Registration Form

Personal Details

Title

Surname

First Name

Middle Name

House number / name / street

Suburb/Village

Town / City

Current Postcode

County

Postcode Prior To Enrol

Home Phone Number

NI Number

Mobile Number

Sex (as legally defined)

Ethnicity

Email Address

Highest level of qualification achieved?

DOB (e.g. 26/07/1978)

Start Date

Planned End Date

Learning Actual End Date

Date Of Deletion

LLDD & Health and Learner Funding and Monitoring - Only complete and return where applicable

Declaration

How We Use Your Personal Information

This privacy notice is issued by the Education and Skills Funding Agency (ESFA), on behalf of the Secretary of State for the Department of Education (DfE). It is to inform learners how their personal information will be used by the DfE, the ESFA (an executive agency of the DfE) and any successor bodies to these organisations. For the purposes of relevant data protection legislation, the DfE is the data controller for personal data processed by the ESFA.

Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes.

Your information may be shared with third parties for education, training, employment and well-being related purposes, including for research. This will only take place where the law allows it and the sharing is in compliance with data protection legislation.

The English European Social Fund (ESF) Managing Authority (or agents acting on its behalf) 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 for other purposes by ticking any of the following boxes:

Restricted use indicator

Preferred method of contact

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:

Employment Status

GCSE maths qualification grade

Employment Details

Other Information

What is your nationality?

How did you hear about Futures?

Do you have any additional income (take-home pay)?

If 'Yes' what is your monthly additional income?

Course Code

Planned Learning Hours

Qualification Details

Delivery Location

Reason for Enquiry

Verification of Identity/Eligibility

Are you a UK / EU/ EEA Citizen?

Date entered uk

Do you have a right to live in the UK?

Have you lived in the UK for the last 3 years?

If No, please confirm residency status in the UK

Do you have pre-settled or settled status?

Date of exit into UK/EEA if there is a time limit

Please state your current status in UK by ticking one of the following options (Evidence is mandatory)

Are you currently undertaking any other training?

If yes, what are you studying?

Who is providing the training?

List in full any quals and certificates held that are not on PLR

Recognition of prior learning

Please confirm which state benefit you claim

Have you been referred by the Job Centre Plus(JCP)? If Yes which

Are you in receipt of any other state benefit (e.g income support) and would benefit from training to enter employment? If yes then detail the benefits

Do you have any additional income (take-home pay)? If Yes, what is your monthly additional income?

I can confirm that I earn less than £17,374.50 annual gross salary

Proof of low wage (Evidence provided)

Proof of SWAP Referral - Copy of referral notification attached (issued by Jobcentre Plus – setting out start date and times of training)

What areas of work interests you

Have you applied for any jobs

Do you have a full, clean driving licence

Employment Status

Have you ever been in paid employment

Are you self employed?

How many hours do you work per week?

How long have you been employed in your current role?

How long have you been unemployed?

Enquiry Acceptance

Before accepting please make sure you have read and accepted any declarations. You confirm that the data you have provided is correct at this time and that you understand that we will contact you to arrange a meeting to collect additional information.

Data Security: We implement industry-standard security measures to protect your data from unauthorized access, disclosure, alteration, and destruction.You have the right to access, correct, or delete your personal information. To exercise these rights, please contact us.

Initial Acceptance Accept

Onboarding Enrolment Section

Submit

Application Form

Privacy Notices - 1. ESFA ILR Privacy Notice | 2. LRS Privacy Notice | 3. Futures Privacy Notice

Declarations - 1. Acceptable Use Policy | 2. Roles & Responisbilities