< Back BOOKING FORM E-LEARNING BOOKING FORM (qual) – Citizens Advice – Level 3 Award in Energy Awareness 6281-01 Thank you for your interest in National Energy Action’s Level 3 Energy Awareness 6281-01 e-learning. This qualification also includes an assessment component which is booked separately. To book a free place on the e-learning please complete the following fields. This training programme is arranged/ funded by Citizens Advice. By signing up for a free place, you are also agreeing to the organisers from Citizens Advice contacting you following your course for feedback. PLEASE NOTE: Once you complete the booking form and select submit you should see a confirmation note on screen. If not and instead you return back to the top of the booking form, your booking is not complete. Please check that all relevant fields are complete (all fields marked with a * are mandatory) and your e-mail address is correct then submit again. 1) LEARNING START DATEWhen would you like to start the course?*Please note, it can take up to 5 working days to process the booking and set up an E-Learning account. As standard we provide access to the course for 8 weeks and ask that learners complete the course and assessment within this time. On average it takes around 20 hours to work through the course and a further 9 hours prepare for the exam. Each learner is different so this is just a guide. DD slash MM slash YYYY 2) ASSESSMENT DATEOnline assessments will take place on scheduled dates arranged specifically for Citizens Advice and must be booked separate to the E-Learning. Full details on how to book your assessment will be outlined in your course joining instructions. We recommend that learners book their assessment mid-way through the course to better gauge how much how much time will be needed to complete it. Assessments tend to book up weeks in advance, so booking mid-way through your learning will also ensure that you secure your preferred date. 3) LEARNER DETAILSFirst name* Surname* Citizens Advice Office* Email* Enter Email Confirm Email Telephone*Region(Please Select)England – North EastEngland – North WestEngland – Yorkshire / HumbersideEngland – East MidlandsEngland – West MidlandsEngland – Eastern RegionEngland – LondonEngland – South EastEngland – South WestScotlandWales – NorthWales – SouthCounty*Postcode*6) TERMS AND CONDITIONS1) Course login details will be issued by the start date requested, allowing up to 5 working days from booking. 2) Access to the course will be available for 8 weeks from the agreed start date requested. Learners should complete their study and book their assessment within this time. 3) The learner must not disclose their log in details to others. 4) The E-Learning and support materials are copy right protected and must not be copied or shared with others. 5) For online exams, learners will require a quiet room and two separate electronic devices with internet access, sound and a video camera. Both devices will need to connect to Zoom (video conferencing platform). Device one will be used to connect to Zoom to act as a video camera for the exam to be invigilated (this could be a computer, tablet or mobile phone). Device two will be used to access the online exams and conduct the practical / simulation element of the exam via Zoom (this could be a laptop or desktop computer). Further details outlining the full requirements will be provided ahead of the exam day.Terms and conditions agreement* I agree to the above terms and conditions8) DATA PROTECTIONNational Energy Action collects personal information when you book on to a training event; this is used to provide the services requested; report to funders (if necessary); and to evaluate our services. We will not share your details with any other third parties without your consent. By submitting your booking form, you are agreeing to these terms. Our full privacy policy can be viewed at the following link – https://www.nea.org.uk/privacy-policy/Privacy policy agreement*National Energy Actions privacy policy can be viewed at the following link – https://www.nea.org.uk/privacy-policy/ I agree to the privacy policy Sharing your assessment result*As part of this training programme, Citizens Advice must report to funders on learner progress. Do you consent to National Energy Action sharing your assessment result with course organisers at Citizens Advice. YES NO Mailing lists*From time-to-time NEA may also send details of further projects / training events including free courses. Would you like to be included in these mailings? YES NO 10) NOTESNotesPlease include details of anything else we may need to know – support, learning requirements etc. 11) CONFIRMATION If you have read and agreed to the above information please select the submit button below to complete your booking. PLEASE NOTE BEFORE SUBMITTING: Once you complete the booking form and select submit you should see a confirmation note on screen. If you return back to the top of this page, your booking is NOT complete and has not been submitted. Please check that all relevant fields are complete (all fields marked with a * are mandatory) then submit again. Once submitted you should also receive an automated confirmation e-mail.