Our Adult Guide

Please complete the below form to enable you to obtain a PDF version of our Prospectus.

Adult Guide

Date of birth *

Title

First Name *

Surname *

Address 1 *

Address 2

Town / City *

Region

Postcode *

Phone number *

Mobile number

Email Address

What subject(s) are you interested in studying?

By submitting this form I confirm I have read the Privacy Policy . Please note the information you supply on this form will be held and processed in line with the Data Protection Act 2018, GDPR and subsequent legislation. Our lawful basis for processing this data is legitimate interest. If you do not agree to your data being used for the stipulated purposes please contact us at gdpr@derby.ac.uk and do not submit this form. We would like to send you further information about our courses and about studying at Buxton & Leek College. If you would like us to send you this information please select your communication preferences.

Email

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When I'm thinking of starting When I'm thinking of starting September 2019 Other

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Privacy Statement *

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