Common use of Beliefs Clause in Contracts

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:  Taster Day  School Event  Careers Fair  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert  Bus Advert  Outdoor Banner  Radio  Newspaper  Train Station  Careers Adviser  Other - please specify: COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate box. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/19: For Entry Level 1 & 2 courses (tick if any apply to you)  Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.  In receipt of Employment Support Allowance (ESA).  In receipt of Universal Credit and earned income from employment (disregarding benefits) is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a month.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.  In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income (disregarding benefits) is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.  Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.  Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.  Applying for English and/or Maths course and do not already hold A*-C or Grade 4 or higher in the subject. For Level 3 courses (tick if any apply to you)  Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.  Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for other purposes by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:  about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:  by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:  about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete please forward to: Part-time Courses, Admissions, Andover College, Charlton Road, Andover, Hampshire SP10 1EJ Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. Student name - Student ID - Course - 2019/2020 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- Payment in full - by credit/debit card via the online store  Option 2- Sponsorpayment - Please completeyoursponsor/employer detailsbelow  Option 3- Fee Remission - l will be applying for fee remission (if applicable)  Courses length - more than 10 days Option 1- Payment in full - by credit/debit card via the online store  Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  Option 3- Sponsor payment - Please complete your sponsor/employer details below  Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)   Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please specify: PT Application Form 2020-21 V5 02-07-20 COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus PT Guide 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate boxbox and add your National Insurance Number in the space provided. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/20: National Insurance Number: For Entry Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.   In receipt of Employment Support Allowance (ESA).   In receipt of Universal Credit and earned income from employment (disregarding benefits) is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a month.   Earn less than £16,009.50 17,004 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income (disregarding benefits) is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.   Aged 19 - 23 without a FULL Level 2 or above qualification and studying up to and including a Level 1 qualification.  Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold GCSE A*-C or Grade 4 or higher in the subject. The College is required to carry out checks on your prior qualifications. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxxxxxx.xx.xx or xxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- well-being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for by other purposes third parties by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:   about courses or learning opportunities  for surveys and research PT Application Form 2020-21 V5 02-07-20 Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete complete, please forward toto the College where the course is being delivered: Sparsholt/Online courses: Part-time Courses, AdmissionsAdmissions Sparsholt College, Xxxxxxx Xx Sparsholt, Winchester, Hants SO21 2NF Tel: 00000 000000 Email: xxxxxxx@xxxxxxxxx.xx.xx Andover courses: Part-time Courses, Admissions Andover College, Charlton Road, Road Andover, Hampshire Hants SP10 1EJ Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. PT Application Form 2020-21 V5 02-07-20 Student name - Student ID - Course - 2019/2020 2020/2021 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- Payment in full - by credit/debit card via the online store  q Option 2- Sponsorpayment Sponsor payment - Please completeyoursponsorcomplete your sponsor/employer detailsbelow  details below q Option 3- Fee Remission - l will be applying for fee remission (if applicable)  q Courses length - more than 10 days Option 1- Payment in full - by credit/debit card via the online store  q Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  q Option 3- Sponsor payment - Please complete your sponsor/employer details below  q Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  q Option 5- Fee Remission - l will be applying for fee remission (if applicable)  q Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number Employer Signature Position in Company Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number.

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  🞏 No religion  🞏 Atheist 🞏 Buddhist 🞏 Christian (all denominations)  Buddhist  🞏 Hindu  🞏 Jewish  🞏 Muslim  🞏 Sikh  🞏 Any other religion: 🞏 Prefer not to say Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  🞏 Heterosexual  🞏 Lesbian/Gay  🞏 Bisexual  🞏 Other  🞏 Prefer not to say Please indicate where you first heard of the College:  Taster Day  🞏 Word of Mouth 🞏 Outdoor Banner School Event  🞏 Twitter / Facebook 🞏 Radio Careers Fair  🞏 Google Advert 🞏 Newspaper Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert  🞏 Bus Advert  Outdoor Banner  Radio  Newspaper  🞏 Train Station  Careers Adviser  🞏 Other - please specify: 🞏 🞏 🞏 🞏 🞏 PT Application Form 2022/23 15/07/2022 COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are a UK resident (who meets residency requirements – see Fees and Funding page on our website) and age 19 or over 19 on 31st August 2022 and in one of the groups listed below when the course starts, and the course you are applying for is available for fee remission Fee Remission (see prospectus PT Guide 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. If you do not provide your NI number, we might not be able to process your remission form. Please read the categories below and if any will apply to youyou when the course starts, please tick the appropriate box. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/22: National Insurance Number: (If you do not include your NI number we might not be able to process your remission form) For Entry Level, Level 1 1, 2 & 2 3 courses (tick if any apply to you)  Unemployed in 🞏 In receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.  