Web.Enrol application page

<h3>You are not signed in.</h3>Have you enrolled with us before?If you have been on a course with us in the past and you provided us with your email address, you will already have an account.Click on <a href="default.asp?page=passwordAssistance">Request password</a> to request a temporary password to be sent to you.If you already have an account, please <a href="default.asp?page=signin">sign-in</a> with your email and password.If you do not already have an account, please complete the fields below and  we will create an account for you and email details of how to log back in.

Asterisks '*' indicate fields that must be completed.

Details

Title

supportContactMobile

Forename

Surname

Date of birth

Address

Postcode On Enrol

Line 1

Line 2

Town

Personal Information

Mobile

Landline

Gender

Female
Male

National Insurance Number

Emergency contact name

Emergency contact telephone number

Do you have regular access to a PC, laptop or tablet to help with your learning?

Do you have a reliable internet connection?

Ethnicity

What is your nationality?

Are you a UK citizen?

Are you a UK resident?

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

What date did you enter the UK?

Do you have settled or pre-settled status?

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

If other please specify

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)

What is your current household situation? (please tick any options that apply)

Are you a parent/carer of children?

What is your youngest childs age (in years)?

Do you care for an adult and in receipt of a carers allowance?

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

support contact

Support contact requested

accessibility

PEEP required

Employment

What is your employment status?

How long have you been unemployed for?

How many hours are you employed for?

Please tick if you are self employed

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

Note

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

Qualifications

Prior attainmentPlease select your highest level of previous qualification

Last in learning

Highest English GCSE

Highest maths GCSE

Internet

Word Processing

Please provide details of this government funded training

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

Comments

Please explain why you would like to do this course.

I have read and understood the Terms and Conditions

Where did you hear about us?

I have read and understood the Privacy Notice

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.

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