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Learner Enrolment Form

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Personal Details

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Diversity Information

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  • British
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Were you born outside of the UK/EU/EEA? Error: Selecting an option is required.
Have you been a resident in the UK , EU, EEA for the last three years? Error: Selecting an option is required.
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  • United Kingdom
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  • Asylum Seeker
  • Indefinite Leave
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  • Refugee
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  • British/EU/EEA Citizen

Proof of residency status covering the last 3 years is required. Providing proof of your residency status is a mandatory requirement in order to access funding. If this is not provided you will be deemed ineligible for funding and not permitted to access your chosen course.

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  • White British
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Are you in or have you recently left care? Error: Selecting an option is required.
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  • Homosexual
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Do you have any unspent criminal convictions or cautions, except for minor motoring offences, in accordance with the Rehabilitation Act 1974? Error: Selecting an option is required. Note: If you have answered yes, we may contact you to obtain some additional information.
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  • None
  • Visually Impaired (Very little or no sight)
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  • Profound complex disabilities
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Additional Disabilities (optional)
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  • None
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Additional Learning Difficulties (optional)
Do you have an education and health care plan (EHCP)? Error: Selecting an option is required.
Do you require any additional support with your studies? Error: Selecting an option is required.

Qualifications and Employment Details

If you are in Scotland please input your National or Standard grades.
If you are in Scotland please input your National or Standard grades.
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  • None
  • Entry Level (e.g. Basic/Foundation Level, Word Power or Number Power, GCF Entry Level Award/Certificate)
  • Other Qualifications Below Level 1
  • Level 1 (e.g. GSCE (5 or more grades D-G or fewer than 5 grades A*-C), AS Level, CSE below grade 1, GNVQ Foundation, QCF Level 1 Award/Certificate/ Diploma or NVQ 1)
  • Level 2 (e.g. Vocational and technical qualifications at level 2, Functional Skills at Level 2, Level 2 BTEC Firsts, Performing Arts Graded Examination qualifications)
  • Full Level 2 (e.g. 5 or more GCSE/O Levels at grades A* - C, 1 A Level, 2/3 AS Levels, 5 or more CSE grade 1’s, GNVQ Intermediate, QCF Diploma Level 2)
  • Level 3 (e.g. Vocational and technical qualifications at level 3, Core maths, Technical qualifications part of T Levels)
  • Full Level 3 (e.g. 4 or more AS Levels, 2 or more A Levels, BTEC Diploma, BTEC Extended Diplomas, QAA Access to Higher Education, QCF Diplomas Level 3)
  • Level 4 (e.g. Higher National Certificate (HNC), QCF Level 4 Award/Certificate/Diploma or NVQ Level 4)
  • Level 5 (e.g. Foundation Degree, Higher National Diploma (HND) or QCF Level 5 Award/Certificate/Diploma)
  • Level 6 (e.g. Bachelors Degree, Professional Graduate Certificate in Education (PGCE) or QCF Level 6 Award/Certificate/Diploma)
  • Level 7+
  • Other Qualifications
  • Not Known
Are you currently in full-time education? Note: If you are in full-time education it is unlikely that additional funding for this programme will be available. Example of full-time education include: Apprenticeship, BTEC national Diploma, Access to HE Error: Selecting an option is required.
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  • Employed between 0-10 hours per week
  • Employed between 11-20 hours per week
  • Employed between 21-30 hours per week
  • Employed for 31+ hours per week
  • Self Employed 0 to 10 hours per week
  • Self Employed 11 to 20 hours per week
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  • Self Employed 31+ hours per week
  • Unemployed Looking for Work
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  • Less than 6 months
  • 6 to 11 months
  • 12 to 23 months
  • 24 to 35 months
  • 36 months or more
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  • Unemployed with dependent children
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  • Prefer not to say
  • None
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  • None
  • JSA
  • ESA (WRAG)
  • Universal Credit
  • Other
Do you earn over £25,000 Gross Annual Salary
or if you live in the Greater London Authority area do you earn over £21547.50 Gross Annual Salary
or if you live in the Cambridge and Peterborough Combined Authority area do you earn over £20000 Gross Annual Salary?
or if you live in the West Yorkshire Combined Authority area do you earn over £19305 Gross Annual Salary? Error: Selecting an option is required.

Additional government funding is available to support the provision of qualifications to people who are in work but are earning below these amount.

Acceptable documents for Employed learners include:

  • Payslip within the last 3 months or contract with employer stating your income.

