Wait List Request Form

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Course details:

Required

• Course title:

Ideally when would you like to attend?

Course Date (advertised on our website):

Next available

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Your Details:

Required

• First Name:
• Last Name:
• CID:
• Work e-mail address:
• Phone number:

Would you like to join our mailing list (please tick "no"  if you already receive our newsletter)

Yes

No

*

Are you Staff/Student/Other?

Required

IC Staff

IC Student

Other

Do you have any special requirements for example disability etc? 

*

Disclaimer:
by completing this form you have requested to be placed on the wait list. The course coordinator will assess your eligibility (Please check the ‘Who Should Attend' Section of the course web page for any eligibility criteria before submitting your request) and will send you an email to confirm whether or not you have been given a place on the wait list.
Please note wait lists are for the current academic year and will not be carried over to the next academic year

Required

I have read and agree to this disclaimer

Thank you. Please submit your form.