Application to attend Funded Training at Harlow ITeC

Please use this Form if you would like to apply for a Training Course at Harlow ITeC and you are in receipt of Benefit, (Fee 'A')


Please complete all fields marked *

About You:

Title:
 *
First Name:
*
Surname:
 *
 
*Address:
 
Post Code:
*
Telephone Number:
*
Email Address:
*
   
National Insurance No:
Date of Birth:
   
To qualify for free funded training you must be in receipt of benefits. Please tick any of the following benefits that apply to you...
: Income Support
  Housing Benefit
  Council Tax Benefit
  Disability Working Allowance
  Job Seekers Allowance
  Other......
If other, please specify:
   

Courses: Please tick which course you would like to attend:

Please note that all 'Fee A' Funded Courses carry a deposit of £10, refundable on completion of the Course. We accept Cash, Cheque, or Debit and Credit Cards. You can pay this deposit when we call you to discuss your enrolment.

             
Surf Direct (Basic Computer Course)
       
Mix & Match (Basic Computer Course)          
     
Start IT (Basic Computer Course)          
     
E-Quals Level 1          
     
ECDL Ver4 (European Computer Driving Licence)          
       
ECDL Advanced          
     
Web Design          
     
Equals Computer Maintenance          
     
A+ Computer Maintenance