< Back BOOKING FORM E-LEARNING BOOKING FORM – Citizens Advice – Understanding Fuel Poverty and Health Thank you for your interest in National Energy Action’s Fuel Poverty and Health e-learning. 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) 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*3) 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 four weeks from the start date requested. 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. Terms and conditions agreement* I agree to the above terms and conditions4) 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 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 5) NOTESNotesPlease include details of anything else we may need to know – support, learning requirements etc. 6) 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.