Course Booking Form

Complete this form to register your interest in the EAL Level 3 Electrotechnical Experienced Worker Qualification. All fields marked with * are required.

Section A — Candidate Details

Your personal information

Full Name *

Date of Birth *

Contact Number *

Home Address *

Email Address *

Ethnicity (Optional)

Section B — Employer Details

Your current employer information (if applicable)

Employer Name

Company Contact Name

Employer Address

Telephone Number

Mobile Number

Employer Email

Section C — Course / Booking Details

Qualification and booking preferences

Qualification *

Route *

Service Option *

Standard Programme

Full EWA qualification programme with assessor support

£2,268.80From £1,995.00 (full) or £495.00 initial

Gold Service

Premium support with additional mentoring and expedited processing

£2,768.80From £2,395.00 (full) or £495.00 initial

Payment Option *

Full Payment

Pay in full and receive a discount

Instalments

Spread the cost with monthly payments

Preferred Start Date

Notes / Prior Experience Summary

Section D — Declaration

Please read and accept the declaration

By submitting this booking form, I confirm that:

• The information provided in this form is accurate and complete to the best of my knowledge.
• I understand that additional requirements may still apply depending on my experience and evidence.
• I am aware that 18th Edition, Inspection & Testing / Initial Verification, and AM2E qualifications are required if progression to Gold Card is required.
• I understand this booking form is not automatic acceptance onto the qualification programme.

I have read and accept the above declaration *

Section E — Digital Signature

Type your full name as your digital signature

Digital Signature (Type your full name) *

By typing your name, you confirm this serves as your electronic signature and has the same legal validity as a handwritten signature.