only (Fee Code A, C & M) 🞏 In receipt of Employment Support Allowance (ESA).  ) (Fee Code A, C & M) 🞏 In receipt of Universal Credit and earned income from employment take-home pay as recorded on your Universal Credit statement (disregarding Universal Credit payments and other benefits) is less than £338 345 (sole adult in benefit claim) or £541 552 (joint benefit claim with partner) a month.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.  month (Fee Code A, C & M) 🞏 In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income Take-home pay (disregarding Universal Credit payments and other benefits) is less than £338 345 (sole adult in benefit claim) or £541 552 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.  (Fee Code A, C & M) 🞏 Earn less than £18,525 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date or a copy of your Contract of Employment. (Fee Code A, C & M) 🞏 Aged 19 - 23 without a FULL Level 2 or above qualification and studying up to and including a Level 1 qualification*~ (Fee Code H) 🞏 Aged 19 - 23 applying for your first FULL Level 2 qualification qualification*~ (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.Fee Code A) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.  🞏 Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.  Applying for 🞏 Course is English and/or Maths course and do not already hold GCSE A*-C or Grade 4 or higher in the subject. For Level 3 courses * (tick if any apply to youFee Code F)  🞏 Aged 19 - 19-23 applying for your first FULL Level 3 qualification qualification*^ (e.g. you don’t already have a Fee Code B & M) 🞏 Aged 24+ applying for Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.remission as part of the Free Courses for Jobs offer and not unemployed or low wage*^ (Fee Code M) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. * The College is required to carry out checks on your prior qualifications.  Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for other purposes by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:  about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:  by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:  about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete please forward to: Part-time Courses, Admissions, Andover College, Charlton Road, Andover, Hampshire SP10 1EJ Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. Student name - Student ID - Course - 2019/2020 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- Payment in full - by credit/debit card via the online store  Option 2- Sponsorpayment - Please completeyoursponsor/employer detailsbelow  Option 3- Fee Remission - l will be applying for fee remission (if applicable)  Courses length - more than 10 days Option 1- Payment in full - by credit/debit card via the online store  Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  Option 3- Sponsor payment - Please complete your sponsor/employer details below  Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number.

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)   Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please specify: COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus PT Guide 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate boxbox and add your National Insurance Number in the space provided. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/20: National Insurance Number: For Entry Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.   In receipt of Employment Support Allowance (ESA).   In receipt of Universal Credit and earned income from employment take-home pay as recorded on your Universal Credit statement (disregarding Universal Credit payments and other benefits) is less than £338 343 (sole adult in benefit claim) or £541 549 (joint benefit claim with partner) a month.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income Take-home pay (disregarding Universal Credit payments and other benefits) is less than £338 343 (sole adult in benefit claim) or £541 549 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.   Earn less than £17,004 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.  Aged 19 - 23 without a FULL Level 2 or above qualification and studying up to and including a Level 1 qualification.  Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold GCSE A*-C or Grade 4 or higher in the subject. The College is required to carry out checks on your prior qualifications. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxxxxxx.xx.xx or xxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- well-being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for by other purposes third parties by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:   about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete complete, please forward toto the College where the course is being delivered: Sparsholt/Online courses: Part-time Courses, AdmissionsAdmissions Sparsholt College, Xxxxxxx Xx Sparsholt, Winchester, Hants SO21 2NF Tel: 00000 000000 Email: xxxxxxx@xxxxxxxxx.xx.xx Andover courses: Part-time Courses, Admissions Andover College, Charlton Road, Road Andover, Hampshire Hants SP10 1EJ Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. Student name - Student ID - Course - 2019/2020 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- Payment in full - by credit/debit card via the online store  Option 2- Sponsorpayment - Please completeyoursponsor/employer detailsbelow  Option 3- Fee Remission - l will be applying for fee remission (if applicable)  Courses length - more than 10 days Option 1- Payment in full - by credit/debit card via the online store  Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  Option 3- Sponsor payment - Please complete your sponsor/employer details below  Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Numberxxxxxxx@xxxxxxx.xx.xx

