Test Form -

Phone

Enrolment Form

Title *

First name *

Last name *

Date of birth *

Age *

Nationality *

Sex (Assigned at Birth) *

Ethnicity *

Contact details

Address - first line *

Address - second line *

County *

Postcode *

Mobile phone number *

Home phone number *

Email address *

NI Number *

What You Are Applying For

What are you interested in

Course

Apprenticeship

Residency Eligibility

I am an EEA Citizen and have the right to work in England *

Yes

Employment status

Are you currently employed? *

Yes

Education

I’m not currently attending a school, FE college, university *

True

False

I’m not currently enrolled onto any other government funded qualifications, inc apprenticeships *

True

False

Prior attainment

Please select highest previous qualification achieved (if unsure or qualifications not listed please contact Training Now) *

Please select highest Mathematics qualification achieved (if unsure or qualifications not listed please contact Training Now) *

Please select highest English qualification achieved (if unsure or qualifications not listed please contact Training Now) *

Learning needs and adjustments

Do you consider yourself to have a long-term disability, health problem or any learning difficulties? *

Where did you hear about Training Now? *

Through a friend

Through a colleague (i.e care worker, manager)

Flyer/Poster

Facebook

Twitter

Google (or other search engine)

Printed advert (i.e. newspaper, magazine)

Other

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) to inform learners about the Individualised Learner Record (ILR) and how their personal information is used in the ILR. Your personal information is used by the DfE to exercise our functions under article 6(1)(e) of the UK GDPR and to meet our statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009. Our lawful basis for using your special category personal data is covered under Substantial Public Interest based in law (Article 9(2)(g)) of GDPR legislation. This processing is under Section 54 of the Further and Higher Education Act (1992).

The ILR collects data about learners and learning undertaken. Publicly funded colleges, training organisations, local authorities, and employers (FE providers) must collect and return the data to the ESFA each year under the terms of a funding agreement, contract or grant agreement. It helps ensure that public money distributed through the ESFA is being spent in line with government targets. It is also used for education, training, employment, and well-being purposes, including research.

We retain your ILR learner data for 20 years for operational purposes (e.g. to fund your learning and to publish official statistics). Your personal data is then retained in our research databases until you are aged 80 years so that it can be used for long-term research purposes. For more information about the ILR and the data collected, please see the ILR specification at
https://www.gov.uk/government/collections/individualised-learner-record-ilr

ILR data is shared with third parties where it complies with DfE data sharing procedures and where the law allows it. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact learners to carry out research and evaluation to inform the effectiveness of training.

For more information about how your personal data is used and your individual rights, please see the DfE Personal Information Charter (https://www.gov.uk/government/organisations/department-for-education/about/personal-information-charter) and the DfE Privacy Notice (https://www.gov.uk/government/publications/privacy-notice-for-key-stage-5-and-adult-education)

If you would like to get in touch with us or request a copy of the personal information DfE holds about you, you can contact the DfE in the following ways:

• Using our online contact form https://form.education.gov.uk/service/Contact_the_Department_for_Education
• By telephoning the DfE Helpline on 0370 000 2288
• Or in writing to: Data Protection Officer, Department for Education (B2.28), 7 & 8 Wellington Place, Wellington Street, Leeds, LS1 4AW

If you are unhappy with how we have used your personal data, you can complain to the Information Commissioner’s Office (ICO) at:
Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF. You can also call their helpline on 0303 123 1113 or visit https://www.ico.org.uk

Declaration

There are occasions when photographs of activities are taken for publicity and marketing purposes, and you can agree for your image to be taken by ticking the following boxes: *

Yes

Tick yes to continue *

Yes

I declare that the information I have provided is accurate to the best of my ability. If there is a change in my circumstances where I no longer meet the conditions under which I was granted in my visa or changes in my employment or benefits, I will immediately inform the Training Provider. I understand that If I have declared false information, the provider has the right to withdraw me from my learning programme. I am aware: • of the fees & charging policy and I agree to abide by the training providers rules and pay all fees by the due date even if I decide not to complete the course. • that my courses are either fully funded or co-funded by the Education and Skills Funding Agency (ESFA) where I met the eligibility for funding. • of the privacy notice and how my data is used and stored I understand that a refund of fees will only be made where the course is closed, or an overpayment of fees has occurred. Where the fee has been remitted because I am receiving eligible benefit, I agree to inform Agincare Group Ltd (the Training Provider) if my circumstances change. Unique Learner Number We will use the information provided to obtain information using the LRS (Learner Record Service including a Personal Learning Record (PLR) and a Unique Learner Number (ULN) We may need to obtain records of your GCSE results and therefore please tick the box to allow us to access your record

Thank you - please now submit your application.

For Training Now Staff To Complete

ID Documentation

UK and EEA Citizens

Non-EEA Citizens

UK and EEA Citizens (TN staff to complete)

Current and Valid Passport

Current Full UK Driving Licence

Birth Certificate

Biometric Residence Permit

EEA National Identity Card

Valid to:

Country of Issue:

Reference:

Non-EEA Citizens

Current and Valid Visa

Valid From:

Expiry Date:

Visa Number:

Status:

Date of Residence in the UK:

Observers Name:

Signature:

Date:

Applicant meets the funding eligibility rules:

Yes

Funding Options:

Fully Funded

Co-funded