Learner Outcomes

RMT Learning is always interested in discovering what courses you have undertaken recently. Please take a moment to let us know about your learning experiences.

Alternatively, if you are an RMT Learning Rep, you can use this form to record all your learner data.

All fields are required unless otherwise stated.

Learner Name

What is your name?

Course Name:

Please tell us the names of the course you have recently undertaken.

Course Dates:

When did your course start?

When did, or will, your course end?

Course Location:

Please supply the name of the college or training provider that delivered your course? e.g. WEA London

Course Duration:

How long was your course? e.g. one day, five weeks, 30 hours etc.

Region:
Course Area:

Please tick the box that best describes the region in which you received the training?

Referral:

Where did you hear about this course? e.g. ULR, College, Colleague, Friend etc

Gender:
Gender:
Ethnicity:
Ethnic Group:

Please tick the box that best defines your ethnic background

Age:
Age Range:

Please tick the relevant age range

Disabled:
Disabled:

Do you consider yourself to have a disability?

Name of person completing form:

This is not mandatory, however, knowing who supplied the information means it wont get counted twice.

Optional.

ULR:

Optional. Are you an existing RMT Union Learning Representative?

Verification

Please click the box to indicate you are a human rather than an automated system completing this form.

Last step