Acceptable documents for Self Employed learners include:

  • Most recent self-assessment tax return summary confirming your total earned income or
  • if you are also in receipt of Universal Credit, a screenshot of your online account payment showing your name/address/amount received and any deductions from self-employment dated within the last 3 months.

Additional government funding is available to support the provision of qualifications to people who are on particular benefits.
Acceptable documents include: Benefits letter or bank statement showing credit and benefit type.

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Emergency Contact Information

Please note: Providing an emergency contact is an essential requirement for obtaining funding. This will not be shared or used in any way other than in an emergency. For distance learning learners this is highly unlikely but remains a requirement of the funding body.

English Knowledge Questions

  • Please Select...
  • ei
  • ay
  • ai
  • ee
  • Don’t know
  • Please Select...
  • ui
  • ow
  • oh
  • oo
  • Don’t know
br _ _ n
  • Please Select...
  • ai
  • ei
  • ie
  • ay
  • Don’t know
Q3. Read through the grammatically incorrect paragraph below. Then, select the grammatically correct option for each sentence. Error: Selecting an option for each part of this question is required.

have you heard of this book. Are you bored of reading the same things Wouldnt you like to try something new? give this new book a go It’s a bestseller if you want to check it out please visit our website You wont be disappointed. let us know your thoughts,

  • Please Select...
  • have you heard of this book.
  • Have you heard of this book?
  • Have you heard of this book
  • Please Select...
  • Are you bored of reading the same things,
  • are you bored, of reading the same things.
  • Are you bored of reading the same things?
  • Please Select...
  • Wouldn’t you like to try something new?
  • Wouldnt you like to try something new
  • wouldn’t you like to try something new.
  • Please Select...
  • Give this new book a go
  • give this new book a go,
  • Give this new book a go.
  • Please Select...
  • Its a bestseller.
  • It’s a bestseller!
  • it’s a bestseller,
  • Please Select...
  • If you want to check it out, please visit our website.
  • if you want to check it out please visit our website
  • If you want to check it out please visit our website?
  • Please Select...
  • You wont be disappointed
  • you won’t be disappointed,
  • You won’t be disappointed.
  • Please Select...
  • let us know your thoughts?
  • Let us know your thoughts.
  • Let us know your thoughts;
Q4. Complete each sentence by selecting the correct option to fit each gap. Error: Selecting an option for each part of this question is required.
  • Please Select...
  • would
  • were
  • will
  • had
  • Don’t know
  • Please Select...
  • have
  • has
  • can
  • had
  • Don’t know
  • Please Select...
  • was
  • are
  • is
  • were
  • Don’t know
Q5. Read through the following sentence, then select the correct options in the paragraph below so that the text makes sense. Error: Selecting an option for each part of this question is required. Blank. we went to the play park for a picnic we. blank. had to put our shoes and jackets on. blank. we packed sandwiches, and. blank. we made drinks to take, as it was a warm day.
  • Please Select...
  • first
  • Before
  • finally
  • Next
  • Don't know
  • Please Select...
  • first
  • Before
  • finally
  • Next
  • Don't know
  • Please Select...
  • first
  • Before
  • finally
  • Next
  • Don't know
  • Please Select...
  • first
  • Before
  • finally
  • Next
  • Don't know
Q6. Rearrange the clauses below by putting them in the correct order to form a grammatically correct sentence. Error: Selecting an option for each part of this question is required.
  • Please Select...
  • a. that students who are less academically focused,
  • b. may struggle to revise effectively.
  • c. it is, however, often the case
  • d. While it is essential to revise in order to prepare for an exam
  • e. or have learning difficulties,
  • Please Select...
  • a. that students who are less academically focused,
  • b. may struggle to revise effectively.
  • c. it is, however, often the case
  • d. While it is essential to revise in order to prepare for an exam
  • e. or have learning difficulties,
  • Please Select...
  • a. that students who are less academically focused,
  • b. may struggle to revise effectively.
  • c. it is, however, often the case
  • d. While it is essential to revise in order to prepare for an exam
  • e. or have learning difficulties,
  • Please Select...
  • a. that students who are less academically focused,
  • b. may struggle to revise effectively.
  • c. it is, however, often the case
  • d. While it is essential to revise in order to prepare for an exam
  • e. or have learning difficulties,
  • Please Select...
  • a. that students who are less academically focused,
  • b. may struggle to revise effectively.
  • c. it is, however, often the case
  • d. While it is essential to revise in order to prepare for an exam
  • e. or have learning difficulties,
  • Please Select...
  • It would be helpful if the student had this experience
  • This experience is vital in order to apply for the college
  • You would never get into the college without this experience
  • The student does not need this experience to apply
  • Don’t know

