Pre-enrolment for training course 1 Course and Status2 Personal Details3 Qualifications4 Employment Status5 Concessionary Course*Basic ITICT Functional SkillsESOL Skills for Life and WorkComputer EngineeringTeaching AssistantTeam Leading and Management TraineeshipCustomer ServiceHealthcare and Support Services TraineeshipEarly Years & ChildcareHospitality - Front of House Reception TraineeshipBusiness Administration TraineeshipHealth and Social CareHair Beauty and NailsFunctional Skills EnglishFunctional Skills MathsResidential Status*UK resident or National of European Union (EU) country who has been resident in European Economic Area (EEA) for last 3 years or more (or spouse, civil partner or child of above) Personal DetailsName* First Last Address* Street Address City County / State / Region ZIP / Postal Code Country CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Please complete all form fields.Email* Enter Email Confirm Email Phone*Date of birth* Date Format: DD dash MM dash YYYY Qualifications*Entry LevelLevel 1Level 2Level 3Level 4Level 5 & aboveOther QualificationNot KnownPlease select the highest level you have attained. Employment Status*In paid employmentNot in paid employmentNot in paid employment & not looking for workSelect the appropriate box to indicate your employment status. Please advise if this status changes before you start the course Concessionary & Reduced Fees*In receipt of Jobseekers Allowance (JSA)(includes partners where claim is joint)In receipt of Employment Support Allowance(ESA) in the Work Related Activity GroupLearner on Skills for Life Literacy and Numeracy based programmeAged 16-18 (Accredited Courses only)(born between 01/09/1994 and 31/08/1997)Learner aged 19+ on first Full Level 2 or 3 Qualification (Or without any prior qualification)In receipt of Jobseekers Allowance (JSA)(includes partners where claim is joint)Learner aged 19-24 on first Full Level 2 Qualification(born between 01/09/1988 and 31/08/1994)Learner aged 19-24 on first Full Level 3 Qualification(born between 01/09/1988 and 31/08/1994)Learner on wider benefits where skills and training will help you into work (signed declaration required)At state pensionable age prior to the start of a courseI'm not in receipt of any benefitsPlease select the most appropriate box that matches your present circumstance CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.
