account details page Learn Harrow

account details page Learn Harrow

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Asterisks '*' indicate fields that must be completed.

Key Info

Email

Mobile

Title

Forename

Surname

Date of birth

Address

postcode

Line 1

Line 2

Town

Personal

Landline

Gender

Female
Male

Ethnicity

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

support contact requested

Yes
No

Emergency contact name

PEEP required

Yes
No

Emergency contact telephone number

National Insurance Number

Are you a UK resident?

Yes
No

What date did you enter the UK?

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

Yes
No

Do you have settled or pre-settled status?

Yes
No

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

If other please specify

Are you a UK citizen?

Yes
No

What is your nationality?

Is English your first language?

Yes
No

What is your first language?

What is your employment status?

Please tick if you are self employed

Yes
No

How many hours are you employed for?

Please state if you are in receipt of one the following benefits:

How long have you been unemployed for?

Prior attainmentPlease select your highest level of previous qualification

last in learning

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

Are you undertaking any other government funded training in this academic year?

Yes
No

Please provide details of this government funded training

Other

What is your main reason for joining this course?

I have read and understood the

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

By post

By phone

By email

Where did you hear about us?