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Enrolment Form

CIPD Courses Enrolment Form – Become CIPD Qualified

Thank you for enrolling with us. Whist completing this enrolment form we will be asking you to tell us about your qualifications, work experience and reasons for enrolling on the course. It will take you a few minutes to complete, so please leave enough time aside to do so.

This enrolment form has fields which are hidden until you complete some sections of the form. Please ensure that you complete all fields which are marked with a red asterisk ( * ) as these are mandatory fields.

Before submitting the form, please check that you have completed all necessary fields, as the enrolment form will fail to submit if you are missing required information. If you require any assistance or have any difficulties completing the form, please contact our office team on 020 8239 1323.

Personal Information

Date of birth:

Course Applying For
Location Preferences

The course you have chosen is offered on the following days and locations. It is not always possible to grant every student’s first choice of preferred start date/mode of study. In order to help us accommodate your wishes where appropriate, please indicate your preferred options in the boxes below.

Preferred Start Date
Fees

Who will be paying your fees?

You are required to provide us with confirmation that your employer has agreed to sponsor you (this could be an e-mail or a letter) – you can send this to us at a later date, but if you would like to upload this now,

Click the 'Choose file button' below

Professional Statement

Communication

How did you first hear about Acacia Learning? Please select only one

What influenced your decision to choose Acacia Learning? Please select all relevant options

We encourage our learners to join our communications via our social media channels such as Facebook, LinkedIn, YouTube and Twitter. If you are happy for us to follow you on Twitter, please give your Twitter name here

Equality & Diversity Information

We ask all our learners to answer the following questions to help us monitor and evaluate the equality and diversity of our courses.

Ethnicity – please select from the list below

Learning Needs

Do you have any special requirements in relation to your studies that we should be aware of or any disability (e.g.Dyslexia) that you feel may affect your learning?

Declaration

Please tick the following to complete your enrolment: