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Enrol on a Distance Learning Course

Complete the form below and send it to us using the "Submit" button below. We will then contact you to arrange payment and provisionally enrol you on your chosen course. Once we receive payment, we will then register you with the Open College Network, allocate a suitable tutor to you and send you course material.

* = Required Field

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Name:
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Address:
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Contact Telephone Number:
*

Date of Birth (ddmmyy):
*

Email Address:
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Course Title and Reference Number:
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The following information is voluntary and is used to monitor the degree to which members of the Open College Network are meeting their stated objective to widen educational and training opportunities to under represented groups. Information may be shared with partner organisations for the purpose of preparing statistics. Please complete the appropriate boxes below.

Gender:



Do you have a disability?


If "Yes" Do you require support?

Ethnic Origin:



Employment Status:







Learnow operate an Anti-spam policy. With this box ticked you demonstrate that you agree to receive emails from us relating to your course enrolment.

Finally, please answer the following question to ensure you are a real person and not a computer:

Spell 'learnow' backwards:

Answer: