main duties, dates and reasons for leaving (where applicable):


Referees

If possible, please forward reference letters, including one from your current/most recent educational institute. If you are unable to obtain an academic reference, employer or character references are acceptable. In any case, please provide contact details for both of your referees below:

Referee 1   Referee 2  
Name: Name:
Address Line 1: Address Line 1:
Address Line 2: Address Line 2:
City: City:
Postal/City Code: Postal/City Code:
Country: Country:
Telephone Number: Telephone Number:

Personal Statement

I confirm that the information provided in this application form is correct and gives a fair representation of my qualifications, employment history ( if any ) and the competence to complete the qualification applied for.

Tick to confirm the above statement

Acceptance of Terms


I confirm that I agree to the Terms and Conditions listed on the website.

Tick to confirm the above statement

Please check to ensure all fields are filled in correctly before pressing 'Send'.

  Download a printable pdf version of this application form

  Download a printable Microsoft Word version of this application form

Courses accredited by:

  • CQI approved education centre
  • Edexcel: advancing learning and changing lives
  • ABE Accredited College
  • ATHE: The Management Awarding Organisation
  • Institute of Supply Chain Management