New Customer Registration Form

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Start Your Electrical Journey
Applicants Details:
Full Name

First NameLast Name
Date of Birth

DayMonthYear
Date
Age
Age 16 - 18
Address

Street Address

Street Address Line 2

CityState / Province

Post code
Phone Number
+44
E-mail
example@example.com
Emergency contact name & number
Education & Qualifications

Section 2
Are you currently in education, training, or employment?
Any details:
1. English Qualification
2. Maths Qualification
Course Interest

Section 3
Preferred start date (Dropdown)
Why do you want to study Electrical Installation or become an Electrician?
Tell us what interests you about the trade, your goals, or what inspired you to apply.
Support & Additional Information

Section 4:
Do you have any learning needs or support requirements (e.g. EHCP)? (Yes/No)
If Yes, please give brief details
Do you have any unspent criminal convictions or anything we should be aware of that may affect your training or placement?
If yes, please provide details:
How did you hear about us?
Please Specify
If your referred by a family/Friend please state their name
Data Protection

Training for Electricians Ltd will use the information provided on this form to assess and manage your enrolment, deliver training, and meet legal, funding, safeguarding, and awarding-body requirements, in line with UK GDPR and the Data Protection Act 2018. Your data will be stored securely and only shared with relevant partners where necessary.
Should be Empty:

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