Interested in the Level 2 Award in Cycle Training

Please fill out the below study to help us determine the when and where of our first level two course

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* 1. Full name

First name

Surname

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* 2. Please enter your preferred contact information

Mobile number

Home number

Email address

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* 3. Why would you like to complete a level 2 award in instructing cycle training? (Choose all that apply to you) (optional)

I am retired/primary care giver

I love cycling and wish to encourage it

I am interested in cycling safety

I enjoy teaching

I am undertaking the course to further advantage my business/company

Other (please specify)

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* 4. If successful, are you interested in providing cycle training on behalf of Cycle Confident?

Yes

It is a possibility

No

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* 5. What would be your preferred borough location, in London?

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* 6. Please rank your preferred course format

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* 7. Do you have any questions regarding the course?

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* 8. Are you happy to be contacted with updates regarding the course?

Yes

No