Adult Education
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Expression of Interest Form

Why?

  • There may already be an existing class in our Course Guide or website that you would like to do, but currently it is not offered in your locality;
  • You would like to do a course that has not been offered for some time; or
  • You would like to suggest a new course.

This form is designed to help you think through the details of what you would like and this information can assist us in developing a course for you.

Surname
First name
Address
Phone number Mobile
Fax Email
What is the best way of contacting you?
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Category of Course
(If known e.g. Art, Craft, Cooking, Wellbeing, Personal Development)
Subject or course title
Do you know of anyone else interested in this course?
This is very important - if you can identify a group of people similarly
interested your suggestion is much more likely to go ahead.
If yes, how many?
Preferred number and length of sessions
eg. 2 sessions of 4 hours each = 2 x 4hr sessions		 x hr sessions

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Frequency of sessions
(if applicable)
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Preferred time
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Preferred days, nights
Preferred locality and suitable venue (if known)
eg. Queenstown - Squash and Fitness Centre
At what level would you prefer?
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Any other preferred details or information you have about this course?
What is your general goal for learning?
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If you've done any other courses recently, please list them here:
Would you like some help planning your career or education pathway?
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Any other suggestions or feedback you have about Adult Education that needs passing on?