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)   Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please specify: COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate box. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/19: For Entry Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.   In receipt of Employment Support Allowance (ESA).   In receipt of Universal Credit and earned income from employment (disregarding benefits) is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a month.   Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income (disregarding benefits) is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.   Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ xxx.xxxxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold A*-C or Grade 4 or higher in the subject. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ xxx.xxxxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxx.xxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for other purposes by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:   about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete please forward to: Part-time Courses, Admissions, Andover Sparsholt College, Charlton RoadXxxxxxx Xx, AndoverSparsholt, Hampshire SP10 1EJ Winchester, Hants SO21 2NF Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx xxxxxxx@xxxxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. Student name - Student ID - Course - 2019/2020 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- Payment in full - by credit/debit card via the online store  Option 2- Sponsorpayment - Please completeyoursponsor/employer detailsbelow  Option 3- Fee Remission - l will be applying for fee remission (if applicable)  Courses length - more than 10 days Option 1- Payment in full - by credit/debit card via the online store  Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  Option 3- Sponsor payment - Please complete your sponsor/employer details below  Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Numberless

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  No religion  Atheist  Buddhist  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion:  Prefer not to say Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)   Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:  Taster Day   Word of Mouth  Outdoor Banner School Event   Twitter / Facebook  Radio Careers Fair   Google Advert  Newspaper Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station  Careers Adviser   Other - please specify:      COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus PT Guide 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate boxbox and add your National Insurance Number in the space provided. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/21: National Insurance Number: (If you do not include your NI number we might not be able to process your remission form) For Entry Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.   In receipt of Employment Support Allowance (ESA).   In receipt of Universal Credit and earned income from employment take-home pay as recorded on your Universal Credit statement (disregarding Universal Credit payments and other benefits) is less than £338 345 (sole adult in benefit claim) or £541 552 (joint benefit claim with partner) a month.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income Take-home pay (disregarding Universal Credit payments and other benefits) is less than £338 345 (sole adult in benefit claim) or £541 552 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.   Earn less than £17,374.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date or a copy of your Contract of Employment.  Aged 19 - 23 without a FULL Level 2 or above qualification and studying up to and including a Level 1 qualification.  Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the Contact Us page on xxxxxxx.xx.xx or Apply Now page on xxxxxxxxx.xx.xx for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold GCSE A*-C or Grade 4 or higher in the subject. The College is required to carry out checks on your prior qualifications.  Aged 19+ and have digital skills assessed at below level 1 - you will need to have a College assessment to confirm your level. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 19+ applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the Contact Us page on xxxxxxx.xx.xx or Apply Now page on xxxxxxxxx.xx.xx for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions function under article 6(1)(e) of the UK GDPR and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 2009. The ILR collects data about learners and learning undertaken. Publicly funded colleges, training organisations, local authorities, and employers (FE providers) must collect and return the data to create and maintain the ESFA each year under the terms of a unique learner number (ULN) and a personal learning record (PLR)funding agreement, contract or grant agreement. Your information will be securely destroyed after it It helps ensure that public money distributed through the ESFA is no longer required for these purposesbeing spent in line with government targets. Your information may be It is also used for education, training, employment employment, and well- well being related purposes, including research. We retain ILR learner data for research3 years for operational purposes and 66 years for research purposes. For more information about the ILR and the data collected, please see the ILR specification at xxx.xx/xxxxxxxxxx/ collections/individualised-learner-record-ilr. ILR data is shared with third parties where it complies with DfE data sharing procedures and where the law allows it. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalfbehalf ) may contact you in order for them learners to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposesIn these cases, but only where the law allows it is part of our statutory duties and the we do not need your consent. Where sharing is in compliance with data protection legislation. You not part of our statutory duties, you can agree give your consent to be contacted for by other purposes by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contactedthird parties:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:   about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College College’s Data Protection policy and Privacy Notice both available on our website at xxxxxxxxx.xx.xx • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete complete, please forward toto the College where the course is being delivered: Sparsholt/Online courses: Part-time Courses, AdmissionsAdmissions Sparsholt College, Xxxxxxx Xx Sparsholt, Winchester, Hants SO21 2NF Tel: 00000 000000 Email: xxxxxxx@xxxxxxxxx.xx.xx Andover courses: Part-time Courses, Admissions Andover College, Charlton Road, Road Andover, Hampshire Hants SP10 1EJ Tel Tel: 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. This activity is part-financed by the European Union Student name - Student ID - Course - 2019/2020 2021/2022 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- 1 - Payment in full - – by credit/debit card via the online store  o Option 2- Sponsorpayment - 2 – Sponsor payment – Please completeyoursponsorcomplete your sponsor/employer detailsbelow  details below o Option 3- 3 – Fee Remission - l – I will be applying for fee remission (if applicable)  Courses o Course length - – more than 10 days Option 1- 1 - Payment in full - – by credit/debit card via the online store  o Option 2- 2 - Payment by instalments - lnstalment – Instalment plan and 10% initial payment via the online store  o Option 3- 3 – Sponsor payment - – Please complete your sponsor/employer details below  o Option 4- 4 - Advanced Learner Loan - l I will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  o Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number.