Maths Knowledge Questions

Bar chart displaying the average number of visitors to a coffee shop per day for each month of a 12 month period.
  • Please Select...
  • 130
  • 150
  • 170
  • Don’t know
  • Please Select...
  • January and October
  • July and August
  • February and May
  • Don’t know
  • Please Select...
  • December
  • July
  • August
  • Don’t know
Q2. For each of the measurements listed below, select the equivalent measurement from the dropdown menu.
  • Please Select...
  • 5l
  • 0.5l
  • Don’t know
  • Please Select...
  • 1kg
  • 0.1kg
  • Don’t know
  • Please Select...
  • 5m
  • 50m
  • Don’t know
  • Please Select...
  • 1m
  • 0.1m
  • Don’t know
Q4. Look at the figures listed below and put them in order from lowest to highest. Error: Selecting an option for each part of this question is required.
  • 1150
  • 96
  • 572
  • 1530
  • 370
  • 994
  • Please Select...
  • 1150
  • 96
  • 572
  • 1530
  • 370
  • 994
  • Please Select...
  • 1150
  • 96
  • 572
  • 1530
  • 370
  • 994
  • Please Select...
  • 1150
  • 96
  • 572
  • 1530
  • 370
  • 994
  • Please Select...
  • 1150
  • 96
  • 572
  • 1530
  • 370
  • 994
  • Please Select...
  • 1150
  • 96
  • 572
  • 1530
  • 370
  • 994
  • Please Select...
  • 1150
  • 96
  • 572
  • 1530
  • 370
  • 994
  • Please Select...
  • 100
  • 120
  • 140
  • Don’t know
Q6. A group of teenagers are asked about their favourite hobbies. The results are shown in the following table:
Sports Playing video games Watching films Total
Male 9 2 3 14
Female 7 3 8 18
Total 16 5 11 32
  • Please Select...
  • 6
  • 5
  • 7
  • Don’t know
A table with coloured cells forming an incomplete shape
  • Please Select...
  • 1 and 5
  • 2 and 10
  • 5 and 9
  • 4 and 6
  • Don’t know

English Score:

Maths Score:


Final Details

Why do you want to study this course? Error: Selecting one or more options is required.
  • Please Select...
  • This course is most relevant to my career path.
  • This is one of the several courses that are relevant to my career path.
  • This course is not relevant to my chosen career path but is of personal interest.
  • Please Select...
  • Not particularly necessary for me.
  • Somewhat important to me.
  • Very important to me.
  • Please Select...
  • Often get things done ahead of time.
  • Needs reminding to complete things on time.
  • Puts things off until the last minute.
  • Please Select...
  • Rarely helpful to me.
  • Sometimes helpful to me.
  • Almost always helpful to me.
  • Please Select...
  • Figuring out the instructions myself.
  • Trying to follow the directions on my own, then asking for help as needed.
  • Having the instructions explained to me.
  • Please Select...
  • Within a few weeks, so I can review what I did.
  • Within a few days, or I will forget what I did.
  • Right away, or I get very frustrated.
  • Please Select...
  • More than the time I have available to attend classes.
  • The same as the amount of time I have available to attend classes.
  • Less than the amount of time I have available for a class.
  • Please Select...
  • I look forward to learning new skills.
  • I feel apprehensive but try it anyway.
  • I put the learning off and try to avoid it.
  • Please Select...
  • Good - I usually understand the text without help.
  • Average - I sometimes need help to understand the text.
  • Below average - I frequently need help understanding text.
  • Please Select...
  • Have access to a relatively good computer and know how to use it.
  • Have access to a relatively good computer, but am not too familiar with it.
  • Do not have access to a computer.

Preferred Contact Method (optional) This is how we will contact you about your application.
Preferred Marketing Methods (optional) Please select how you would like to receive marketing communications.
Monday
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Must be a .jpeg, .jpg, .png, .pdf, .doc or .docx and must be less than 10MB in size

Providing proof of your identity is a mandatory requirement in order to access funding. If this is not provided you will be deemed ineligible for funding and not permitted to access your chosen course. Examples of acceptable evidence are: Passport, Birth Certificate, Full Driving Licence (provisional driving licences are not acceptable)

For example: Passport number, driver number
  • Please select...
  • Full Driving Licence
  • Passport
  • Birth Certificate

Signature
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