Personal Details

Full Name:	*
Your e-mail:	*
Address	*
Postcode	*
Country	*
Phone number	*

 

company details

Company Name:
Address:
Postcode
Country
Phone number

Which course do you wish to study? *

Year & modules within the course (combined courses only)

Is the purpose of your study to become more competent at your place of work, to sit for an
examination or..
How many hours per week can you study?
Brief history: outline your past experience with regards to the study to be undertaken.

State your intended outcomes i.e. What do you want to achieve?

Who will be paying for the course? *
Yourself Employer Other
Please ensure you discuss with PSB your intended method of payment eg. cheque, bankers draft or BACS.

Payment method
Please select... BACS / Bank Transfer Cheque Bankers Order *

How did you hear about Premier School of Building? *

Have you read the course content sheet? *
Yes No

* By checking this box you certify that the information you have given is correct.