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Please list below any other qualifications you hold that may relate to the course you have chosen to enrol on
Title of Qualification
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Please tick your employment status
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Course that you would like to apply for
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Level 2 Certificate in Fitness Instructing
Level 3 ME Personal Training Diploma
Level 3 Diploma in Exercise Referral
Level 3 Level 3 Award in Nutrition for Physical Activity
Level 3 Level 3 Diploma in Personal Training
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Metabolic Effect UK are committed to a policy of providing equal opportunities for all. This information is voluntary and will only be used for monitoring the equal opportunities policy.
Please select your ethnic background
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Select one
01 | White - British
02 | White - Irish
03 | White - Other
04 | Mixed White & Black - Caribbean
05 | Mixed White & Black - African
06 | Mixed - White & Asian
07 | Mixed - Other
08 | Asian or Asian British - Indian
09 | Asian or Asian British - Pakistani
10 | Asian or Asian British - Bangladeshi
11 |Asian or Asian British - Other
12 | Black or Black British - Caribbean
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15 | Chinese
16 | Chinese - Other
00 | Other - Not Disclosed
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Please select your Dietary requirement
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DR01 | None
DR02 | Vegan
DR03 | Vegeterian
DR04 | Gluten free
DR05 | Other
If you have a disability, illness or difficulties in reading and writing English, which of the following would help
Select One
None
Enlarged text paper
Coloured overlays
Coloured paper
Someone to read for you
Someone to write for you
Dictionaries
Extra time
If you have a learning need are you likely to need any additional support during the programme?
Yes
No
Please state if you have any of the following;
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IN01 | Learning difficulties
IN02 | Dyslexia
IN03 | Visual impairment
IN04 | Hearing impairment
IN05 | English as a second language
IN06 | A wheelchair User
IN07 | A need not listed
IN08 | None
If yes, how do you describe your learning difficulty (you will be required to produce evidence)
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Minor
Moderate
Severe
If you have mobility problems, are you likely to require assistance?
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No
Other support required?
How did you discover the Meptaacademy UK? *
word of mouth
been on a workshop
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Declaration
I hereby declare that I have read and understood the
terms and conditions
set out. I enclose my £500 deposit (applicable to Level 3 Personal Trainer course only) with this application form and will pay the balance as per the terms.
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