Personal Details
Where do you live?
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England
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Chosen
Course
Learning Method
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Online learning materials with online
assessment
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Title
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Mr
Mrs
Ms
Miss
Mx
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Biological Sex
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Is your gender different from the sex you were assigned to at birth?
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Marriage/Civil partnership status
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Married
Single
In a same-sex civil partnership
Other
Prefer not to say
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Qualifications and Employment Details
GCSE English Language Grade
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1
2
3
4
5
6
7
8
9
A*
A
B
C
D
E
F
G
U
None
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GCSE Maths Grade
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1
2
3
4
5
6
7
8
9
A*
A
B
C
D
E
F
G
U
None
If you are in Scotland please input your National or Standard grades.
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Highest Qualification Achieved
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None
Entry Level (e.g.
Basic/Foundation Level, Word Power or Number Power, GCF Entry Level Award/Certificate)
Other Qualifications Below Level 1
Level 1 (e.g. GSCE (5 or more
grades D-G or fewer than 5 grades A*-C), AS Level, CSE below grade 1, GNVQ Foundation, QCF Level 1
Award/Certificate/ Diploma or NVQ 1)
Level 2 (e.g. Vocational and technical qualifications at level 2, Functional Skills at Level 2, Level 2 BTEC Firsts, Performing Arts Graded Examination qualifications)
Full Level 2 (e.g. 5
or more
GCSE/O Levels at grades A* - C, 1 A Level, 2/3 AS Levels, 5 or more CSE grade 1’s, GNVQ Intermediate, QCF
Diploma Level 2)
Level 3 (e.g. Vocational and technical qualifications at level 3, Core maths, Technical qualifications part of T Levels)
Full Level 3 (e.g. 4
or more AS Levels, 2 or more A Levels, BTEC Diploma, BTEC Extended Diplomas, QAA Access to Higher Education,
QCF Diplomas Level 3)
Level 4 (e.g. Higher National
Certificate (HNC), QCF Level 4 Award/Certificate/Diploma or NVQ Level 4)
Level 5 (e.g. Foundation
Degree, Higher National Diploma (HND) or QCF Level 5 Award/Certificate/Diploma)
Level 6 (e.g. Bachelors
Degree, Professional Graduate Certificate in Education (PGCE) or QCF Level 6 Award/Certificate/Diploma)
Level 7+
Other
Qualifications
Not Known
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Are you currently in full-time education?
Note: If you are in full-time education it is unlikely that additional funding for this programme will be available. Example
of full-time education include: Apprenticeship, BTEC national Diploma, Access to HE
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If you are in full-time education it is
unlikely that additional funding for this programme will be available. Example of full-time education include: Apprenticeship,
BTEC national Diploma, Access to HE
Employment Status
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Employed between 0-10 hours per week
Employed between 11-20 hours per week
Employed between 21-30 hours per week
Employed for 31+ hours per week
Self Employed 0 to 10 hours per week
Self Employed 11 to 20 hours per week
Self Employed 21 to 30 hours per week
Self Employed 31+ hours per week
Unemployed Looking for Work
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Length of Unemployment
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Less
than 6 months
6 to 11
months
12 to 23
months
24 to 35
months
36
months or more
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Household Situation
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Unemployed with dependent children
Unemployed no dependent children
Single with children
Prefer not to say
None
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Please select any state benefits you are in receipt of:
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None
JSA
ESA (WRAG)
Universal Credit
Other
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Do you earn over £20,319 Gross Annual Salary
or if you live in the Greater London Authority area do you earn over £21547.50 Gross Annual Salary
or if you live in the Cambridge and Peterborough Combined Authority area do you earn over £20000 Gross Annual Salary?
or if you live in the West Yorkshire Combined Authority area do you earn over £19305 Gross Annual Salary?
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Additional government funding is available to support the provision of qualifications to people who are in work but are earning below these amount.
Acceptable documents for Employed learners include:
Payslip within the last 3 months or contract with employer stating your income.
Acceptable documents for Self Employed learners include:
Most recent self-assessment tax return summary confirming your total earned income or
if you are also in receipt of Universal Credit, a screenshot of your online account payment showing your name/address/amount received and any deductions from self-employment dated within the last 3 months.
Additional government funding is available to support the provision of qualifications to people who are on particular benefits. Acceptable documents include: Benefits letter or bank statement showing credit and benefit type.
Income Evidence
Benefits Evidence
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Must be a .jpeg, .jpg, .png, .pdf, .doc or .docx and be less than 10MB in size
Uploading this evidence is required.
File size must be less than 10MB
Emergency Contact Information
Please note: Providing an emergency contact is an essential requirement for obtaining funding. This will not be
shared or used in any way other than in an emergency. For distance learning learners this is highly unlikely but
remains a requirement of the funding body.
