Qualification Enrolment Form

Please complete your details below and we’ll do the rest…

Personal Details
Name*
First Last
Salutation
Home Email*

On commencement of your qualification we ask for a Gmail address for use with our candidate Google Drive. Please note that this email will be visible to other candidates on the course.
Date of Birth*
DD slash MM slash YYYY
Mobile Phone*
Home Address*
House number or name Street name City County / State / Region ZIP / Postal Code Country

If your address does not require every line, please type '-' in the empty field.
Please confirm your PO Box number (if needed for standard postage)
Work Details
Employment Status*
Organisation*
Organisation Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

If your address does not require every line, please type '-' in the empty field.
Please confirm your PO Box number (if needed for standard postage)
Job Title*
Work Phone*
Work Email*
Did you send us your CV during the booking process?*
Please upload your CV here*
Accepted file types: pdf, jpg, png, doc, docx, odf, Max. file size: 32 MB.
If the file is too large, please select 'Yes' above and email it to us separately.
Preferred Contact
Preferred Address*
Please select your preferred correspondence address (we will send your textbook here)
Preferred Email*
Please select your preferred email address
Preferred Phone*
Please select your preferred contact number
Equal Opportunities
Gender*
- Male
- Female
- Prefer Not to Answer
Special Needs*
Ethnicity*
Other Ethnicity
Qualifications
Highest Qualification*
Which accreditation are you studying for?*
Which CIPD qualification are you studying for?*
Which ILM qualification are you studying for?*
CIPD Number (if known)
Are you using Careers Wales ReAct funding for your course?*
Enter your ReAct start date*

Day
Month
Year
Enter your ReAct end date*

Day
Month
Year
Please upload your ReAct confirmation of funding (pdf/jpg/png file)*
Accepted file types: pdf, jpg, png, Max. file size: 32 MB.
If the file is too large, please select 'No' above and email it to us separately.
Why did you choose Scholefield?*
What were your main reasons for choosing us for your course?
Do you consent to our potential public use of your answer to the above question?*
- Yes
- No
We appreciate your help in allowing us to explain to others why people choose us. We may choose to use answers on our website and social media channels.
Privacy Policy*
- I agree
I agree that any data submitted will be treated in line with the Scholefield Privacy Policy and the provisions of the General Data Protection Regulation (GDPR).
When you press 'submit', if the form has been completed correctly, you will be redirected to an 'enrolment form completed' page. Otherwise, incomplete fields will be highlighted red.
Phone
This field is for validation purposes and should be left unchanged.

Equal Opportunities Policy

Cullen Scholefield are committed to a strict Equal Opportunities policy.

We are required to supply ethnicity information to Awarding Bodies when we register you and we would be grateful if you could assist us fully here.

General Data Protection Regulations (GDPR)

Cullen Scholefield is registered with the United Kingdom Information Commissioner’s Office (ICO). Cullen Scholefield retains information necessary for the provision of your course and records required by the appropriate Awarding Body.

Information appropriate for marketing and networking purposes may be held by us during and following any Cullen Scholefield programme.