Holts Academy of Jewellery Short Course Application
Please complete the following information. A member of the Admissions Team will contact you within 2-3 working days to confirm your booking and collect payment. Please note that bookings are secure only when full payment is received.
1. Personal Details
Surname:
First Name:
Title:
National Insurance Number:
Date of Birth:
Age in Years:
Borough:
Gender:
Home Address:
Postcode:
Daytime Telephone:
Evening Telephone:
Email Address:
Name of Company:
2. Ethnic Origin
White - British
White - Irish
White Other
Chinese
Indian
Pakistani
Bangladeshi
Asian (Other)
Black (Caribbean)
Black (African)
Black (Other)
Mixed - white & black Caribbean
Mixed - white & black African
Mixed - white and Asian
Prefer not to say
Other
3. The Disability Discrimination Act 1995 defines disability as a 'physical or mental impairment which has a substantial and long term adverse effect on the ability to carry out normal day to day activities'. Based on this definition, do you consider yourself to have a disability?
Yes
No
Completed:
Holts Academy of Jewellery, 5 St Cross Street, Hatton Garden, London, EC1N 8UA
0207 405 0197
info@holtsacademy.com