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.voluntary)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation Orientation:  Heterosexual (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.voluntary)  Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please Please specify: COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the Payment Method section on next section page If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate box. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/17: For Entry Entry, Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.  only  In receipt of Employment Support Allowance (ESA).  In ) and are in the work related activity group (WRAG)  Unemployed in receipt of Universal Credit state benefits other than JSA and earned income from ESA (WRAG) who want to enter into employment (disregarding benefits) and need skills training to do so. Please note this is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a monthat the discretion of the College - please contact Admissions team for more details.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income (disregarding benefits) is employed and earning less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) 330 a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – - please contact Admissions team for more details.   Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ xxx.xxxxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold A*-C or Grade 4 or higher in the subject. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ xxx.xxxxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice Official Stamp PLEASE NOTE: THIS FORM MUST EITHER BE STAMPED BY YOUR BENEFIT OFFICE AS EVIDENCE THAT YOU ARE IN RECEIPT OF JSA inc. receipt of National Insurance credits only or ESA and are in the WRAG group OR PROOF MUST BE SUPPLIED PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. OVERSEAS LEARNERS The rules and regulations regarding whether or not you are eligible to receive Government funding are very complex. Each case has to be determined individually. Please contact a member of the Admissions team; you will be required to show your passport and provide information relating to your eligibility to live in the UK. For Office Use Evidence: ____________________________ Seen by: ______________________________ Date: ________________________________ Payment Method:  I am paying my own fees (Please complete attached payment form)  I am applying for an advanced learning loan *  My employer is paying  I am applying for Fee Remission (please make sure you have completed the section on the previous page) *If you have ticked this box we will send you an application pack/details on how to apply for a Loan Employer details - Only complete this section if your employer is to be invoiced Employer Name: Purchase Order Number: Address: Postcode: Telephone number: Employer signature: Position in the company: To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxx.xxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilitiesIn addition, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information you may be used for contacted after you have completed your programme of learning to establish whether you have entered employment or gone onto further education, training, employment and well- being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their its behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted opt out of contact for other purposes by ticking any of the following boxes on either your application/enrolment or learning agreement form if you do NOT wish to be contacted:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:  about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete please forward to: Part-time Courses, Admissions, Andover Sparsholt College, Charlton RoadXxxxxxx Xx, AndoverSparsholt, Hampshire SP10 1EJ SO21 2NF Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx xxxxxxx@xxxxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. Student name - This activity is part-financed by the European Union. The Direct Debit Guarantee • This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits. • If there are any changes to the amount, date or frequency of your Direct Debit, Sparsholt College Hampshire will notify you ten working days in advance of your account being debited or as otherwise agreed. If you request Sparsholt College Hampshire to collect a payment, confirmation of the amount and date will be given to you at the time of the request. • If an error is made in the payment of your Direct Debit by Sparsholt College Hampshire or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society. • If you receive a refund you are not entitled to, you must pay it back when Sparsholt College Hampshire asks you to. • You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us. Payment by Debit / Credit Card Name of Cardholder (CAPITAL letters please): Card Number: Expiry date: Valid from Security No. Issue No. MM/YY MM/YY (last 3 digits on reverse): (Switch only): Signature of Cardholder: Date: OFFICE USE ONLY Student ID - number: Amount paid £ Course - 2019/2020 FE title: Start and end date of course: 2017/2018 Short Course and Part-Time and Short time Training Payment Instructions Student Name: Payment Method  Course fees  Registration / Exam Fees  Other Fees Total: £ £ £ £ Payment Form Payment method Please indicate your preferred Options (please tick the appropriate method of payment)  Immediate payment - In full by cheque (cheques payable to Sparsholt College) or debit/ credit card. The Admissions Team will confirm your place on (Please provide card details overleaf) Please note that short courses ie of less than one months duration must be paid in full at the course and they will provide you with instructions on how to make payment, including a link time of application.  Instalments Plan A payment plan must be set up prior to the online store and any relevant deadlinesstart of the course. Course length - 10 days or less Option 1- Payment Courses running for more than one month duration can be paid in full - instalments by credit/debit card via splitting the online store  Option 2- Sponsorpayment - Please completeyoursponsor/employer detailsbelow  Option 3- Fee Remission - l cost into monthly payments for the duration of the course. A non-refundable deposit of 10% must be paid on application. In the event that Sparsholt College has to cancel a course all fees paid will be applying for fee remission (if applicable)  Courses length - more than 10 days Option 1- refunded. All fees remain payable should you decide to withdraw from the course. Name: Signature: Date: OFFICE USE ONLY Direct Debit Checklist Date  Mandate Checked First Payment in full - by credit/debit card via the online store  Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  Option 3- Sponsor payment - Please complete your sponsor/employer details below  Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order NumberEntered On Spreadsheet Category Amended Mandate Entered On QLX Auddls File Created

