TitleMr.Mrs.Ms.Mx.MissDr.Prof.Mr/Mrs/Miss/MsFirst and Middle Names *Family Name/Surname *National Insurance No0 / 10Address *Postcode *Date of Birth *Gender *MaleFemaleWhat gender do you now self identify as?What are your preferred pronounsEmail Address *Phone *Emergency Contact Name *Emergency Telephone *Are you a UK national? *YesNoWhat is your nationality? *When did you enter the UK? *Which country or countries have you lived in for the last three years? *Please specify *If you obtained a pre-settled or settled status under European Settlement Scheme (EUSS), confirm your status: *Pre-settledSettledOtherIf you have pre-settled status or other type of permission, when does your permission to live in the UK expire? *Individuals with other types of immigration status and their family members please complete below: *Refugee statusHumanitarian Protection statusDiscretionary Leave to Enter or RemainExceptional Leave to Enter or Remainindefinite Leave to Enter or RemainExtant leave to remain as a stateless personLeave outside the immigration rulesFamily members of individuals with: Refugee Status or Leave outside the immigration rules (e.g. spouse or civil partner of a person or child)54.9 Ukraine scheme:Leave to enter or remain in the UK under the Ukraine Family SchemeLeave to enter or remain in the UK under the Ukraine Sponsorship Scheme (Homes for Ukraine)Leave to enter or remain in the UK under the Ukraine Extension SchemeLeave to remain in the UK under the Ukraine Permission Extension Scheme54.10 Afghan scheme:Leave to enter or remain in the UK under the Afghan Citizens Resettlement Scheme (ACRS)Leave to enter or remain in the UK under the Afghan Relocations and Assistance Policy (ARAP)British Nationals evacuated from Afghanistan under Operation PittingBritish Nationals evacuated from Afghanistan by the UK government before 6 January 2022 54under Section 67 of the Immigration Act 2016 leaveunder Calais leave to remainAsylum SeekersResident in London, and have lived in the UK for six months or longer while the claim is being considered by the Home Office, and no decision on the claim has been madeor Receiving local authority support under section 23C or section 23CA of the Children Act 1989 or the Care Act 2014An individual who has been refused asylum will be eligible for full funding if:Currently resident in London, and have appealed against a decision made by the UK government against granting refugee status and no decision has been made within six months of lodging the appealor Receiving local authority support under section 23C or section 23CA of the Children Act 1989 or the Care Act 2014or receiving local authority support for themselves under section 23C or section 23CA of the Children Act 1989Ethnicity – tick what applies to you *English / Welsh / Scottish / Northern Irish / BritishWhite and AsianAfricanIrishAny other Mixed / Multiple ethnic backgroundCaribbeanGypsy / Irish TravellerIndianAny other Black / African / Caribbean backgroundAny other White BackgroundPakistaniBangladeshiArabWhite and Black CaribbeanChineseAny other ethnic groupWhite and Black AfricanAny other Asian backgroundPrefer not to sayWe support learners who need additional support for difficulties with reading or writing, or with a learning difficulty, health condition or disability. Do you think you need additional support? *YesNoWould you like to discuss your needs with a staff member? *YesNoDo you consider to have a learning difficulty and/or disability and/or health problem? *YesNoPlease tick all the boxes that apply to you *Vision impairmentHearing impairmentDisability affecting mobilityProfound complex disabilitySocial & emotional difficultiesMental health difficultyModerate learning difficultySevere learning difficultyDyslexiaDyscalculiaAutism Spectrum DisorderAsperger’s syndromeTemporary disability after illness(e.g. viral) or accidentSpeech, Language and Communication needsDowns SyndromeOther physical disabilityOther specific learning difficulty (e.g. Dyspraxia)Other medical condition (for example epilepsy, asthma, diabetes)Other learning difficultyOther disabilityPrefer not to sayWhat is your highest level of qualification? (tick one box below)No QualificationEntry levelLevel 1Level 2Full Level 2 (e.g. 5 GCSEs: 9-4/A-C)Level 3 (A Level or equivalent)Above Level 2Full Level 3 (e.g. 2 or more A Levels)Level 4 (HNC or Certificate of Higher Education)Level 5 (Diploma of Higher Education, HND, Foundation Degree)Level 6 (Degree)Level 7 and above (PHD, Masters, Post Grad etc.)Other qualifications, level not knownPlease Specify *What is your first language *Are you a parent/carer of children who live with you? *YesNoWhat is the age of your youngest child? *Do you care for an adult and in receipt of a carer’s allowance? *YesNoHow did you hear about us? *Previous LearnerGreenwich Supports / Welfare RightsLocal CollegeSocial MediaFamily or FriendGreenwich Local Labour and Business (GLLaB)Council/Community EventJob CentreSchool / Children's CentreLeaflet/FlyerInternet/WebsiteNewspaperEmployment Status (before 1st day of learning) *In paid employmentSelf-employedOther Employment Type: e.g. redundancyNot in employmentPlease tick the boxes that apply