My Account Information

The information recorded on this form has been requested by the Higher Education Statistics Agency for use in statistical analysis by HESA, government education departments and funding councils. This information will be treated in the strictest of confidence. Data collected will be processed in accordance with the Data Protection Act 2018-GSPR. View the HESA Student Collection Notice.

NOTE: You can qualify for a library card if you enrol for a 20-week credit bearing course or 2x10 week courses (one in Autumn and one in the New Year).
Please Contact the office on 028 9097 3323 to request a library card.

If you already have an account with us, please login at the login page.

* Required information

Your Personal Details

Title:  Mr    Mrs    Miss    Ms    Dr    Prof  *
First Name:  * as it appears on your passport
Last Name:  * as it appears on your passport
Gender:  Male    Female    Other  *
Date of Birth:  * (dd/mm/yyyy)
Please note you must be 18 or over to enrol.

Further Information

Have you studied with Open Learning before?   Yes   No   *

Addresses

Permanent Home Address

Please enter your Permanent Home Address (this will be used as your payment address).

Street Address:  *
Town/City:  *
Post Code:  *
Country:  *

Term Time Address

Term Time Address is the address of your accommodation during term time.

Please select your term time address accommodation type:
 *
 

Contact Information

Daytime Number:  * include area code
Evening Number:  * include area code
Email Address:  *

Disability

See here for information regarding the Disability Discrimination Act 1995
Note: Information provided here will also be returned to the Higher Education Statistics Agency as a legal requirement.

If your day to day activities are limited because of a health problem or disability which has lasted or is expected to last, at least 12 months, please select which of the responses below best describes your health problems or disability (please note that more than one response may be selected).
If you are not impacted then please select 'No known disability' from the list.

Do you have a disability? *
 No known disability
 A specific learning difficulty such as dyslexia, dyspraxia or AD(H)D
 A social/communication impairment such as Asperger's syndrome/other autistic spectrum disorder
 A long standing illness or health condition such as a cancer, HIV, diabetes, chronic heart disease, or epilepsy
 A mental health condition, such as depression, schizophrenia or anxiety disorder
 A physical impairment or mobility issues, such as difficulty using arms or using a wheelchair or crutches
 Deaf or a serious hearing impairment
 Blind or a serious visual impairment uncorrected by glasses
 A disability, impairment or medical condition that is not listed

Support Requirements

If as a result of your disability you have support requirements, please complete a support needs form and return it 3 weeks before your class commences. The form is available to download from the Open Learning website under the Facilities for Disabled Students: New Protocol section.

Fee Category

 Full    Pensioner Rate    State Benefit     Student    QUB Staff   *

Your Password

Must be a mininum of 5 characters.
Password:  *
Password Confirmation:  *

Data Protection Act 2018 - GDPR

The information provided on this form will be added to our Open Learning database, which is held securely by Queen's University Belfast, and will be treated confidentially. We will only use this information to provide you with the services you have enrolled for.

Do you wish to be contacted in relation to other Open Learning courses or receive any future brochures?  Yes   No   *

Your details will only be used for mailing information on Open Learning courses and will not be passed on to other bodies. You may unsubscribe from this mailing list at any time by contacting openlearning.education@qub.ac.uk or 9097 3323.

The QUB Student Privacy Notice tells you why we need to collect personal information about you, what we will do with it, and how we will look after it. Click here for QUB Student Privacy Notice.

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