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.voluntary)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation Orientation:  Heterosexual (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.voluntary)  Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please Please specify: COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the Payment Method section on next section page If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate box. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/17: For Entry Entry, Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.  only  In receipt of Employment Support Allowance (ESA).  In ) and are in the work related activity group (WRAG)  Unemployed in receipt of Universal Credit state benefits other than JSA and earned income from ESA (WRAG) who want to enter into employment (disregarding benefits) and need skills training to do so. Please note this is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a monthat the discretion of the College - please contact Admissions team for more details.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income (disregarding benefits) is employed and earning less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) 330 a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – - please contact Admissions team for more details.   Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ xxx.xxxxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold A*-C or Grade 4 or higher in the subject. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ xxx.xxxxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice Official Stamp PLEASE NOTE: THIS FORM MUST EITHER BE STAMPED BY YOUR BENEFIT OFFICE AS EVIDENCE THAT YOU ARE IN RECEIPT OF JSA inc. receipt of National Insurance credits only or ESA and are in the WRAG group OR PROOF MUST BE SUPPLIED PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. OVERSEAS LEARNERS The rules and regulations regarding whether or not you are eligible to receive Government funding are very complex. Each case has to be determined individually. Please contact a member of the Admissions team; you will be required to show your passport and provide information relating to your eligibility to live in the UK. For Office Use Evidence: ____________________________ Seen by: ______________________________ Date: ________________________________ Payment Method:  I am paying my own fees (Please complete attached payment form)  I am applying for an advanced learning loan *  My employer is paying  I am applying for Fee Remission (please make sure you have completed the section on the previous page) *If you have ticked this box we will send you an application pack/details on how to apply for a Loan Employer details - Only complete this section if your employer is to be invoiced Employer Name: Purchase Order Number: Address: Postcode: Telephone number: Employer signature: Position in the company: To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxx.xxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilitiesIn addition, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information you may be used for contacted after you have completed your programme of learning to establish whether you have entered employment or gone onto further education, training, employment and well- being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their its behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with For other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You purposes you can agree choose to ‘opt in’ if you wish to be contacted for other purposes by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contactedboxes:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:  about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete please forward to: Part-time Courses, Admissions, Andover Sparsholt College, Charlton RoadXxxxxxx Xx, AndoverSparsholt, Hampshire SP10 1EJ SO21 2NF Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx xxxxxxx@xxxxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. Student name - This activity is part-financed by the European Union. The Direct Debit Guarantee • This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits. • If there are any changes to the amount, date or frequency of your Direct Debit, Sparsholt College Hampshire will notify you ten working days in advance of your account being debited or as otherwise agreed. If you request Sparsholt College Hampshire to collect a payment, confirmation of the amount and date will be given to you at the time of the request. • If an error is made in the payment of your Direct Debit by Sparsholt College Hampshire or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society. • If you receive a refund you are not entitled to, you must pay it back when Sparsholt College Hampshire asks you to. • You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us. Payment by Debit / Credit Card Name of Cardholder (CAPITAL letters please): Card Number: Expiry date: Valid from Security No. Issue No. MM/YY MM/YY (last 3 digits on reverse): (Switch only): Signature of Cardholder: Date: OFFICE USE ONLY Student ID - number: Amount paid £ Course - 2019/2020 FE title: Start and end date of course: 2017/2018 Short Course and Part-Time and Short time Training Payment Instructions Student Name: Payment Method  Course fees  Registration / Exam Fees  Other Fees Total: £ £ £ £ Payment Form Payment method Please indicate your preferred Options (please tick the appropriate method of payment)  Immediate payment - In full by cheque (cheques payable to Sparsholt College) or debit/ credit card. The Admissions Team will confirm your place on (Please provide card details overleaf) Please note that short courses ie of less than one months duration must be paid in full at the course and they will provide you with instructions on how to make payment, including a link time of application.  Instalments Plan A payment plan must be set up prior to the online store and any relevant deadlinesstart of the course. Course length - 10 days or less Option 1- Payment Courses running for more than one month duration can be paid in full - instalments by credit/debit card via splitting the online store  Option 2- Sponsorpayment - Please completeyoursponsor/employer detailsbelow  Option 3- Fee Remission - l cost into monthly payments for the duration of the course. A non-refundable deposit of 10% must be paid on application. In the event that Sparsholt College has to cancel a course all fees paid will be applying for fee remission (if applicable)  Courses length - more than 10 days Option 1- refunded. All fees remain payable should you decide to withdraw from the course. Name: Signature: Date: OFFICE USE ONLY Direct Debit Checklist Date  Mandate Checked First Payment in full - by credit/debit card via the online store  Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  Option 3- Sponsor payment - Please complete your sponsor/employer details below  Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order NumberEntered On Spreadsheet Category Amended Mandate Entered On QLX Auddls File Created

