Courses Application Form

Name*

Email*

Address*

Postcode*

Phone Number

Mobile Number

National Insurance Number*

Date of Birth*

Country of Birth*

What is Your First Language*

Do you have a Disability* Yes
No

Please tell us about any Special Requirements

Which Courses (PLEASE SELECT NO MORE THAN 3 COURSES)* Essential Skills English
Essential Skills Maths
BrainFit (Fitness Class)
ESOL (English for Speakers of Other Languages)
Employability Skills/Job Search
Pre-ESOL Conversation Class
Money Management
IT for Jobskills
Desktop Publishing
Digital Photography
Introduction To Computers
Introduction to iPad
Introduction to Tablet
iPad Progression
Microsoft Office
Sage Accounts Level 1
Sage Payroll Level 1
Smartphone
Tablet Progression
Graphic Design
Social Media
Confidence/ Assertiveness
Cook It! / International Cooking
Creative Writing
Dancing Your Way To Health & Happiness
One off Mindset & Emotional Wellbeing workshops
Holistic Therapies Taster
Hormone Harmony & Female Health
Make-up & Style Tips
Managing Stress
Coping with Depression & Anxiety
Mindfulness
Allotment Project
Pilates
Makatron Taster Workshop
African Drumming
Sew Good
Conversational Spanish
Walking
Yoga
Chi Me
Defibrillator Training
First Aid
Food Hygiene

Do you require Childcare to attend courses* Yes
No

If yes, please give details of child's / childrens names and dates of birth

Do you require Transport to attend courses* Yes
No

Are you in receipt of Job Seekers Allowance* Yes
No

If you are on Job Seekers Allowance, what date will you be starting Steps to Success? (If you are unsure please ask your Advisor in Jobs & Benefits Office)

Are you in Employment* Yes
No

If yes, how many hours per week are you employed?

Are you attending any other ESF funded Programmes?* Yes
No

Are you a legal resident in a European Union Member State?* Yes
No

Are you able to take up employment in the UK?* Yes
No

How did you hear about First Steps Women’s Centre? Newspaper
Social Media
Family / Friend
Leaflet
Website
Other

Your Consent

FSWC Data Privacy Notice is available online here and by request from any member of staff. It is essential that you familiarise yourself with this policy as it details all aspects of how your data will be used by FSWC

Yes - By ticking this box I am consenting to FSWC using my personal data, as per this form, to administer any aspect of my interaction with staff or services provided by and on behalf of myself and the FSWC
No - By ticking this box I am NOT consenting to FSWC using my personal data, as per this form, to administer any aspect of my interaction with staff or services provided by and on behalf of myself and the FSWC

First Steps Women’s Centre