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Step 1 of 2

  • Learner Support Form
  • PERSONAL DETAILS
  • Date Format: DD slash MM slash YYYY
  • COURSE CODECOURSE TITLEVENUESESSIONS 
  • SUPPORT REQUIRED
  • OFFICE USE ONLY
  • Fees
  • Travel Costs
  • Childcare
  • ELIGIBILITY FOR LEARNER SUPPORT
  • Please outline your total gross household income per MONTH (please read the guidance on the next page).
  • TYPE OF INCOME
  • YOUR INCOME
  • SPOUSE/PARTNER INCOME
  • Earnings from Employment
  • Universal Credit
  • Income Support
  • Housing Benefit
  • Council Tax Benefit
  • Child Tax Benefit
  • Working Tax Credit
  • Child Benefit
  • Employment Support Allowance(Support Group)
  • Employment Support Allowance(Work Related Activity Group)
  • Job Seekers Allowance
  • Any other Income(e.g. Pension, etc.)
  • Total Income

Contact us
For enrolment or queries: 01202 262300 | 01305 819059

email: enquiries@salbcp.com

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