Date of birth *













Please tell us how you heard about the Wellbeing College.







Please chose the option that best describes how you feel about learning.





Which of these statements best describes your social situation?








Please let us know about your work situation.










Do you consider yourself to be a carer?





Educational attainment



















Asian/Asian British






Black/African/Caribbean/Black British






Mixed/Multiple Ethnic Groups







White






Other ethnic group














Do you consider yourself to be disabled?





If Yes, please state the type of impairment that applies:







I confirm that I have read the data protection statement and understand how my information will be used.  I consent to any special category data I have provided being used by the college in this way.

DATA PROTECTION STATEMENT