If you are interested in a course or programme with us, then you all need to do is click on the apply button below to complete the application form.

By completing the form, you will get access to an online account that contains a bank of useful resources and essential information to get you started with your qualification.

If you decide not to go ahead with your course, then we will close the account down for you. Until then, please wait for your application to be processed and we will contact you very soon.

To create your personal training account; please complete the form below. If you experience any difficulties please contact us at enquiries@charnwood.co.uk

If you have already Applied, please login using the "Login" section. Otherwise choose "Click here to Apply!"

Learner Application

If you are already registered, click here to login

Please complete the form below in order to create an account – fields marked with an * are required. If you experience any difficulties please contact us at enquiries@charnwood.co.uk

Personal Details

Title Please Select...Mr Mrs Miss Ms Dr. Rev. Major Canon Colonel

First Name *

Last Name *

Gender Male Female *

Date of Birth Month...JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDay...12345678910111213141516171819202122232425262728293031Year...20132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913 *

Address *

Postcode *

Telephone No. *

Mobile No

How did you hear about Us? Please Select...Colleagues / friends Website Visit by Charnwood representative Connexions Marketing Literature Other (please state)

If you are happy for us to use your personal information for marketing purposes please tick this box. 

Next of Kin

First Name *

Last Name *

Relationship *

Contact No. *

Employer Details

Pub Name

Employment Start Date Month...JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDay...12345678910111213141516171819202122232425262728293031Year...20132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913

Contact (BDM) name

House Number

Pub Address

Pub Postcode

Employer Telephone

Employer Mobile

Employer Email

Additional Info

Do you have a Learning Difficulty?

Yes No *

Please give details of your Learning Difficulty below:

Do you have a Physical Disability?

Yes No *

Please give details of your Physical Disability below:

Do you have any Special Requirements or Requests?

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Please give details of your Special Requirements/Requests below:

Login Details

Email *

Re-type Email *

Password *

Security Code *