Get Online and Learn

Helping people in West Lothian gain access to Training and Education

Microsites Online Application Form

Organisation's Name Organisation's Name *

Your Contact Details

1 Salutation First Name Surname Job Title Address

Postcode Telephone Number Fax Number E-mail Address

2 Salutation First Name Surname Job Title Address

Postcode Telephone Number Fax Number E-mail Address

Your Organisation's Details

Your Website Does your Organisation already have a website? Yes No If yes, what is the website's address?

Organisation Status What is your organisation's Type and Status?

For example, is your organisation a registered charity, community council or a voluntary group.

Organisation Objectives What are your organisation's Aims, Objectives and Services?

Why a website ? Why does your organisation want or need a website?
Or, if you already have a website why do you want need our assistance to create a new site?

What Resources What resources can your organisation devote to creating and maintaining a website?

Nominated by (Your information)

Nominated by Salutation First Name Surname E-mail address *

To apply for a Microsite for your Organisation, please complete this form.

Please try to supply as much information as possible

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GOAL

Almondbank Resource Centre, The Mall, Craigshill

Livingston, West Lothian

EH54 5EJ

01506 777 505

getonlineandlearn.org.uk