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Learner Enrolment Form

Please note: Unless otherwise stated, all fields are required.
To be eligible for funding you must tick to confirm you meet the following criteria:

Personal Details

Legal Sex
Is your gender different from the sex you were assigned to at birth?
Note: If you have lived at your current address for fewer than 3 years, previous address details will be required.

Diversity Information

Were you born outside of the UK/EU/EEA?
Have you been a resident in the UK , EU, EEA for the last three years?

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.

(optional)
Must be a .jpeg, .jpg, .png, .pdf, .doc or .docx and be less than 10MB in size
(optional)
Are you in or have you recently left care?
Do you have any unspent criminal convictions or cautions, except for minor motoring offences, in accordance with the Rehabilitation Act 1974?
Additional Disabilities (optional)
Additional Learning Difficulties (optional)
Do you have an education and health care plan (EHCP)?
Do you require any additional support with your studies?

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.
Are you currently in full-time education?
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?

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.

Must be a .jpeg, .jpg, .png, .pdf, .doc or .docx and be less than 10MB in size

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.

Final Details

Why do you want to study this course?
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.

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
Signature
Please provide your full name below: