Registration Form

By completing the personal information below, I consent to Wept Project contacting me to complete my application. I understand I can opt out at any time.

Please indicate which of the following statements best reflects your current household information:*

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Create Account

Postcode

Address line 1

Address line 2

Title

First name

Middle name

Surname

Date of birth

Sex

Phone Number or Landline

Preferred contact number

Email Address

National Insurance number

User Name

Select the course you would like to enroll on

Emergency Contact Details

Full Name

Contact Number

Do you have any unspent criminal convictions?

Yes No

Eligibility

Nationality

Home country

Have you been lawfully and normally resident in the UK for 3 years for purposes other than study

Yes No

Have you been lawfully and normally resident in the UK/EU/EEA for 3 years for purposes other than study

Yes No

Equal Opportunities

What is your ethnic group?

Do you have any learning disabilities, difficulties or health problems?

Yes No

Learning Disabilities, Difficulties or health problems- Select all that apply

Vision impairment

Hearing impairment

Disability affecting mobility

Profound complex disabilities

Social and emotional difficulties

Mental health difficulty

Moderate learning difficulty

Severe learning difficulty

Dyslexia

Dyscalculia

Autism spectrum disorder

Asperger's syndrome

Temporary disability after illness (e.g. post-viral) or accident

Speech, language or communication needs

Other physical disability

Other specific learning difficulty (e.g.dyspraxia)

Other medical condition (e.g. epilepsy, asthma, diabetes)

Other learning difficulty

Other disability

Prefer not to say

None

From the above learning disabilities, difficulties or health problems identified, which is the most important?

Is there anything that your tutor needs to know, that will help you complete your studies?

Yes No

Employment status

Are you employed?

Yes No

Are you in receipt of; Job Seeker's Allowance(JSA)?

Yes No

Are you in receipt of; Universal Credit

Yes No

Are you in receipt of; Employment and support allowance (all categories)

Yes No

Are you in receipt of; Another state benefit

Yes No

I earn below £343 per month

Yes No

My Universal Credit is: Work related requirements, Work preparation OR Work Focussed Interview groups

Yes No

Household Situation

Note

No household member is in employment - i.e. all members are either unemployed or inactive - and the household includes one or more dependent children - i.e. those aged 0-17 years, or 18- 24 years if inactive and living with at least one parent. The latter category of older dependent children excludes people who are unemployed (because they are economically active) but includes full-time students (HHS1)

Note

No household member is in employment - i.e. all members are either unemployed or inactive - and the household does not include any dependent children (HHS2)

Note

The household includes only one adult (individual aged 18 or above), irrespective of their employment status, and the household includes one or more dependent children - i.e. those aged 0-17 years, or 18-24 years if inactive and living with at least one parent. The latter category of older dependent children excludes people who are unemployed (because they are economically active) but includes full-time students (HHS3)

Note

None of these statements apply

Note

I confirm that I wish to withhold this information

Prior Attainment

Are you currently enrolled on another funded course?

Yes No

Please indicate your highest qualification to date

Please indicate below the highest qualification you have achieved from the above table, as well as any other relevant qualifications, e.g. BTEC, GCSE

Subject

Qualification/Awarding Body

Qualification Level e.g Award, Certificate, Diploma etc

Grade

Year

Please indicate your highest qualification achieved in English?

Grade/Points achieved

Please indicate your highest qualification achieved in Maths?

Grade/Points achieved

Have you completed any aspect of this course previously?

Yes No

Are you currently enrolled on any other course, e.g. flexible learning, college programme or NVQ?

