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Additional Aims Form – Hair & Beauty Multiply
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Course Details
2
Contact Details
3
Personal Details
4
Residency & Identification
5
Employment Status
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Prior Learning
7
Course Code:
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Course Title
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Course Location
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Tutor
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Primary Learning Aim
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Multiply Intervention:
*
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Start Date
*
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Planned End Date
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GLH
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Name
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Mr
Mrs
Ms
Miss
Mx
Title
Given Name
Family Name
Sex
*
Male
Female
Date of Birth
*
DD slash MM slash YYYY
Please confirm your employment status as it was on the day before your course start date:
*
Please select
In paid employment
Unemployed looking for work
Unemployed not looking for work
How many hours are you employed for?
*
If you are on a zero hour contract please select the average hours you’ve worked over the past month.
Please select
0 to 10 hours per week
11 to 20 hours per week
21 to 30 hours per week
31 hours of more per week
Please tick if you are self employed
*
Yes
No
How long have you been unemployed for?
*
Please select
less than 6 months
6-11 months
12-23 months
24-35 months
36+ months
Please select which (if any) benefits you are in receipt of
*
Job Seekers Allowance (JSA)
Employment Support Allowance (ESA)
Universal Credit
Other state benefits
Not claiming benefits
National Insurance Number
*
This should be in the format of QQ123456C
Household Situation
*
No member of the household in which I live (including myself) is employed
The household that I live in includes only one adult (aged 18 or over)
There are one or more dependent children in the household
None of these statements apply
I confirm that I wish to withhold this information
Prior attainment in any subject
*
Please indicate the highest level of qualification you have achieved in any subject.
Please select
Entry Level (Basic skills qualifications)
Level 1 (NVQ 1, GCSEs 5 at D-G/3-1 or less than 5 at A-C/9-4)
Level 2 (Functional or vocational skills at level 2)
Full level 2 (NVQ/Diploma/Certificate at level 2, 5+ GCSEs grade A-C/9-4)
Level 3 (Vocational or technical skills at level 3)
Full level 3 (NVQ/Diploma at level 3, 2+ A-levels/4 AS-levels)
Level 4 (NVQ 4, Certificate of Higher Education)
Level 5 (Foundation Degree)
Level 6 (Honours Degrees)
Level 7 and above (Master's Degree/Doctorate)
No qualifications
Prior attainment in maths
*
Please indicate the highest level of qualification you have achieved in maths.
Please select
Entry Level (Basic skills qualifications)
GCSE
CSE
O level
Functional skills at level 1
Functional skills at level 2
AS-level
A-level
Other, level not known
No qualifications
Maths level/grade
How we (S&L) use your Personal Information
Skills & Learning is compliant with Data Protection legislation and some of the information on this form will be disclosed to certain Government Agencies as requested such as the Department for Education (DfE). The DfE (or agents acting on their behalf) may contact you to carry out research and evaluation to inform the effectiveness of the training you receive. A copy of our privacy statement is available on our website,
https://www.skillsandlearningace.com/policies/privacy/
. You can request a copy of this document in an alternative format by contacting enquiries@salbcp.com or 01202 123444.
How the Education & Skills Funding Agency 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) 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.
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 ILR learner data for 3 years for operational purposes and 66 years for 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 ESFA Privacy Notice (
https://www.gov.uk/government/publications/esfa-privacy-notice
)
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://www.gov.uk/government/organisations/department-for-education/about/personal-information-charter
By telephoning the DfE Helpline on 0370 000 2288
Or in writing to – Data Protection Officer, Ministerial and Public Communications Division, Department for Education, Piccadilly Gate, Store Street, Manchester, M1 2WD
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
The information you supply is used by the Education and Skills Funding Agency (ESFA), an executive agency of the DfE, to issue you with a Unique Learner Number (ULN) and to create your Personal Learning Record on the Learning Records Service, as part of the functions of the DfE. The Learning Records Service Privacy notice is available at
https://www.gov.uk/government/publications/lrs-privacy-notices/lrs-privacy-notice
.
Data Protection and Privacy Notice Confirmation
*
I have read and understood this data protection and privacy notice.
Contact Preferences
We (or the Education & Skills Funding Agency) would like to send you information about our courses, learning opportunities and for surveys and research by post, telephone or email. If you agree to being contacted in this way please tick the relevant box(es) below:
Reason for contact
About courses or learning opportunities
For surveys and research
How contact is allowed
Preferred method of contact?
By post
By phone
By e-mail
We will use the contact details held to contact you with information relating to your course(s).
How did you hear about us?
Another organisations website
Brochure (door to door delivery)
Contacted by provider
Event
Referral
Skills & Learning Website
Targeted e-mail
Word of Mouth
Social Media
Learner Declaration
I confirm that
The personal information I have provided is correct and that I am not studying this course with another provider.
I understand that if I have declared false information Skills & Learning may take action against me to reclaim fees and any support costs provided.
I am aware my details will be sent to the Learner Registration Service and used to create and maintain a Unique Learner Number and Personal Learning Record.
I have read and understood the Skills & Learning Terms and Conditions
https://www.skillsandlearningace.com/terms-and-conditions
(opens in a popup window).
I have received sufficient information and guidance about the course I am going to do and believe it is at the right level for me.
I agree that
I will inform Skills & Learning of any unspent criminal convictions (please refer to Learner Handbook for guidance).
I will complete the course detailed above and undertake the work required.
I will sit the exam/assessment required to achieve the qualification (if applicable) and submit all required coursework.
I will undertake independent study and homework to help me progress quickly.
I will attend regularly and arrive on time.
I will inform Skills & Learning if I am unable to attend.
Attendance will be monitored and if I miss 3 sessions in a row, or 2 in a term, I will be contacted for a discussion which may result in being withdrawn from the course.
I will help support the future funding of adult learning by providing feedback on the impact of having undertaking this learning programme.
Signature
*
Please draw your signature either with your mouse or if you have a touchscreen with your finger or stylus.
Date
*
DD slash MM slash YYYY
Signing above confirms that the declarations you have made in this form are a true and accurate reflection of your circumstances.
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