Course Choice: * Please choose... Allergy Awareness for those Working with Children Level 2 Allergy Awareness for those Working in the Service Sector Level 2 Allergy Awareness for those Working in Adult Social Care Level 2 Behaviour that Challenges Level 2 Bullying in Children and Young People Level 2 Business Administration Level 2 Care and Management of Diabetes Level 2 Caring for Children and Young People Level 2 Children and Young People’s Mental Health Level 2 Climate Change and Environmental Awareness Level 2 Common Health Conditions Level 2 Counselling Skills Level 2 Customer Service Level 2 Dementia Care Level 2 Digital Marketing Level 2 End of Life Care Level 2 Equality and Diversity Level 2 Event Planning Level 2 Information, Advice or Guidance Level 2 Introduction to Neuroscience in Early Years Level 2 Lean Organisation Management Level 2 Mental Health First Aid Level 2 Mental Health Problems Level 2 Nutrition and Health Level 2 Personal Care Needs Level 2 Preparing to Work in Adult Social Care Level 2 Safe Handling of Medication Level 2 Safeguarding and Prevent Level 2 Self-harm and Suicide Awareness and Prevention Level 2 Special Education Needs and Disability Level 2 Team Leading Level 2 Understanding Adverse Childhood Experiences Level 2 Understanding Autism Level 2 Understanding Distressed Behaviour in Children Level 2 Understanding Domestic Abuse Level 2 Understanding Specific Learning Difficulties Level 2 Working with Individuals with Learning Disabilities Level 2
I am aged 19 or over as of 31st August 2024. * Please choose... Yes No
I have not studied the course I am applying for before. * Please choose... Yes No
Do you currently reside in England? * Please choose... Yes No
Have you lived in the UK/EU for the last three years? * Please choose... Yes No
Are you currently enrolled on any other government funded course e.g. apprenticeship or funded diploma? * Please choose... Yes No
Title: * Please choose... Mrs Mr Miss Ms Mx Other
Specify Title:
Nationality: *
Gender: * Please choose... Male Female Other
How old will you be on the 31st August 2024? *
Time at current address: *
Have you lived at this address for more than 3 years? * Please choose... Yes No
Mobile number: *
Email: *
Do you consider yourself to have a disability/learning difficulty/health condition? * Please choose... No Yes
Primary: * Please choose... Visual Impairment Hearing Impairment Disability Affecting Mobility Profound Complex Disabilities Social Emotional Difficulties Mental Health Difficulty Moderate Learning Difficulty Severe Learning Difficulty Dyslexia Dyscalculia Autism Spectrum Disorder Asperger’s Syndrome Temporary Disability Speech, Language & Communication Needs Other Physical Disability Other Specific Learning Difficulty (e.g. Dyspraxia) Other Medical Condition (e.g. epilepsy, asthma, diabetes) Other Learning Difficulty Other Disability Prefer Not to Say
Option 2: Visual Impairment Hearing Impairment Disability Affecting Mobility Profound Complex Disabilities Social Emotional Difficulties Mental Health Difficulty Moderate Learning Difficulty Severe Learning Difficulty Dyslexia Dyscalculia Autism Spectrum Disorder Asperger’s Syndrome Temporary Disability Speech, Language & Communication Needs Other Physical Disability Other Specific Learning Difficulty (e.g. Dyspraxia) Other Medical Condition (e.g. epilepsy, asthma, diabetes) Other Learning Difficulty Other Disability Prefer Not to Say
Option 3: Visual Impairment Hearing Impairment Disability Affecting Mobility Profound Complex Disabilities Social Emotional Difficulties Mental Health Difficulty Moderate Learning Difficulty Severe Learning Difficulty Dyslexia Dyscalculia Autism Spectrum Disorder Asperger’s Syndrome Temporary Disability Speech, Language & Communication Needs Other Physical Disability Other Specific Learning Difficulty (e.g. Dyspraxia) Other Medical Condition (e.g. epilepsy, asthma, diabetes) Other Learning Difficulty Other Disability Prefer Not to Say
Option 4: Visual Impairment Hearing Impairment Disability Affecting Mobility Profound Complex Disabilities Social Emotional Difficulties Mental Health Difficulty Moderate Learning Difficulty Severe Learning Difficulty Dyslexia Dyscalculia Autism Spectrum Disorder Asperger’s Syndrome Temporary Disability Speech, Language & Communication Needs Other Physical Disability Other Specific Learning Difficulty (e.g. Dyspraxia) Other Medical Condition (e.g. epilepsy, asthma, diabetes) Other Learning Difficulty Other Disability Prefer Not to Say
Option 5: Visual Impairment Hearing Impairment Disability Affecting Mobility Profound Complex Disabilities Social Emotional Difficulties Mental Health Difficulty Moderate Learning Difficulty Severe Learning Difficulty Dyslexia Dyscalculia Autism Spectrum Disorder Asperger’s Syndrome Temporary Disability Speech, Language & Communication Needs Other Physical Disability Other Specific Learning Difficulty (e.g. Dyspraxia) Other Medical Condition (e.g. epilepsy, asthma, diabetes) Other Learning Difficulty Other Disability Prefer Not to Say
Please select the category that describes your ethnic origin (as defined by Government Funding Agencies): * Please choose... Asian/Asian British Black/African/Caribbean/Black British Mixed/Multiple Ethnic Group White Other Ethnic Group
Please select the highest level of qualification you currently hold: * Please choose... No Qualifications Entry Level – Word Power/Number Power Other Qualifications – Below Level 1 Level 1 – GCSE/O Level grades D-G or 1-3 (or fewer than 5 at grades A-C or 4-9), GNVQ Foundation, CSE below grade 1, NVQ 1 Full Level 2 – 5 or more GCSE/O Level grades A-C or 4-9, 5 or more CSE Grade 1, NVQ 2, GNVQ Intermediate, 1st Diploma Full Level 3 – 2 or more A Levels, 4 or more AS Levels, NVQ 3, AVCE, National Diploma or Certificate Level 4 – HNC, CMS, NVQ 4 Level 5 – HND, First Degree, Foundation Degree Level 6 – Bachelors Degree, Award/Certificate/Diploma Level 6 Level 7/8 – Doctorates, Masters Degree, Award/Certificate/Diploma Level 7
Name of Highest Qualification: *
Employment type: * Please choose... In paid employment – 0–10 hours per week In paid employment – 11–20 hours per week In paid employment – 21–30 hours per week In paid employment – 31 hours or more per week Self employed
Hours worked per week: * Please choose... 0–10 hours 11–20 hours 21–30 hours 31 hours or more
Unemployed type: * Please choose... Not in paid employment and looking for work Not in paid employment and not looking for work In full-time education prior to the start of the course Retired
How long have you been unemployed? * Please choose... Less than 6 months 6 - 11 months 12 - 23 months 24 - 35 months 36 months or more
Form of ID given: Please choose... Driving Licence Passport Birth Certificate National Identity Card
Preferred contact method: Please choose... Text Phone Email
