Functional Skills Maths /English Registration form

To register your interest for either the online or on campus Functional Skills courses please fill in the form below selecting your preferred course type and details where applicable.

FUNCTIONAL SKILLS MATHS / ENGLISH

Full Name *

House name or number *

Street Name *

City *

Postcode *

Email Address *

Phone Number *

Please add your number without a space.

Date of Birth (day/month/year) *

Previous qualification and level achieved in English? *

Previous qualification and level achieved in maths? *

Please confirm which Functional Skills course you would like to study: * Please confirm which Functional Skills course you would like to study: Campus Course

Campus Pathway

Leek

Buxton

Kedleston Road

Have you been ordinarily resident in the UK without any restriction on your stay for the past 3 years (tick box)

Yes

No

How did you hear about Buxton & Leek College? How did you hear about Buxton & Leek College? Social Media Careers Event Community Event Friends or Family BLC Website Other Website Newspaper Careers Advisor School BLC Messenger Bus Advert Leaflet / Mini Guide Prospectus Job Centre Radio Email Other

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