| Course Name: |
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| First Name: |
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| Last Name: |
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| Address Line 1: |
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| Address Line 2: |
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| Postcode: |
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| Borough: |
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| Email
(if not available enter N/A): |
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| Home Telephone Number
(if not available enter N/A): |
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| Mobile Phone Number
(if not available enter N/A): |
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| Emergency Contact Number
(if not available enter N/A): |
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| Date Of Birth (dd/mm/yyyy): |
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| Age Group: |
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| Gender: |
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| Do you have any learning issues or disabilities: |
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| Is English your first/home language: |
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| If no please enter your home/first language: |
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| Employment Status |
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| Unemployment Length |
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| Qualifications Level |
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| Why do you want to do this course? |
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| Ethnicity |
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| Are you a lone parent? |
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Data Protection
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Training Link is a Data Controller under the General Data Protection Regulation. The information on this form is stored on a secure database for three years to enable us to monitor our learners' profiles and courses undertaken. The aggregate information from this data may be passed onto funders, but no individual’s details will be revealed to any third party. We may email you to inform you about our courses. At any time: You can opt out of receiving these emails; you can ask for data held about you to be deleted; to have a copy of the data we hold about you and ask for corrections to that data to be made. By ticking the box below you consent to us holding this data as outlined above.
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Office Use Only
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| Start Date |
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| End Date |
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| Student Signature |
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| Advisor/Tutor Signature |
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| Print a copy for yourself before submitting your completed form.
We will contact you to arrange a convenient time with you to discuss your learning needs. |
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