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Part Time Enrolment Form

Required Format: 01234 567890

I understand that any course fees applicable are non-refundable unless Newcastle and Stafford Colleges Group cancels the course.

Permanent Home Address

Time at address

Emergency Contact

EU Residency

Have you been an EU resident since August 2016?
Have you applied for asylum?

Pre-Course Assessment & Guidance

This information, which will be treated with discretion, will help us to improve our support services for students and is also required by the EFA/SFA for statistical purposes.

Do you have a disability, sensory impairment, learning difficulty or illness that could make it difficult for you to use the College's facilities?
Do you have any serious allergies?
Do you need assistance in the event of a fire evacuation?
Do you have an illness or allergy that requires you to carry a syringe for medical reasons? (e.g. diabetes)
Please tick which group best describes your ethnic origin

Prior Education

Please tick your highest qualification level prior to starting this course. (The qualifications in brackets are examples of qualifications at the level shown)
Have you been out of education for 3 years or more?

Employment Status

Are you in paid employment?
Select your type of employment
How many hours per week do you work?
Are you actively seeking work and available to work?
Were you in full-time education/training before the start of the course?
Are you still in full-time education?
Length of unemployment (including retired)
Benefits
Is your employer paying your course fees?

Household Situation

Please tick one or more of the following statements (one or more may apply)
Where did you hear about the course?

How we use your personal information

Newcastle and Stafford Colleges Group collect your personal data under GDPR Article 6e (Public Task) and 6c (Legal Obligation), to allow us to meet our legal obligations with the Education & Skills Funding Agency (ESFA) and Higher Education Funding Council for England (HEFCE). This information is vital in allowing us to carry out our public task to provide education and training. In accordance with Data Protection Act 1998 and GDPR regulations effective 25th May 2018, by submitting this form you are consenting to the College processing data held about you. Further information about use of and access to your personal data, details of organisations with whom we regularly share data, information about how long we retain your data, and how to change your consent to being contacted, please view our Privacy Policy.

How the ESFA use your personal information

This privacy notice is issued by the Education and Skills Funding Agency (ESFA), on behalf of the Secretary of State for the Department of Education (DfE). It is to inform learners how their personal information will be used by the DfE, the ESFA (an executive agency of the DfE) and any successor bodies to these organisations. For the purposes of relevant data protection legislation, the DfE is the data controller for personal data processed by the ESFA. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be shared with third parties for education, training, employment and well-being related purposes, including for research. This will only take place where the law allows it and the sharing is in compliance with data protection legislation. The English European Social Fund (ESF) Managing Authority (or agents acting on its behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training.

You can agree to be contacted for other purposes by ticking any of the following boxes:

Further information about use of and access to your personal data, details of organisations with whom we regularly share data, information about how long we retain your data, and how to change your consent to being contacted, can be found here

Payment