Course booking form

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

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

Please note as part of this 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. Please complete all of the fields below.
Have you studied at UWE previously *
Previous Surname(s)
Gender *
Nationality *
Country of Domicile *
Disability *
Ethnicity *
Do you have any criminal convictions, excluding a motoring offence for which a fine and/or maximum three penalty points were imposed or a spent conviction? *
Education - Please state your highest level of qualification currently held *
Applicants not born in the European Union please state:
Date of first entry to the EU? (dd/mm/yyyy)
Date of most recent entry to the EU? (dd/mm/yyyy)
Date from which you have been given permanent residence in the EU? (dd/mm/yyyy)
English Language Qualifications

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 *
Payment by instalments (the monthly repayment options will be confirmed via email) *
Split payment (to arrange to pay your fee via two payment methods) *

Course Information