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  No religion  Atheist  Buddhist  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion:  Prefer not to say Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)   Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:  Taster Day   Word of Mouth  Outdoor Banner School Event   Twitter / Facebook  Radio Careers Fair   Google Advert  Newspaper Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station  Careers Adviser   Other - please specify:      COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus PT Guide 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate boxbox and add your National Insurance Number in the space provided. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/21: National Insurance Number: (If you do not include your NI number we might not be able to process your remission form) For Entry Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.   In receipt of Employment Support Allowance (ESA).   In receipt of Universal Credit and earned income from employment take-home pay as recorded on your Universal Credit statement (disregarding Universal Credit payments and other benefits) is less than £338 345 (sole adult in benefit claim) or £541 552 (joint benefit claim with partner) a month.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income Take-home pay (disregarding Universal Credit payments and other benefits) is less than £338 345 (sole adult in benefit claim) or £541 552 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.   Earn less than £17,374.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date or a copy of your Contract of Employment.  Aged 19 - 23 without a FULL Level 2 or above qualification and studying up to and including a Level 1 qualification.  Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the Contact Us page on xxxxxxx.xx.xx or Apply Now page on xxxxxxxxx.xx.xx for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold GCSE A*-C or Grade 4 or higher in the subject. The College is required to carry out checks on your prior qualifications.  Aged 19+ and have digital skills assessed at below level 1 - you will need to have a College assessment to confirm your level. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 19+ applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the Contact Us page on xxxxxxx.xx.xx or Apply Now page on xxxxxxxxx.xx.xx for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions function under article 6(1)(e) of the UK GDPR and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 2009. The ILR collects data about learners and learning undertaken. Publicly funded colleges, training organisations, local authorities, and employers (FE providers) must collect and return the data to create and maintain the ESFA each year under the terms of a unique learner number (ULN) and a personal learning record (PLR)funding agreement, contract or grant agreement. Your information will be securely destroyed after it It helps ensure that public money distributed through the ESFA is no longer required for these purposesbeing spent in line with government targets. Your information may be It is also used for education, training, employment employment, and well- well being related purposes, including research. We retain ILR learner data for research3 years for operational purposes and 66 years for research purposes. For more information about the ILR and the data collected, please see the ILR specification at xxx.xx/xxxxxxxxxx/ collections/individualised-learner-record-ilr. ILR data is shared with third parties where it complies with DfE data sharing procedures and where the law allows it. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalfbehalf ) may contact you in order for them learners to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposesIn these cases, but only where the law allows it is part of our statutory duties and the we do not need your consent. Where sharing is in compliance with data protection legislation. You not part of our statutory duties, you can agree give your consent to be contacted for by other purposes by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contactedthird parties:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:   about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College College’s Data Protection policy and Privacy Notice both available on our website at xxxxxxxxx.xx.xx • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete complete, please forward toto the College where the course is being delivered: Sparsholt/Online courses: Part-time Courses, AdmissionsAdmissions Sparsholt College, Xxxxxxx Xx Sparsholt, Winchester, Hants SO21 2NF Tel: 00000 000000 Email: xxxxxxxxxxxxxxx@xxxxxxxxx.xx.xx Andover courses: Part-time Courses, Admissions Andover College, Charlton Road, Road Andover, Hampshire Hants SP10 1EJ Tel Tel: 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. This activity is part-financed by the European Union Student name - Student ID - Course - 2019/2020 2021/2022 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- 1 - Payment in full - – by credit/debit card via the online store  o Option 2- Sponsorpayment - 2 – Sponsor payment – Please completeyoursponsorcomplete your sponsor/employer detailsbelow  details below o Option 3- 3 – Fee Remission - l – I will be applying for fee remission (if applicable)  Courses o Course length - – more than 10 days Option 1- 1 - Payment in full - – by credit/debit card via the online store  o Option 2- 2 - Payment by instalments - lnstalment – Instalment plan and 10% initial payment via the online store  o Option 3- 3 – Sponsor payment - – Please complete your sponsor/employer details below  o Option 4- 4 - Advanced Learner Loan - l I will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  o Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number.

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)   Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please specify: COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate box. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/19: For Entry Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.   In receipt of Employment Support Allowance (ESA).   In receipt of Universal Credit and earned income from employment (disregarding benefits) is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a month.   Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income (disregarding benefits) is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.   Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold A*-C or Grade 4 or higher in the subject. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for other purposes by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:   about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete please forward to: Part-time Courses, Admissions, Andover College, Charlton Road, Andover, Hampshire SP10 1EJ Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. Student name - Student ID - Course - 2019/2020 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- Payment in full - by credit/debit card via the online store  Option 2- Sponsorpayment - Please completeyoursponsor/employer detailsbelow  Option 3- Fee Remission - l will be applying for fee remission (if applicable)  Courses length - more than 10 days Option 1- Payment in full - by credit/debit card via the online store  Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  Option 3- Sponsor payment - Please complete your sponsor/employer details below  Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Numberless

