Online Course Application Form – The Development Fund

To be eligible for funding you must tick to confirm you meet the following criteria: *

I was aged 19 or over on 31 August 2020
I have lived in the European Union for the last 3 years
If I am aged 19-23 on 31 August 2020 and am applying for a Level 2 course, I understand I already need to have gained a full level 2 qualification (e.g. 5 or more GCSE/O Levels at grades A* - C / 4 - 9, 1 A Level, 2/3 AS Levels, 5 or more CSE grade 1’s, GNVQ Intermediate, QCF Diploma Level 2)
I currently live in England or Scotland

I currently live in *

Course you are applying for *

Learning Method - Online learning materials with online assessment

Title *

Name *

First

Last

Address *

Village / Suburb *

Town/City *

Postcode *

Number of years at this address *

Phone number *

Email *

Email

Confirm Email

Marriage/civil partnership status:* *

Date of Birth *

National Insurance Number *

Previous College / School *

Nationality *

Were you born outside of the UK/EU/EEA?* *

Have you been a resident in the UK, EU, EEA for the last three years? *

First Language *

Ethnicity *

Religion/Faith *

Are you in or have you recently left care? *

Yes
No

Sexual Orientation *

Do you have any unspent criminal convictions or cautions, except for minor motoring offences, in accordance with the Rehabilitation Act 1974? *

Yes
No

If you have answered yes, we may contact you to obtain some additional information.

Disability *

Learning Difficulty *

Do you require any additional support with your studies? *

Yes
No

GCSE English Language Grade *

Highest Qualification Achieved *

What is the title/name of your highest qualification? *

Are you currently in fulltime education? *

Yes
No

If you are in full-time education it is unlikely that additional funding for this programme will be available. Examples of full-time education include: Apprenticeship, BTEC national diploma, Access to HE.

Employment Status *

Date Employment Started *

Household Situation *

Emergency Contact's Name *

First

Last

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.

Emergency Contact's Address *

Emergency Contact's Village / Suburb *

Emergency Contact's Town/City *

Emergency Contact's Postcode *

Emergency Contact's Relationship *

Emergency Contact's Phone Number *

Comment or Message

Signature *

This form requires a signature, please sign