Learner information form

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Please complete this form if you are taking part in any formal qualification with us, such as First aid training or Pre hospital care

Email *

Course start date (month, day, year) *

YYYY

Which course are you attending?

Please give your full name as you would like it to appear on your certificate

Please declare below any injuries, illnesses or conditions (e.g. dyslexia) that may affect your learning and/or ability to participate in practical elements of the course (for the purposes of Reasonable Adjustments being made for training and assessment purposes).

Please tell us about your needs and any adjustments that you may require for the above conditions (we may need to seek approval from Qualsafe, our awarding body but will do our best to make any reasonable adjustments)

Do you have any dietary needs or allergies?

I confirm that I have viewed the Training commitment and Learner agreement (linked in the page you found this form on)

Yes

No but I confirm I will do it before the course

Please bring one of the following forms of photographic ID with you on the course (indicate which you will bring)

Passport

Driving licence

Workplace ID

Clear selection

A copy of your responses will be emailed to the address you provided.

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