Final Details
My reason for choosing this distance learning course is:
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This course is most relevant to my career path.
This is one of the several courses that are relevant to my career path.
This course is not relevant to my chosen career path but is of personal interest.
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Seeing a tutor or fellow students face to face is:
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Not particularly necessary for me.
Somewhat important to me.
Very important to me.
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I would classify myself as someone who:
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Often get things done ahead of time.
Needs reminding to complete things on time.
Puts things off until the last minute.
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Classroom discussion is:
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Rarely helpful to me.
Sometimes helpful to me.
Almost always helpful to me.
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When a tutor hands out directions for an assignment, I prefer:
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Figuring out the instructions myself.
Trying to follow the directions on my own, then asking for help as needed.
Having the instructions explained to me.
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I need feedback on my assignments:
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Within a few weeks, so I can review what I did.
Within a few days, or I will forget what I did.
Right away, or I get very frustrated.
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Considering my professional and personal schedule, the amount of time I have to work on a distance
learning course is:
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More than the time I have available to attend classes.
The same as the amount of time I have available to attend classes.
Less than the amount of time I have available for a class.
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When I am asked to learn technologies that are new to me:
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I look forward to learning new skills.
I feel apprehensive but try it anyway.
I put the learning off and try to avoid it.
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As a reader, I would classify myself as:
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Good - I usually understand the text without help.
Average - I sometimes need help to understand the text.
Below average - I frequently need help understanding text.
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If I am asked to use computers I:
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Have access to a relatively good computer and know how to use it.
Have access to a relatively good computer, but am not too familiar with it.
Do not have access to a computer.
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Preferred Contact Method
(optional)
This is how we will contact you about your application.
Preferred Marketing Methods (optional)
Please select how you would like to receive marketing communications.
Preferred Contact Times
(optional)
We will use these preferred times to contact you throughout your learning
journey with us (UK Timezone)
These dates and times are subject to our availability
Upload a copy of your passport / full driving licence (provisional driving licences are not acceptable)
/ birth certificate
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Uploading ID is required.
File size must be less than 10MB
Must be a .jpeg, .jpg, .png, .pdf, .doc or .docx and must be less than 10MB in size
Providing proof of your identity is a mandatory requirement in order to access
funding. If this is not provided you will be deemed ineligible for funding and not permitted
to access your chosen course. Examples of acceptable evidence are: Full Driving Licence
(provisional driving licenses are not acceptable), Passport, Birth Certificate
Form of ID given
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Full Driving Licence
Passport
Birth Certificate
The Form of ID field is required.
GDPR Privacy Notice
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 via: Online contact form https://www.gov.uk/government/organisations/department-for-education/about/personal-information-charter Telephoningthe DfE Helpline on 0370 000 2288 Writing to – Data Protection Officer, Ministerial and Public Communications Division, Department for Education, Piccadilly Gate, Store Street, Manchester, M1 2WDIf 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 course(s) you are enrolling on may be co-financed by the European Social Fund and this may require your data to be shared accordingly. This will be in accordance with the 1998 Data Protection Act.
Student Declaration
I confirm that all the details on this enrolment are correct and apply to course(s) on this enrolment only. If I have declared any false or irrelevant information that may affect my enrolment, action may be taken against me to reclaim course fees and any support costs provided.
I understand that if any information included within this enrolment form changes prior to the start date of my course I will inform Student Services immediately as this may affect my enrolment and my course fees.
I can confirm that I agree that If I do not fully complete this course, I will be liable for a £150 fee upon withdrawal.
Acceptable Use of Comptuters
Burnley College provides Internet access and other computer services to students for communication and study purposes, to support education and to enhance the learning process. Under the Regulation of Investigatory Powers Act, the College has the right, in certain circumstances to monitor any
of its computer systems that are made available to you in College, to monitor, intercept and/or record communications made including e-mail or Internet communications. You should, therefore, have no expectation of privacy in any electronic communication sent or received. Acceptable use requirements apply to devices provided by College,
and also any personal devices you bring onto College premises.
You must not
Waste staff effort or networked resources
Use computers in a way that denies service to other users
Unlawfully copy software owned and licensed by the College
Corrupt or destroy other users, or College data
Pass on personal details without that person’s consent
Access, send or store emails, or any material that is inappropriate, inc. extremist or sexual content
Attempt to access, or access restricted areas on the computer or servers, includes logging on using somebody else’s password without express permission
Freedom of Information Act
Burnley College is committed to openness and transparency in the way it conducts its business. To comply with the Freedom of Information Act the College has adopted the ‘model’ publication scheme for Higher Education / Further Education establishments. This publication scheme outlines the classes of information we are prepared to release,
although much information is free it also details where any charges will apply. The publication scheme in full can be accessed through the College website Freedom-of-Information-Policy.pdf (burnley.ac.uk).
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