| Course's attended |
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| Dates (If you do not remember the exact date please enter approximate date) |
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| First Name/s |
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| Address |
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| Postcode |
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| Email Adress |
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Telephone number
(Including STD Code)
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| Date of birth dd/mm/yyyy |
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| Gender |
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| Did you complete the course? |
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| If not, please state please why? |
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| Are you currently attending a course? |
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Employment status on day
before starting the course |
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| Employment status after ending the course |
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| Employer name, if employed |
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Length of employment, if employed
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| Did the training help you to move on? |
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Please use this space for to comment on advantages and disadvantages of the programme and to let us know about anything you would have liked to have to do differently.
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| Ethnicity |
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