Dunelm Flexible Study Courses

To enrol on one of our courses, please fill out the form below. Please don't forget to enter the course you are enroling for, and the course start date in the appropriate boxes.

Personal details Forename * Surname * Title (Mr/Mrs/Miss etc) * Address * Town/City * County Postcode * Telephone Home * Telephone Mobile E-mail address * Date of Birth *
Nationality Emergency Contact Name * Emergency Contact Telephone Number *

Equal Opportunities

Dunelm Associates Ltd is committed to a policy of providing equal opportunities for all. We ask you to help us monitor the operation of this policy by completing the information below. Any information will be treated in the strictest of confidence.

Employment Details Current Employment Status * If unemployed, please state how long you have been unemployed in months. Job Title Company Name Address Town/City Post Code Telephone E-mail address Training Manager

Course Details Course you're enrolling for * Start Date *
How did you hear about us?

Previous Study

Have you previously studied with Dunelm? Yes No

Details

Additional Support

Learning Difficulties

Please tick any that apply

No Learning Difficulties Moderate Learning Difficulties Multiple Learning Difficulties Severe Learning Difficulties Dyslexia Dyscalculia Other

If you ticked "Other" please give details here

Health

Please tick all that apply

No Disability/Health Problem Visual Impairment Hearing Impairment Disability Affecting Mobility Emotional/Behavioural Difficulties Mental Illness Other

If you ticked "Other" please give details here

Basic Skills

In an effort to help learners with numeracy and literacy, we can administer an initial assessment designed to help assess your present capabilities. Confidentially, would you like more information?

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Opt out and declaration

Opt Out

Please tick this box if you do not wish to be contacted by Dunelm Associates Ltd about future courses.

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Dunelm Associates Training North East and Tyneside

Building On The Past
Widening Thought Processes
Developing For The Future

Main Menu

Other Services

Dunelm Associates Training North East and Tyneside

Building On The PastWidening Thought ProcessesDeveloping For The Future

Main Menu

Other Services

Building On The Past
Widening Thought Processes
Developing For The Future