| We Find Any Learner

- Step 1 of 4

Part A – Student Details

Title: *

Full Name (Forename(s): and Surname *

First

Middle

Last

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Date of Birth: *

Gender: *

Prefered names (if any): *

Pronouns: *

She/Her
He/Him
They/Them
Other (give details):

Please specify your pronoun: *

Current address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Time spent at current address: *

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Email: *

Day Phone/Mobile Number: *

National Insurance Number: *

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Emergency Contact Name: *

Emergency Contact Telephone Number: *

Country of residence (If other than UK):

Have you been a resident in the UK or EU for all of the last three years? *

If Yes, (UK or EU Country) how long for? *

If No, please give date of entry: *

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Do you have the legal right to reside in the UK? *

Upon completion of your course, what is your intended destination?: *

Part B - Eligibility and Course Choice.

Course Choice *

Please note: to be eligible for funding you must tick to confirm you meet the following criteria; *

I currently reside in England.

Eligibility Check 2 *

I was aged 19 or over as of 31st August 2025.

Eligibility Check 3 *

I am a UK national, or if I am a non-UK national, I can evidence that I have access to public funds.

Eligibility Check 4 *

If aged between 19-23, I have already gained a full Level 2 qualification prior to starting this course (not applicable to ages 24 and up).

Eligibility Check 5 *

I am not currently enrolled on another government funded course/programme/apprenticeship.

Eligibility Check 6 *

I have not studied the course I am applying for before.

During the enrolment process, I have been provided with guidance onto a suitable learning programme. The following areas have been discussed to my satisfaction: *

The suitability of my chosen programme
The entry requirements
Progression
The implications of my choice
The support available to me

Part D – Employment status

Please indicate the employment status most appropriate at the time of enrolment: *

Fulltime Employment (Years/Months): *

Part-time Employment (Years/Months): *

Fulltime Employment (Hours per Week): *

Part-time Employment (Hours per Week): *

Are you a young carer? (Under 25, helps care for a family member or friend due to illness, disability, mental health condition, or substance misuse): *

Yes
No
Prefer not to say

Part E – Learning difficulty/disability or health problems

Do you consider yourself to have a learning difficulty and/or health problem for which you may require additional support on your course? *

Please tick the relevant boxes below: *

4. Vision impairment
5. Hearing impairment
6. Disability affecting mobility
7. Profound complex disabilities
8. Social and emotional difficulties
9. Mental health difficulty
10. Moderate learning difficulty
11. Severe learning difficulty
12. Dyslexia
13. Dyscalculia
14. Autism Spectrum Disorder
15. Asperger’s Syndrome
16. Temporary disability after illness (e.g. post-viral) or accident
17. Speech, Language and Communication needs
18. Down Syndrome
93. Other physical disability
94. Other specific learning disability (e.g. Dyspraxia)
95. Other medical conditions (e.g.epilepsy, asthma)
96. Other learning difficulty
97. Other disability
98. Prefer not to say

Please enter the number of your Primary need: *

Part F – Ethnicity

How would you describe your cultural or ethnic origin? *

English/Welsh/Scottish/Northern Irish/British
Irish
Gypsy or Irish Traveller
Any other White background
White and Black Caribbean
White and Black African
White and Asian
Any other Mixed/Multiple Ethnic background
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian background
African
Caribbean
Any other Black/African/Caribbean background
Arab
Any other ethnic group

Part G - Household situation

Current household situation: *

01. No household member is in employment and the household includes one or more dependent children
02. No household member is in employment and the household does not include any dependent children
03. Learner lives in a single adult household with dependent children
98. Prefer not to say
99. None of HHS1, HHS2 or HHS3 applies

Part H – Religion

How would you describe your religious beliefs? *

Christian
Muslim
Methodist
Catholic
Hindu
Sikh
Jewish
Protestant
Roman Catholic
Atheist/Agnostic
Prefer not to say
Other

