SECTION 1 - LEARNER INFORMATION

Title

First Name

Last Name

Previous Surname

Gender

Date of Birth (Date)

National Insurance Number

Ethnicity

Address Line 1

Address Line 2

Address Line 3 - CITY

Address Line 4 - Region

Postal code

Mobile phone number

Phone number

SECTION 2 - Emergency Contact Details

Please provide your emergency contact details.

Name

Relationship

Contact Number

SECTION 3 - Citizenship & Residency

Please answer the questions regarding your residency and citizenship status:

Please note that you will be required to upload the necessary documents below to support your residency status, such as passport and any relevant Home Office documentation.

Are you ordinarily resident in the UK on the first day of learning, and is the learning taking place in England

Which of the following best describes your current legal right to live in the UK?

Share Code

Other Current Legal Right To Live in The UK

SECTION 4 - BARRIERS TO LEARNING

So that we can provide the best support to you, please let us know if you have any barriers to learning.

Do you consider yourself to have any special educational needs and/or disabilities?

Please select your most significant or primary barrier to learning

SECTION 5 - EMPLOYMENT STATUS

Please provide your current employment status.

What is your current Employment Status?

SECTION 6 - DETAILS OF EMPLOYMENT

Are you Self-employed?

Do you earn less than £34,194 gross salary per annum?

Employed Hours

Length of Employment

Employer Name

Employer Address 1

Employer Address 2

Employer Address 3

Employer Address 4

Employer Postcode

Employer Contact Name

Employer Contact Email Address

SECTION 6 - NOT USED

SECTION 6 - DETAILS OF UNEMPLOYMENT

Not aplicable based on your selection

What benefits are you in receipt of?

Length of Unemployment

SECTION 7 – CURRENT STUDIES

If you are currently studying, please provide information further information

Are you currently studying towards any other qualifications?

Are you currently undertaking another qualification(s), please provide details below?

SECTION 8 - CONTACT PREFERENCES

Please select how you wish to be contacted.

Please select your preferred Contact Method

SECTION 9 – Evidence Documents

Please upload the required documents. If you're using a phone or tablet, you can take a photo and upload it directly.

PROOF OF ID

PROOF OF RESIDENCY

PROOF OF ADDRESS

Accepted file types :
JPG, JPEG, PNG and PDF .
Accepted Proof of ID include :
✔ Passport,
✔ Driving Licence,
✔ Birth Certificate.

If your name is different from the name on your proof of ID, please also attach a copy of your Marriage Certificate or Deed Poll document.

Accepted file types :
JPG, JPEG, PNG and PDF .

Accepted Documents :
✔ If you are a UK National,you may provide British Passport or Birth Certificate as proof of residency.

Accepted file types :
JPG, JPEG, PNG and PDF .

Accepted Documents :
✔ If you are a Non-UK National,please upload an eVisa, Biometric Residence Permit (BRP), or an official Home Office letter confirming your residency status.

Accepted file types :
JPG, JPEG, PNG and PDF .

Accepted forms of proof of address are:
✔ Benefit Letter,
✔ Utility Bill,
✔ Payslip,
✔ Bank Statement
(all dated within the last 3 months).
✔ Tenancy Agreement or
✔ Council Tax Bill/ Statement \a (dated within the last 12 months)

Privacy Notice – How we use your personal information:

Pathway Group collects and processes personal data relating to its learners to effectively manage learning and to meet its statutory obligations as a Training Provider. Pathway Group is committed to being transparent about the data it collects and using that data lawfully in line with its data protection obligations. The information we collect is to meet our legal obligations with the Education Skills & Funding Agency and the Higher Education Further Council for England. It is also necessary for us to carry out our public task of providing education and training.

For our full privacy notice, please see the Pathway Group website. A paper version can also be provided on request.

Advanced Learner Loans