account details page Community Learning

Asterisks '*' indicate fields that must be completed.

Key

Title

First Name

Last Name

Date of Birth

Address

Postcode

Address Line 1

Address Line 2

Town/City

Personal

Mobile Number

Landline

Gender

Female
Male

Ethnicity

Emergency contact name

Emergency contact telephone number

National Insurance Number

Are you a UK resident?

What date did you enter the UK?

Have you lived in the UK/EEA for the last 3 years and continuously since Dec 2020?

Do you have settled or pre-settled status?

What type of immigration permission do you have in the UK?

If other please specify

Are you a UK citizen?

What is your nationality? - As on your Passport

Is English your first language?

What is your first language?

Do you consider that any of these apply to you? (please tick any options that apply)

Learning Support

Do you consider yourself to have a disability, learning difficulty or mental health issue?

Yes
No
Prefer not to say

Do You Have Any Learning Support Needs? (please tick any options that apply)

Which of the above will have the most significant impact on your learning?

Comment

Would you like us to contact you about your support needs?

Personal Evacuation Plan required

Employment status

What is your employment status?

Are you are in receipt of one the following benefits:

How many hours do you work each week?

How long have you been unemployed for?

Were you in full-time education or training immediately before you joined this course?

Please tick if you are self employed

Previous qualifications

What is your highest level of qualification?Please select your highest level of previous qualification

What is your highest English GCSE?

What is your highest Maths GCSE?

Other

Where did you hear about us?

I have read and understood the

Contacting you

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Your information may be used for education, training, employment and well-being related purposes, including for research, ourselves and the Department for Education or their agencies may contact you in order for them to carry out research and evaluation to inform the effectiveness of training.

You can agree to be contacted by other third parties by ticking any of the following boxes.

About courses or learning opportunities

For surveys and research

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