Adult Skills Fund - Learner Enrolment Form

SECTION 1 - LEARNER INFORMATION

First Name

Last Name

Title

Gender

Previous Surname

Date of Birth (Date)

National Insurance Number

Nationality

Ethnicity

Address

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 indicate for which of the following categories you fulfil for residency requirements:

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 a UK or EEA national who has been living in the UK, a British Overseas Territory, or a Crown Dependency (like the Channel Islands or Isle of Man) for the last three years?

UK nationals and other persons with right of abodeordinarily resident in the UK, or British Overseas Territories, or the Crown Dependencies (Channel Islands and Isle of Man) for at least the previous 3 years on the first day of learning

UK nationals in the European Economic Area and Switzerlandresided in the EEA or Switzerland by 31 December 2020 (or resident in the UK, having moved to the UK from EEA or Switzerland after 31 December 2017), and resided in the EEA, Switzerland, Gibraltar or the UK for at least the previous 3 years on the first day of learning and remained ordinarily resident in the UK, Gibraltar, the EEA or Switzerland between 31 December 2020 and the start of the course

EEA and Switzerland nationals in the UK with EU Settlement Scheme (EUSS)obtained pre-settled or settled status under EUSS and have lived continuously in the EEA, Switzerland, Gibraltar or the UK for at least the previous 3 years on the first day of learning

Irish Citizens in European Economic Area and Switzerlandresided in the EEA or Switzerland by 31 December 2020 (or resident in the UK, having moved to the UK from EEA or Switzerland after 31 December 2017), and resided in the EEA, Switzerland, Gibraltar or the UK for at least the previous 3 years on the first day of learning and remained ordinarily resident in the UK, Gibraltar, the EEA or Switzerland between 31 December 2020 and the start of the course

Irish Citizens in UK or Ireland

ordinarily resident in the UK and Islands for at least the previous 3 years on 1st day of learning

Other non-UK nationals ordinarily resident in the UK and Islands for at least the previous 3 years on 1st day of learning, and have permission granted by the UK Government to live in the UK and such permission is not for education purposed only, or has obtained pre-settled or settled status under the EUSS

Ukrainian Citizens Only Family Scheme, Sponsorship Scheme (Homes for Ukraine) ,Ukrainian Extension Scheme (please provide evidence of this scheme if it applies to you)

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

Do you have an Education Health Care Plan?

Have you recently left care?

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?

Job Title

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

Are you in receipt of Low Wage (less than £25,000 annually on assumption of a 37.5 hour contract)

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 – PRIOR QUALIFICATIONS

Please record your top five highest academic achievements:

Qualification title

Level

Grade

Date Achieved

[Qualification 2] Title

[Qualification 2] Level

[Qualification 2] Grade

[Qualification 2] Date

[Qualification 3] Title

[Qualification 3] Level

[Qualification 3] Grade

[Qualification 3] Date

[Qualification 4] Title

[Qualification 4] Level

[Qualification 4] Grade

[Qualification 4] Date

[Qualification 5] Title

[Qualification 5] Level

[Qualification 5] Grade

[Qualification 5] Date

SECTION 8 – CURRENT STUDIES

If you are currently studying, please provide information further information

Are you currently studying towards any other qualifications?

Course Name/Title

Name of Provider or College

How is the course funded?

SECTION 9 - CONTACT PREFERENCES

Please select how you wish to be contacted.

Please select your preferred Contact Method

SECTION 10 – 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 Documents:
If you are a UK National, you may provide a Passport, Driving Licence, or Birth Certificate as proof of residency.
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 forms of 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 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 (dated within the last 12 months) and or Driving License.

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.

Adult Skills Fund