to you:Length of employment *Up to 3 months4–6 months7–12 monthsMore than 12 monthsLearner has been employed for:How many hours do you work per week, on average? *0–10 hours11–20 hours21–30 hours31+ hoursDo you also earn less than £25,642.50 (gross) – excluding benefits - annum? This equates to the London Living Wage of £13.15 per hour *YesNoYou may be asked to bring in documents such as a wage slip or Universal Credit Statement for the last 3 months, or a current employment contract which states gross monthly/annual wages.If not in ‘paid employment’, are you?: *Not in paid employment, looking for work and available to start workNot in paid employment, not looking for work and/or not available to start workAnd also retired?YesHow long have you not worked? *Less than 6 months6 –11 months12–23 months24–35 months36 months or moreBenefits Status – tick boxes that apply to you *Job Seeker’s Allowance (JSA), including those receiving national insurance credits onlyEmployment and Support Allowance (ESA)Universal Credit and…*In receipt of other state benefit(s)^ not listed above and wants to be employed, or progress into more sustainable employment, and…**…earning (excluding benefits) less than £892 a month (sole benefit claim) or £1437 a month (joint benefit claim with partner)Not on benefits^please specify: *Please bring documentary evidence of your entitlement to benefit(s) when you enrol. If your award letter is more than three months old, please also provide a current bank or other statement showing that you are still receiving the benefit.Safeguarding – Safeguarding Children and Vulnerable AdultsThe Royal Borough of Greenwich is committed to ensuring that all learners can learn in a safe environment, free from any form of abuse, bullying or harassment. For further information please contact our designated Safeguarding Lead.I agree to be contacted about future learning opportunities:by phoneby emailby postIn order to improve our provision, you may be contacted after you have completed your programme of learning, including to establish whether you have entered employment including further training or education.Terms and conditions of entryRBG will ensure that all personal information supplied is held securely in accordance with data protection legislations. To ensure there is no cost to you and to satisfy funding requirements, we require you to agree to complete all: Enrolment and attendance procedures Individual Learning Plans (ILPs) Surveys for Learner Feedback Documentation associated with qualifications I agree to these terms and conditions of entry *Please note that you have the right to withdraw your consent at any time, although that will mean you cannot study with us.Add documentsDrag and Drop (or) Choose Filesyou must consent to Photo ID for security purposes and provide essential evidence to complete enrolment” Please upload the following documents here For UK Citizens i. Picture page of passport or Driving Licence Non-UK citizens i. Biometric ID card, Copy of Visa or Right to work in UK evidence Proof of Income i. Screenshot of Universal Credit Journal payments section or Universal Credit Letter or recent payslipLearner Declaration – Learning Agreement and DeclarationI declare that the information I have given is correct, to the best of my knowledge. I will notify ACL if my circumstances change, such as employment and residency statuses. I am aware that Royal Borough of Greenwich ACL programmes are funded by the Education and Skills Funding Agency (ESFA) / Greater London Authority (GLA), helping develop employment by promoting employability, enterprise and equal opportunities, and I agree to abide by the Royal Borough of Greenwich ACL’s rules, terms and conditions. I confirm I have received suitable information and advice and accept all fee policies, for my learning programme I am satisfied that I fully understand the requirements of the programme and agree to be bound by the conditions of entry I agree to comply with the policies, procedures and regulations as set down by the Royal Borough of Greenwich I consent to RGB sharing information with Job Centre Plus if I have been referred by them and agree to completing a post course survey regarding my employment status. * Please read how we use your personal information above before signing.I confirm that I have read the privacy notice (supplied separately) and agree to the collection, processing and sharing of data on this form for the purposes listed above. The link to the privacy notice is here: https://guidance.submit-learner-data.service.gov.uk/24-25/ilr/ilrprivacynoticeSignature *Your browser does not support e-Signature field.Please use your mouse, touchpad or touchscreen to sign your nameWhat is your main reason for enrolling on this course? Please only tick one box *To help with my confidence in generalAs preparation for further learningAs preparation for employmentTo improve my essential skills in English, maths, ESOL and/or digital skillsTo help with children’s learningFor my health and wellbeingTo develop stronger communitiesSubmit learner enrolment formSave progress and complete laterPlease do not fill in this field.
Training & Careers
Training & Careers