Enrolment Form

About You

We'd love to know...

Accessing The Recovery College

Confirmation

We are delighted you are interested in taking part in courses within our Recovery College. Please complete the following enrolment form in full to enable us to assist you in your journey. Your details will be added to our database but will not be shared without your permission.

Inclusivity is both at the heart and forefront of everything we do at the Recovery College. We welcome everyone with kindness and compassion. We value you for your uniqueness, individuality and encourage you to be you. You are not defined by any label but celebrated and empowered to be true to who you are.
There is only one you. Embrace, accept and be heard

Student Contact Details

Tell us about you!

Preferred Title

Preferred Title - Specify

Preferred Forename(s)

Preferred Surname

Legal Title

Legal Title - Specify

Legal Forename(s)

Legal Surname

Address

Post code

Email Address

I would like to receive a copy of this form

If you want to receive a copy, you must specify an email address above for us to send a copy to. We will only use this to send a copy of this completed form to, unless you give us consent to communicate with you via email at the end of this form.

Date of Birth

Your current age

Mobile Phone

Home Phone

Work Phone

NHS Number You can find this on a letter from your GP

Emergency Contact

Who should we contact in an emergency?

Name

Phone Number

Relationship to student

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