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First Name/s
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| Address |
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| Borough |
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| Postcode |
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| Email Adress (if not available, enter N/A) |
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Home Telephone number
(Including STD Code) (if not available, enter N/A)
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Mobile Phone number
(if not available, enter N/A)
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| Date of birth dd/mm/yyyy |
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Age Group |
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| Gender |
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| Do you have a disability or learning difficulties? |
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| Are you an EU Citizen? |
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| Are you a refugee or an asylum seeker? |
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| Is English your first/home language? |
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| Employment status |
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If unemployed, length of unemployment
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Qualifications Level |
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NVQ Levels |
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Why do you want to do this course?
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| Ethnicity |
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| Are you a lone parent? Yes
No
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| Data Protection Act 1998 |
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Training Link is registered under the 1998 Data Protection Act. The information on this form will be stored on a computer database for internal administration purposes and in order to monitor t performance, improve quality and planning. Some of the information may be passed on to Funding Bodies who are registered under the 1998 Data Protection Act. This registration will be primarlily for the collection and analysis of statistical data.
Training Link or its partners may wish to contact you from time to time about courses, or learning opportunities. |
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Please tick this box if you do not wish to be contacted. |
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I certify that the information contained in this section is correct |
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| Office Use Only |
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Start Date
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End Date
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Student Signature
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Advisor/Tutor Signature
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Print a copy for youself before submitting your completed form.
We will contact you to arrange a convenient time with you to discuss your learning needs.
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