Learner Registration Form: Award/Certificate/Diploma in Fundraising Practice
To register for our nextintake please complete all fields below. We will work with you to develop a flexible programme for completing the modules.
We will contact you to discuss your choice of optional units and any support requirements. If you have any questions, please contact the FSI team on 020 7324 4777 or email
First name: / These details must match those on your photographic ID.
Middle names (if applicable):
Last name:
Date of birth: DD/MM/YYYY
Address: / Please provide your home address.
Organisation name: / We will use these details to contact you about your course and assessment.
Email address:
Telephone number:
Do you have any access or communication requirements for this course? Yes / No
/ If yes, please provide details so that we can best support you.
Payment
We will invoice you for the applicable course fee – please choose your payment option below.
Diploma in Fundraising
☐Early bird (registered and paid in full by Friday 27 January 2017):£1,710
☐Standard payment (registered and paid after Friday 27 January): £1,900
☐Split payment: 50% on registration with 50% payable within 6 months
(2 x payments £950).
☐Other (to be agreed in consultation with the FSI).
Certificate in Fundraising
☐Early bird (registered and paid in full by Friday 27 January):£1,062
☐Standard payment (registered and paid after Friday 27 January): £1,180
☐Split payment: 50% on registration with 50% payable within 3 months
(2 x payments £590).
Award in Fundraising
☐Standard payment (all registrations): £360
Please select who will be paying the course fee:
☐My charity is paying the course fee
☐I am paying the course fee
☐Other (please specify):
Invoice address:
Contact person for invoice to be sent to, and telephone number:
Purchase number or other reference required on invoice:
Please send your completed form along with a photocopy or scan of photo ID (e.g. driver’s licence, passport) to: The FSI, the Grayston Centre, 28 Charles Square, London N1 6HT.
Email: