Learner Enrolment Form

Please note: Unless otherwise stated, all fields are required.

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

I currently live in England

I am a permanent resident in the UK. (Learners born outside of the UK will need to provide a share code for their eVisa online record). *

I was aged 19 or over on 31st August 2025

I have not studied the course I am applying for before

I am not currently enrolled on any other government funded education programme, either with The Skills Network or any other provider

Please note: The following statuses are not eligible for funding:
Student visas, Sponsorship visas (including skilled worker and seasonal worker visas), any visa with a study restriction (NB: “No recourse to public funds” is not a restriction).
If this applies to you, please do not complete the application.

Personal Details

Where do you live?

Chosen Course

Title

First Name

Middle Name(s) (optional)

Surname

Previous Surname (optional)

Preferred Name (optional)
We are required to collect your legal name by the DfE and our awarding bodies. Should you wish to use another name during your studies please let us know in the preferred name field below.

What are your pronouns?

Legal gender

Male

Female

We are required to collect your legal gender by the DfE and our Awarding Bodies. There is an opportunity to tell us the gender you use below if it differs.

Is your gender different from the sex you were assigned to at birth?

Yes

Prefer not to say

Marriage/Civil partnership status

Date of Birth

National Insurance Number

First line of address

City / Town

County / Region

Postcode

Years at current address

Note: If you have lived at your current address for fewer than 3 years, previous address details will be required.

First line of previous address

Second line of previous address

Previous Postcode

Contact telephone number

Mobile number

Email address

The Email fields do not match.

Confirm email address Error: The Email fields do not match.

The Email fields do not match.

Describe the personal goals you hope to achieve by taking this course? Explain how you think this course will help you reach those goals? Summarise what interests you most about the subject matter of this course? Have you had any prior experience or exposure to this topic?

Feel free to write as much or as little as you like. However, we would recommend a minimum of 100 words and maximum of 200 words. (optional)

Previous College/School (optional)

Eligibility and Diversity Information

Nationality

Date of Entry into the UK

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

Yes

Have you been a resident in the UK for the last three years?

Yes

EUSS Share code

Please enter your EU Settlement Scheme (EUSS) Share Code if applicable

Date of Entry into the UK

Previous Country of Residence

What immigration permissions do you currently hold in the UK?

Proof of residency status covering the last 3 years is required. Providing proof of your residency status 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.

Residency Evidence (optional)

Must be a .jpeg, .jpg, .png, .pdf, .doc or .docx and be less than 10MB in size

Immigration Status expiry date (optional)

First language

Ethnicity

Religion / Faith

Are you in or have you recently left care?

Yes

Sexual orientation

Do you have any unspent convictions/pending convictions/are you currently under criminal investigation?

Yes

Disability

Learning Difficulty

Do you have an education and health care plan (EHCP)?

Yes

Do you require any additional support with your studies?

Yes

Qualifications and Employment Details

GCSE English Language Grade

If you are in Scotland please input your National or Standard grades.

GCSE Maths Grade

If you are in Scotland please input your National or Standard grades.

Highest Qualification Achieved

What is the title/name of your highest qualification (optional)

Are you currently in education or studying a funded course elsewhere?

Yes

Employment Status

Date Employment Started

Length of Unemployment

Household Situation

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.

Emergency Contact Name

Emergency Contact Relationship to Me

Emergency Contact Phone

Emergency Mobile Number

Emergency Contact Address Line One

Emergency Contact Town

Emergency Contact County (optional)

Emergency Contact Postcode

Final Details

Why do you want to study this course?

To develop my knowledge about this subject area

To gain a qualification

I have spare time and want something to do

None of the above

My reason for choosing this distance learning course is:

Seeing a tutor or fellow students face to face is:

I would classify myself as someone who:

Classroom discussion is:

When a tutor hands out directions for an assignment, I prefer:

I need feedback on my assignments:

Considering my professional and personal schedule, the amount of time I have to work on a distance learning course is:

When I am asked to learn technologies that are new to me:

As a reader, I would classify myself as:

If I am asked to use computers I:

Preferred Contact Method (optional) This is how we will contact you about your application.

Text

Phone call

Preferred Marketing Methods (optional) Please select how you would like to receive marketing communications.

Text

Phone

Upload a copy of your passport / full driving licence (provisional driving licences are not acceptable) / birth certificate

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: Passport, Birth Certificate, Full Driving Licence (provisional driving licences are not acceptable)

ID Document Reference Number

For example: Passport number, driver number

Form of ID given

Please read our Privacy Statement

Signature

Please provide your full name below:

Full name