About you

1. Title* Please choose... Mr Mrs Miss Ms Dr Rev Prof
2. First name*
3. Last name*
4. Email address*
5. Please confirm your Email address*
6. Do you live in the UK?* Yes No

1. Phone number*
   preferably mobile
2. Date of birth
   (dd/mm/yyyy)*

   To ensure that we can always tell you apart from someone else with the same name.

About your study

This information will help us to send you relevant course and funding information which could save you money.

1. Have you studied with the OU before? Please choose... Yes No

1. What is your highest qualification to date? Please choose... GCSE, O Level, CSE A Level / NVQ Level 3 ONC, HNC, HND Degree Level 4 International Professional Qualification None

1. When would you like to start your studies? Please choose... I'm not sure As soon as possible Within 12 months Don't know After Autumn 2015 Autumn 2015 Spring 2015
2. Are you working at the moment? Please choose... Employed (full time) Employed (part time) Unemployed Other (e.g. student, carer, retired etc)