Yes No

Evidence

You are required to upload one of the following - a scanned copy of your I.D (ID OR passport OR birth certificate etc.) and a Payslip or P60, if you are unemployed evidence of benefits so we can confirm your eligibility for funding. Failure to do so could lead to a delay in your registration process for this qualification. After uploading, documents will be securely destroyed once they are validated. Upload your documents here

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Data Protection Privacy Statements Please click the below links to read our data protection privacy statements Learning Curve Group Data Statement ESFA Data Statement We would like your feedback and to keep you informed about new courses. Please note you have the right to opt out of receiving promotional communications at any time by: Contacting us by emailing unsubscribe@learningcurvegroup.co.uk Using the 'unsubscribe' link in emails Using the 'STOP' number in texts) Please select your contact preference

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Consent to LRS Data Sharing We are required to submit ESFA-funded achievements to a student's Personal Learning Record (PLR) held on the Learner Records Service (LRS) database. If you would like educational institutions you enrol at in future to have access to your PLR, you will need to consent to it being shared on the LRS database. Sharing your PLR can benefit you as educational institutions may not require physical copies of your certificates.

I give consent to sharing my Personal Learning Record on the Learner Records Service Database

Declaration I confirm that, to the best of my knowledge, the information given in this form is correct and complete. I agree to Learning Curve Group processing the information in accordance with Data Protection legislation, and I will inform Learning Curve Group if any of the details identified in the form above change in any way. I have received appropriate advice and guidance about my chosen course(s), entry requirements, content, assessment, suitability and support. I confirm that all of the personal information on this form is correct. I declare that I have correctly identified my prior qualifications. I am aware of the fees and charges relating to the programme (where applicable), and I understand that if I have declared false information, action may be taken against me to reclaim tuition fees and any associated costs. I understand that Learning Curve Group will deliver my course though it may be funded through one of Learning Curve Groups partners. This may involve receiving supplementary information including the completion of an alternative form but will result in no cost to myself. By signing this form, I agree to abide by Learning Curve Group Policies and Procedures. I confirm that I have read the ESFA Privacy Notice provided to me in section 9. I confirm that I am required to check my 'Qualification Status' tab on the following page (found on the My Portfolio page) after I have submitted my information, to obtain my course title, start date and overall end date. I confirm that if I choose to withdraw from the course after submitting this form without a valid reason, I am required to pay £125.

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Registration Form

Create Account

Postcode

Address line 1

Address line 2

Title

First name

Middle name

Surname

Date of birth

Sex

Phone Number or Landline

Preferred contact number

Email Address

National Insurance number

User Name

Select the course you would like to enroll on

Emergency Contact Details

Full Name

Contact Number

Do you have any unspent criminal convictions?

Eligibility

Nationality

Home country

Have you been lawfully and normally resident in the UK for 3 years for purposes other than study

Have you been lawfully and normally resident in the UK/EU/EEA for 3 years for purposes other than study

Equal Opportunities

What is your ethnic group?

Do you have any learning disabilities, difficulties or health problems?

Learning Disabilities, Difficulties or health problems- Select all that apply

From the above learning disabilities, difficulties or health problems identified, which is the most important?

Is there anything that your tutor needs to know, that will help you complete your studies?

Employment status

Are you employed?

Are you in receipt of; Job Seeker's Allowance(JSA)?

Are you in receipt of; Universal Credit

Are you in receipt of; Employment and support allowance (all categories)

Are you in receipt of; Another state benefit

I earn below £343 per month

My Universal Credit is: Work related requirements, Work preparation OR Work Focussed Interview groups

Household Situation

Note

Note

Note

Note

Note

Prior Attainment

Are you currently enrolled on another funded course?

Please indicate your highest qualification to date

Please indicate below the highest qualification you have achieved from the above table, as well as any other relevant qualifications, e.g. BTEC, GCSE

Subject

Qualification/Awarding Body

Qualification Level e.g Award, Certificate, Diploma etc

Grade

Year

Please indicate your highest qualification achieved in English?

Grade/Points achieved

Please indicate your highest qualification achieved in Maths?

Grade/Points achieved

Have you completed any aspect of this course previously?

Are you currently enrolled on any other course, e.g. flexible learning, college programme or NVQ?

Evidence

Choose

Choose

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