Please give details about your religious beliefs? *

Part I – Sexual orientation

How would you describe your sexual orientation? *

Heterosexual
Homosexual
Bi-Sexual
Prefer not to say

Part J – Criminal convictions

Do you have any unspent criminal convictions? *

Students are required to provide details of all unspent convictions. If not received, we reserve the right to withdraw your enrolment. If you are unsure whether you need to disclose criminal information, you should seek legal advice or you may wish to contact Nacro or Unlock for impartial advice. There is more information on filtering and protected offences on the Ministry of Justice website. Nacro - Call 0300 123 1999 or Email helpline@nacro.org.uk Unlock - Call 01634 247350 or Text 07824 113848

Part K – School or College attended last year

Have you been in full-time education during the last academic year? *

Please state the school or college attended below: *

Part L – Qualifications held

Highest Level Qualification (Please tick): *

Entry Level
Level 1
Level 2
Level 3
Level 4
Level 5+
No prior qualification

Do you have GCSE in English? *

Date of GCSSE English Award? *

Do you have GCSE in Maths? *

Date of GCSSE Maths Award? *

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Do you have Functional Skills English Level 2? *

Do you have Functional Skills Maths Level 2? *

Any other qualifications held?

Example Type (GCSE) / Subject / Date of Award / Grade

Part M – TVCA AEB Eligibility Form

You are currently: *

Unemployed Circumstance: *

1. Universal Credit
2. Job Seekers Allowance (JSA)
3. Employment and Support Allowance (ESA)
4. Released on temporary licence, studying outside a prison environment, and not funded by the Ministry of Justice.
5. Unemployed but actively seeking employment, not claiming any benefit (economically inactive)
6. Income Support
7. Housing Benefit
8. Council Tax (not single person payment)
9. Working Family Tax Credit

Proof of Unemployment (example Universal Credit). *

Click or drag files to this area to upload. You can upload up to 3 files.

Example Universal Credit, Housing Benefit.

Employed / Self-Employed Circumstance: *

Employed, gross annual income less than £33,200

Proof of Employment, Please provide your previous wage slip. *

Click or drag a file to this area to upload.

Retired Circumstance: *

I am currently retired and receiving a pension.

Proof of Retirement, Please provide a copy of your pension. *

Click or drag a file to this area to upload.

Final Section

Reason for completing course/programme: *

1. Salary increase
2. Promotion
3. Career change/Progression
4. Additional working hours
5. Risk of redundancy
6. Additional responsibility

Upload a copy of your passport / driving licence / birth certificate / national identity card *

This must be either a JPEG, JPG, PNG, PDF, DOC, DOCX file. 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: Driving Licence, Passport, Birth Certificate.

Form of ID given:

Preferred Contact Method:

Data sharing agreement

I consent to my personal and special category (sensitive) data being shared, if relevant, between the DWP, LEAs, the Education Training Collective (Etc.) and/or any employers that may interview me as a result of the course, as well as relevant third parties acting in my best interests.

Declaration - I declare that the above information is correct.

You can agree to be contacted for other purposes related to your studies by ticking any of the following boxes:

About courses or learning opportunities
For surveys and research
By post
By telephone
By e-mail

Further information about use of and access to your personal data, details of organisations with whom we regularly share data, information about how long we retain your data, and how to change your consent to being contacted, please visit:

https://guidance.submitlearnerdatabeta.fasst.org.uk/ilrprivacynotice

I consent to my photograph being used for marketing purposes, e.g. on College social media, in prospectuses or year books. If you are under 18, a legal parental guardian must give their consent on the learners behalf.

Notice – data accuracy

By signing the enrolment form I confirm that the information I have given is accurate and complete and I understand that I may be required to pay additional fees if the information given is subsequently found not to be so. I will notify the College of any change in my personal circumstances. (Please sign on the green form overleaf at the bottom of the page to confirm that you understand and agree to the declarations in each case.)

I give my explicit consent for the Education Training Collective (Etc.) to process my sensitive personal data to be used as detailed in accordance with the Data Protection Act 2018.

Student declaration

I declare that the information on this form is correct and that I have read the statements on: Assessment / Data Protection (above/front page) / Benefit (above) / Learning Agreement (Part D) / Code of Conduct (above) / Equality Act (front page) / Course Fees (above part C) ESF Courses.

The ESFA is also a co-financed organisation and uses European Social Funds from the European Union to directly or indirectly part-finance learning activities, helping develop employment by promoting employability, business spirit and equal opportunities, and investing in human resources.

Signature *

Clear Signature

Please sign your name in the box provided below.