Course Choice * Please choose... Allergy Awareness for those Working in Adult Social Care Level 2 Allergy Awareness for those Working in the Service Sector Level 2 Allergy Awareness for those Working with Children Level 2 Awareness of Bullying in Children & Young People Level 2 Behavior That Challenges in Children Level 2 Care & Management of Diabetes Level 2 Caring for the Elderly Level 2 Climate Change and Environmental Awareness Level 2 Data Protection and Data Security Level 2 Equality & Diversity Level 2 Event Planning Level 2 Falls Prevention Awareness Level 2 Information, Advice or Guidance Level 2 Introduction to Neuroscience in Early Years Level 2 Mental Health First Aider and Mental Health Advocacy in the workplace Level 2 Lean Organisation Management Level 2 Living in a Fair and Diverse Society Level 2 Mental Health Problems Level 2 Preparing To Work in Adult Social Care Level 2 Principles of Business Administration Level 2 Principles of Care Planning Level 2 Principles of Customer Service Level 2 Principles of Dementia Care Level 2 Principles of End of Life Care Level 2 Principles of Prevention & Control of Infection Level 2 Principles of Team Leading Level 2 Safeguarding and Prevent Level 2 Special Education Needs and Disability Level 2 Understanding the Safe Handling of Medication Level 2 Understanding Autism Level 2 Understanding Behaviour That Challenges Level 2 Understanding Children & Young People's Mental Health Level 2 Understanding Common Childhood Illnesses Level 2 Understanding Dignity & Safeguarding in Adult Social Care Level 2 Understanding Nutrition & Health Level 2 Understanding Specific Learning Difficulties Level 2
Learning Method * Please choose... Online learning materials with online assessment
Do you consider yourself to have a learning difficulty and/or disability and/or health problem? * 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 your ethnic origin: * Please choose... African Arab Bangladeshi British Caribbean Gypsy or Irish Traveller Indian Irish Other Asian background Other Black background Other Chinese Other Mixed background Other White background Pakistani White & Asian White & Black African White & Black Caribbean Other Not known / Prefer not to say
Please specify your ethnic origin: *
Employment Status: * Please choose... Employed Not Employed
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
Form of ID given: Please choose... Driving Licence Passport Birth Certificate National Identity Card
Previous wage slip or proof of unemployment *
Preferred Contact Method: Please choose... Text Phone Email
