Waiting list for a course - has button 1 & 2 been completed?
To be considered for courses, you
must
first have your
membership number
.
Telephone 01923 330763 to complete your induction and computer assessments, a booking will be made upon completion and presentation of your certificates.
Student Information
*
Family or Volunteer Membership Number
Do you have an enhanced CRB from
this
charity?
Yes
No
If yes, provide the number here
*
Employment Status
Unemployed less then 6 months
Unemployed 6-12 months
Unemployed more than 12 months
Part time employed less than 16 hours
Full time employed
*
First Name
Middle Name
*
Last Name
*
Date of Birth
*
Address 1
Address 2
*
City or Town
*
County
*
Post Code
*
Landline Phone
*
Email Address
Please email me updates
*
Race/Ethnicity
White British 01
White Irish 02
White Other 03
Black African (Sco) 52
Black/British - African 13
Mixed White/Black African 05
Black Caribean (Sco) 51
Mixed White/Black Caribean 04
Asian - Other (Sco) 50
Asian/Asian British - Bangladeshi 10
Asian Indian (Sco) 46
Asian Pakistani (Sco) 47
Asian Bengali (Sco) 48
Mixed other 07
Other (Sco) 54
Other (NI) 31
White Irish (Sco) 43
White Other (Sco) 44
White Other British (Sco) 42
White Scottish (Sco) 41
White (NI) 21
Asian - chinese (Sco) 49
Asian/Asian British - Indian 08
Asian/Asian British - Other 11
Asian/Asian British - Pakistani 09
Bangladeshi 26
Black other (Sco) 53
Black African (NI) 28
Black Caribbean (NI) 27
Black Other (NI) 29
Black/Black British Carribbean 12
Black Black/British Other 14
Chinese (NI) 22
Chinese or Other - Chinese 15
Chinese or Other - Other 16
Indian (NI) 24
Irish Traveller (NI) 23
Mixed Any (Sco) 45
Mixed White & Asian 06
Mixed ethnic group 30
Not specified 00
Pakistani (NI) 25
Parent/pupil prefered not to say
*
Marital Status
Married
Separated
Divorced
Domestic Partners
Single Parent
Unmarried
*
Residence Status
UK Citizen
UK Permanent Resident
International Student
UK VISA work permit
UK leave to remain (no funds)
UK Indefinite leave to remain
European Citizen
Other
*
Which course?
Childcare Level 2
Childcare Level 3
Administration Level 2
Health & Social Care Level 2
Family Learning - Play & Talk
Family Learning - Family Health
Family Learning - Family Finance
Fathers staying in touch
Family History (Geneology)
Computer Course (beginners)
Any
Supporting Teaching and Learning in Schools Level 2
Supporting Teaching and Learning in Schools Level 3
Qualification Records
*
School/College/Uni Attended
*
City or Town
*
County
*
Highest Qualification
*
Literacy Assessment Score
*
Numeracy Assessment Score
Please list any awards or honors that you have received.
Please list any training that you have taken part in over the last 12 months
References - 1 Last Employer (if you have worked) & 2 Personal Reference (or two personal if not worked before)
1 - Name
Occupation
Phone
Email Address
2 - Name
Occupation
Phone
Email Address
*
Indicates Response Required