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	Getting on a course
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English and Maths

If you or your client would like to be contacted about getting help with English or Maths, or about getting a National Test please fill in the form below or ring us on
0115 978 0942.

Please fill in as much information as possible.

On completing the form, a member of the BEGIN team will contact you as soon as possible to talk about your needs.

*All information supplied will be treated in accordance with the Data Protection Act 1998.

For more information on how we will deal with this enquiry and the referral process please see our Statement of Service

» Required Fields

Comments about help needed

Name

Address

Postcode

Telephone/mobile

» Gender

Date of Birth

Ethnic Origin

Employment Status

Residency Status

Please select if one of the following applies to help us check we are reaching people who need help

Are you a City Council Employee?

No
Yes

Completed/Referred by:

Organisation

Contact Details

By clicking submit I confirm this information is correct. I agree to BEGIN passing my details to appropriate agencies and processing this or other data for reasons connected with my studies.

Generated: 18/08/2005 | Modified: 08/06/2006 by Andrew Bothamley

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