beautytraining

Please complete this form and submit by pressing the button at the bottom of the page.

All fields marked * must be completed.



Section 1: Personal Details



Surname: (*)

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First Name(s): (*)

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Date of Birth: (*)

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Are you: (*)
Male Female
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Address: (*)

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Home tel: (*)

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Mobile tel:

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Email:

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Have you lived in the UK or EU for the last 3 years or more: (*)
Yes No
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Ethnic origin: (*)
Asian/British-Bangladesh
Asian/British-Indian
Asian/British-Pakistani
Any Other Asian/British
British/Black-African
British/Black-Caribbean
Any Other Black/Black British
Chinese
Mixed-White and Asian
Mixed-White and Black African
Mixed-White and Black Caribbean
Any Other Mixed
White British
White Irish
Any Other White
Not Know/Not Provided

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Section 2: Choice of Course




If you are sure which course you would like to study please select it here:

Select Course: (*)
Level 2 Beauty Therapy
Level 2 Nail Technology
Eye Treatments
Facial
Wax Depilation
Manicure Treatments
Pedicure Treatments
Nail Art

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Section 3: Health, Disability and Additional Learning Support




HB training is committed to the implementation of the Disability Discrimination Act. We aim to provide assistance to learners with medical needs and/or learning difficulties. If you would like to discuss any of these matters with a designated member of HB training staff please indicate in the box or boxes below:


Assistance with medical needs
English language difficulty
Dyslexia
Visual Impairment
Hearing Impediment
Speech Impediment
Mobility Difficulty
Learning Difficulty
Mobility Difficulty
Medical Condition
Other

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Section 4: Education and Qualifications



School last attended (School Leavers only)

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College last attended (if applicable)

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4 Highest/relevant qualification details and exam results

Subject 1

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Subject 1 Level e.g. GCSE/AS/A Level

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Subject 1 Grade
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Subject 2

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Subject 2 Level e.g. GCSE/AS/A Level

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Subject 2 Grade
A*ABCDEFG
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Subject 3

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Subject 3 Level e.g. GCSE/AS/A Level

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Subject 3 Grade
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Subject 4

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Subject 4 Level e.g. GCSE/AS/A Level

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Subject 4 Grade
A*ABCDEFG
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Section 5: Employment History



Employment History (if applicable)

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Section 6: Further Information / Interests / Personal Statement



Further Information

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Data Protection Act 1998
HB Training will use this form to create and maintain computer and paper records which will be held in compliance with the principles of the Data Protection Act 1998.
The data collected in this form will only be used for the purpose of learner account administration within the HB Training and will not be disclosed to any external sources without your express written consent.