South Eastern H&SC Trust Recovery College
Forename:
Surname:
Age Range
(tick the box)
18-24 25-34 35-44 45-54 55-64 65+
Address 1:
City:
County:
Postcode:
Email address:
Phone Landline:
Phone Mobile:
Enrolment Date:
South Eastern Trust Recovery College Enrolment
How did you hear about the Recovery College?
To help us understand our current student population, please tell us if you are currently
involved in community mental health services?
Yes □ No □
Would you like to be added to our Mailing List to receive emails about upcoming
courses, news and events within the Recovery College?
Yes □ No □
We sometimes contact Students to get feedback regarding courses & their time at the
Recovery College. Are you happy for us to contact you?
Yes □ No □