Course Application Form

Canaan Christian College Course Application Form

Surname:

Surname: :: Your 'Family Name'

Forename:

Forename: :: Your 'Christian Name' or 'Given Name'

Address:

Address: :: Please include your Postcode

Phone/Mobile No:

Email Address:

Please check ONE box below to indicate the course for which you wish to apply.

BSL Level 1 (Daytime)
BSL Level 1 (Evening)
BSL Level 2
The Development of Christian Britain through the Middle Ages
The Doctrine of Scripture
Whatever Happened to Truth?

Click Me to Edit :: Select only ONE course

If under 18 please give date of birth:

If under 18 please give date of birth: :: DD/MM/YY

Please list any medical conditions of which we need to be aware:

Please list any medical conditions of which we need to be aware: :: eg dietry requirements, physical disability.