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Please complete all mandatory fields in the sections below. Mandatory fields are marked with an asterisk (*).

Personal Details

Title
First Name
Middle Name(s)
Surname

This can also be known as your family name.
The name that you provide must be your legal name. This will then be used for all our communications, official documents (e.g. certificates), and correspondence.

Sex

Enter your sex as stated on your birth certificate or other legal documents

Date of Birth

For help with entering your date of birth using the calendar, please click here.

National Insurance Number

Enter your National Insurance number in capital letters. This field is mandatory if you are in receipt of a benefit.

First Line of Address
Second Line of Address
Town/City

Postcode

Previous Postcode (If known)
Mobile Number
Telephone number
Email Address
Email Address (enter again)
     

Ethnicity

Ethnicity

Residency

Do you normally and lawfully live in the United Kingdom on your first day of learning, and will you continue to do so until 31 July 2027?
If you are unsure how to answer this question, it may be helpful to break this down:
• Do you normally live in the UK?
• Are you living in the UK legally?
• Will you continue living in the UK until 31 July 2027?
Is Home Fees

Country of Permanent Residence

This field requires you to state what country you usually live in.
Please note if you are not a british national, we will need to collect additional information to determine your eligibility. Please answer the questions below where applicable, as they will be reviewed before your enrolment can be accepted. In some cases, we will also request to view relevant documentation to validate your residency status before processing your enrolment.

Date of Entry to UK (If applicable)

Visa Expiry Date (If applicable)

Status (If applicable)

Supporting you in your learning

Do you consider yourself to have a learning difficulty and/or disability and/or health problem?

Do you consider yourself to have a disability and/or learning difficulty?

Do you feel you may need support during your learning?

ALS Requested

Main learning difficulty, disability or health problem:

If applicable, a second learning difficulty, disability or health problem:

Do you have a valid EHCP?

Has Education Health Care Plan

Prior Attainment

What is the highest level of qualification you have achieved?

For help with selecting the correct highest level of qualification you have achieved click here.

Employment Status

What is your current employment status?
You are in paid employment for:
You are self employed:

Self employment means when you have your own business and work for yourself rather than an employer.

You are not in paid employment for:

Benefit Status

Benefit Type (If applicable)

Remission Reason

Remission Reason (If applicable)

If you applied a fee resmission on the previous page, this field is mandatory. Please use the back button if you need to change your choice.

Please upload evidence if your remission reason is one of the following:

Remission Reason Accepted Evidence
Employed and earn below the £26,800 annual gross salary earnings threshold
  • Wage slip dated within 3 months of the Learner start date.
  • Universal Credit statement dated within 3 months of the Learner start date.
  • Current employment contract stating gross monthly and/or annual wages.
  • For those self-employed, proof of two months earnings provided by an employer and dated within 3 months of the Learner start date (or) two consecutive HMRC Tax Returns (or) most recent HMRC Tax Return supported by a bank statement showing income through earnings dated within 3 months of the Learner start date (or) two bank statements showing income through earnings dated within 3 months of the Learner start date.
Work for Cumberland Council or Westmorland and Furness Council
  • Cumberland Council, Westmorland and Furness Council or hosted identification badge.
  • Current Cumberland Council or Westmorland and Furness Council employment contract.
  • Most recent Cumberland Council or Westmorland and Furness Council wage slip.

You can access more information regarding concessions and fees by clicking here.
If you are unsure what to upload, contact your nearest centre. To find the contact details of your nearest centre click here


Type of Evidence
Notes
Upload File


Type of Evidence Notes Attachment Remove
No attachments uploaded yet

Offering Details and Payment

Are you attending any other publicly funded training with another provider?

Were you in full-time education or training prior to enrolment?

How did you hear about us?

Please choose one of the following options
InEd

Privacy Notice

All information provided on this form is subject to the provisions of applicable data protection legislation. Your data will be stored securely in accordance with retention periods and used for monitoring and statistical purposes. By signing this form, you consent to the sharing of your data with Cumbria Adult Learning and relevant government departments including the Learner Records Service (where applicable), to fulfil our statutory obligations. At no time will your personal information be passed to other organisations for marketing or sales purposes.
You may be contacted during and/or after your provision to participate in surveys that help us evaluate the effectiveness of our provision and to track learner progression. While enrolled with Cumbria Adult Learning, you may also receive a copy of our Learner Newsletter.
By ticking the following box, you agree to be additionally contacted about future learning opportunities with Cumbria Adult Learning.

Learner Declaration

I confirm that the information provided in this form is accurate and complete. This includes correctly stating my highest level of qualification (where applicable), my current residency status in accordance with government eligibility requirements (where applicable), and any benefit status and/or fee remission reason for which I am eligible (where applicable). I understand that my enrolment(s), unless designated as non-government funded, are fully funded or subsidised by public funding. I acknowledge that if I provide false or misleading information, Cumbria Adult Learning may take action to recover any associated fees.
For qualifications, I confirm that I have supplied accurate personal details required for registration with awarding bodies and I agree to attend any scheduled examinations, where applicable.
I confirm that I wish to proceed with my enrolment and accept that upon submitting this form I will be issued with a copy of the associated Learning Agreement by email containing the 'Individual Learner Record' and 'Learning Records Service' privacy notices to read before electronically signing my enrolment form.