Course booking form

Course Information

Title: Air Quality Action Planning
Date: 09 Feb 2018

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Participant details

As part of your course we will require to register you onto our student records database to gain access to our systems (i.e. the online library and BlackBoard). This requires us to collect additional information requested by Government Organisations (i.e. HESA) regarding our student population.

Title (Mr, Miss, etc.) *
First name (please state your formal name, as this is what will be detailed on any certification) *
Surname *
Date of Birth (dd/mm/yyyy) *
Contact telephone number
Email address (please note this will be our primary source for correspondence) *
Employment Details
Job Title
Organisation Name
Work Address
Post Code
Address Lookup
Address 1
Address 2
Address 3
City/Town
County
Personal Correspondence Address
Post Code *
Address Lookup
Address 1 *
Address 2
Address 3
City/Town *
County

Further details

Dietary Requirements e.g.Vegetarian, Vegan
All parking must be requested at least three working days prior to the course start date to be reserved. Any requests received after this time cannot be processed and the course participant will be required to cover the car parking fees in place on campus.
Vehicle Registration
Accessibility Requirements
How did you hear about us?
Other
Why did you choose us? *
Other
PSC courses only
Where did you study your postgraduate law qualification?
Other

Course accreditation

Are you applying for the UWE module accreditation for this course?
Please note that due to visa regulations, participants from outside the UK and EU will not generally be eligible to complete individual module accreditation (participants may attend the course for learning purposes only). Please contact the CPD Team regarding your situation if you are unsure before submitting your booking form.

Payment details

Payment can be made by invoice, cheque or by the UWE online store. After this booking form has been submitted you will receive a confirmation email of your payment details and instructions on how to pay.

Promotion Code
I would like to pay by invoice *
Same as Work Address
Please invoice my organisation for the attention of *
Invoice Contact Telephone *
Purchase Order Number (if required)
Invoice Contact Email *
Post Code
Address Lookup
Address 1
Address 2
Address 3
City/Town
County
My organisation has a special arrangement *
Special arrangement details *
Place booked through HR Training Coordinator *
Training Coordinator
My UWE Bristol department/service will complete an internal transfer *
UWE Cost Centre
I would like to pay by cheque *
Please make cheques payable to UWE Bristol. Details regarding where to post your cheque to will be emailed to you in your booking confirmation.
I would like to pay by debit/credit card *
Card payments can be made through the UWE online store. Details on how to complete your payment will be emailed to you in your booking confirmation.
This is a provisional booking. *
We are happy to hold provisional bookings for 2 weeks from the date of booking. At this time we will then ask for you to confirm your payment method, or your place may be released.
UWE Staff Sponsorship Scheme *
Bursary *
Direct Debit Payment (the monthly repayment options will be confirmed via email) *
Split payment (to arrange to pay your fee via two payment methods) *

Data Protection

Registration data on Executive Education Programmes will be processed by the University of the West of England in accordance with the General Data Protection Regulation as applied, enacted and amended in UK Law. Accordingly, the information provided via the enquiry form will be used solely to process your enquiry and until all related administrative tasks have been completed. No personal data will be retained unless you opt in to receive marketing information from us via the e-mail preferences below.

E-mail Preferences

Stay up to date with news about our Executive Education Programmes and events at UWE Bristol.

Yes, I want to receive marketing information about UWE’s Executive Education Programmes and events at UWE Bristol

For any data protection queries please write to the Data Protection Officer, UWE Frenchay Campus, Coldharbour Lane, Bristol, BS16 1QY, or dataprotection@uwe.ac.uk.

    


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