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)   Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please specify: PT Application Form 2020-21 V6 27-10-20 COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus PT Guide 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate boxbox and add your National Insurance Number in the space provided. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/20: National Insurance Number: For Entry Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.   In receipt of Employment Support Allowance (ESA).   In receipt of Universal Credit and earned income from employment take-home pay as recorded on your Universal Credit statement (disregarding Universal Credit payments and other benefits) is less than £338 343 (sole adult in benefit claim) or £541 549 (joint benefit claim with partner) a month.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income Take-home pay (disregarding Universal Credit payments and other benefits) is less than £338 343 (sole adult in benefit claim) or £541 549 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.   Earn less than £17,004 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.  Aged 19 - 23 without a FULL Level 2 or above qualification and studying up to and including a Level 1 qualification.  Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold GCSE A*-C or Grade 4 or higher in the subject. The College is required to carry out checks on your prior qualifications. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxxxxxx.xx.xx or xxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- well-being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for by other purposes third parties by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:   about courses or learning opportunities  for surveys and research PT Application Form 2020-21 V6 27-10-20 Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete complete, please forward toto the College where the course is being delivered: Sparsholt/Online courses: Part-time Courses, AdmissionsAdmissions Sparsholt College, Xxxxxxx Xx Sparsholt, Winchester, Hants SO21 2NF Tel: 00000 000000 Email: xxxxxxx@xxxxxxxxx.xx.xx Andover courses: Part-time Courses, Admissions Andover College, Charlton Road, Road Andover, Hampshire Hants SP10 1EJ Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. PT Application Form 2020-21 V6 27-10-20 Student name - Student ID - Course - 2019/2020 2020/2021 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- 1 - Payment in full - – by credit/debit card via the online store  o Option 2- Sponsorpayment - 2 – Sponsor payment – Please completeyoursponsorcomplete your sponsor/employer detailsbelow  details below o Option 3- 3 – Fee Remission - l – I will be applying for fee remission (if applicable)  Courses o Course length - – more than 10 days Option 1- 1 - Payment in full - – by credit/debit card via the online store  o Option 2- 2 - Payment by instalments - lnstalment – Instalment plan and 10% initial payment via the online store  o Option 3- 3 – Sponsor payment - – Please complete your sponsor/employer details below  o Option 4- 4 - Advanced Learner Loan - l I will be applying for an Advanced Learner Loan (if applicable)  o Option 5- 5 – Fee Remission - l – I will be applying for fee remission (if applicable)  o Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)   Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please specify: COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus PT Guide 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate boxbox and add your National Insurance Number in the space provided. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/20: National Insurance Number: For Entry Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.   In receipt of Employment Support Allowance (ESA).   In receipt of Universal Credit and earned income from employment take-home pay as recorded on your Universal Credit statement (disregarding Universal Credit payments and other benefits) is less than £338 343 (sole adult in benefit claim) or £541 549 (joint benefit claim with partner) a month.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income Take-home pay (disregarding Universal Credit payments and other benefits) is less than £338 343 (sole adult in benefit claim) or £541 549 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.   Earn less than £17,004 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.  Aged 19 - 23 without a FULL Level 2 or above qualification and studying up to and including a Level 1 qualification.  Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold GCSE A*-C or Grade 4 or higher in the subject. The College is required to carry out checks on your prior qualifications. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxxxxxx.xx.xx or xxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- well-being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for by other purposes third parties by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:   about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete complete, please forward toto the College where the course is being delivered: Sparsholt/Online courses: Part-time Courses, AdmissionsAdmissions Sparsholt College, Xxxxxxx Xx Sparsholt, Winchester, Hants SO21 2NF Tel: 00000 000000 Email: xxxxxxx@xxxxxxxxx.xx.xx Andover courses: Part-time Courses, Admissions Andover College, Charlton Road, Road Andover, Hampshire Hants SP10 1EJ Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. This activity is part-financed by the European Union Student name - Student ID - Course - 2019/2020 2020/2021 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- 1 - Payment in full - – by credit/debit card via the online store  o Option 2- Sponsorpayment - 2 – Sponsor payment – Please completeyoursponsorcomplete your sponsor/employer detailsbelow  details below o Option 3- 3 – Fee Remission - l – I will be applying for fee remission (if applicable)  Courses o Course length - – more than 10 days Option 1- 1 - Payment in full - – by credit/debit card via the online store  o Option 2- 2 - Payment by instalments - lnstalment – Instalment plan and 10% initial payment via the online store  o Option 3- 3 – Sponsor payment - – Please complete your sponsor/employer details below  o Option 4- 4 - Advanced Learner Loan - l I will be applying for an Advanced Learner Loan (if applicable)  o Option 5- 5 – Fee Remission - l – I will be applying for fee remission (if applicable)  o Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.voluntary)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation Orientation: (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.voluntary)   Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please Please specify: COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the Payment Method section on next section page If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate box. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/16: For Entry Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.  only  In receipt of Employment Support Allowance (ESA).  In ) and are in the work related activity group (WRAG)  Unemployed in receipt of Universal Credit and earned income from employment (disregarding benefits) is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a month.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.  In receipt of ‘other’ state benefits other than JSA and either not ESA (WRAG) who want to enter into employment and need skills training to do so. Please note this is at the discretion of the College - please contact Admissions team for more details.  Not employed but want to be employed or employed. Earned income (disregarding benefits) is employed and earning less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) 330 a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – - please contact Admissions team for more details.   Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higherA*-C, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ xxxxx://xxx.xxxxxxxxx.xx.xx/information/apply/ for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Servicequalification. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require )  No fee remission for 24+ unemployed on a copy of your plan.  Applying for English and/or Maths Full L2 course and do not already hold A*-C or Grade 4 or higher in the subject. (all courses coded A) For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ xxxxx://xxx.xxxxxxxxx.xx.xx/information/apply/ for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Servicequalification. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP)) Official Stamp PLEASE NOTE: THIS FORM MUST EITHER BE STAMPED BY YOUR BENEFIT OFFICE AS EVIDENCE THAT YOU ARE IN RECEIPT OF JSA inc. We receipt of National Insurance credits only or ESA and are in the WRAG group OR PROOF MUST BE SUPPLIED OVERSEAS LEARNERS The rules and regulations regarding whether or not you are eligible to receive Government funding are very complex. Each case has to be determined individually. Please contact a member of the Admissions team; you will require be required to show your passport and provide information relating to your eligibility to live in the UK. For Office Use Evidence: _______________________________ Seen by: ________________________________ Date: ___________________________________ Payment Method:  I am paying my own fees (Please complete attached payment form)  I am applying for an advanced learning loan *  My employer is paying  I am applying for Fee Remission (please make sure you have completed the section on the previous page) *If you have ticked this box we will send you an application pack/details on how to apply for a copy of Loan Employer details - Only complete this section if your plan. Data Privacy Notice employer is to be invoiced Employer Name: Purchase Order Number: Address: Postcode: Telephone number: Employer signature: Position in the company: To find out how your personal information is used, used please refer to the full version of the our Privacy Notice Policy available on our website at xxx.xxxxxxx.xx.xxxxx.xxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilitiesIn addition, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information you may be used for contacted after you have completed your programme of learning to establish whether you have entered employment or gone onto further training or education, training, employment and well- being related purposes, including for research. The DfE and You may be contacted by the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them its agents, to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislationprogramme. You can agree to be contacted opt out of contact for other purposes by ticking any of the following boxes on either your application/enrolment or learning agreement form box(es) if you do NOT wish to be contacted:   about courses or learning opportunities  for surveys and or research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:  about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete please forward to: Part-time Courses, Admissions, Andover Sparsholt College, Charlton RoadXxxxxxx Xx, AndoverSparsholt, Hampshire SP10 1EJ SO21 2NF Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx xxxxxxx@xxxxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. Student name - This activity is part-financed by the European Union. The Direct Debit Guarantee • This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits. • If there are any changes to the amount, date or frequency of your Direct Debit, Sparsholt College Hampshire will notify you ten working days in advance of your account being debited or as otherwise agreed. If you request Sparsholt College Hampshire to collect a payment, confirmation of the amount and date will be given to you at the time of the request. • If an error is made in the payment of your Direct Debit by Sparsholt College Hampshire or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society. • If you receive a refund you are not entitled to, you must pay it back when Sparsholt College Hampshire asks you to. • You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us. Payment by Debit / Credit Card Name of Cardholder (CAPITAL letters please): Card Number: Expiry date: Valid from Security No. Issue No. MM/YY MM/YY (last 3 digits on reverse): (Switch only): Signature of Cardholder: Date: OFFICE USE ONLY Student ID - number: Amount paid £ Course - 2019/2020 FE title: Start and end date of course: 2016/2017 Short Course and Part-Time and Short time Training Payment Instructions Student Name: Payment Method  Course fees  Registration / Exam Fees  Other Fees Total: £ £ £ £ Payment Form Payment method Please indicate your preferred Options (please tick the appropriate method of payment)  Immediate payment - In full by cheque (cheques payable to Sparsholt College) or debit/ credit card. The Admissions Team will confirm your place on (Please provide card details overleaf) Please note that short courses ie of less than one months duration must be paid in full at the course and they will provide you with instructions on how to make payment, including a link time of application.  Instalments Plan A payment plan must be set up prior to the online store and any relevant deadlinesstart of the course. Course length - 10 days or less Option 1- Payment Courses running for more than one month duration can be paid in full - instalments by credit/debit card via splitting the online store  Option 2- Sponsorpayment - Please completeyoursponsor/employer detailsbelow  Option 3- Fee Remission - l cost into monthly payments for the duration of the course. A non-refundable deposit of 10% must be paid on application. In the event that Sparsholt College has to cancel a course all fees paid will be applying for fee remission (if applicable)  Courses length - more than 10 days Option 1- refunded. All fees remain payable should you decide to withdraw from the course. Name: Signature: Date: OFFICE USE ONLY Direct Debit Checklist Date  Mandate Checked First Payment in full - by credit/debit card via the online store  Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  Option 3- Sponsor payment - Please complete your sponsor/employer details below  Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order NumberEntered On Spreadsheet Category Amended Mandate Entered On QLX Auddls File Created

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)   Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please specify: COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus PT Guide 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate boxbox and add your National Insurance Number in the space provided. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/20: National Insurance Number: For Entry Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.   In receipt of Employment Support Allowance (ESA).   In receipt of Universal Credit and earned income from employment take-home pay as recorded on your Universal Credit statement (disregarding Universal Credit payments and other benefits) is less than £338 343 (sole adult in benefit claim) or £541 549 (joint benefit claim with partner) a month.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income Take-home pay (disregarding Universal Credit payments and other benefits) is less than £338 343 (sole adult in benefit claim) or £541 549 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.   Earn less than £17,374.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.  Aged 19 - 23 without a FULL Level 2 or above qualification and studying up to and including a Level 1 qualification.  Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold GCSE A*-C or Grade 4 or higher in the subject. The College is required to carry out checks on your prior qualifications. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxxxxxx.xx.xx or xxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- well-being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for by other purposes third parties by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:   about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete complete, please forward toto the College where the course is being delivered: Sparsholt/Online courses: Part-time Courses, AdmissionsAdmissions Sparsholt College, Xxxxxxx Xx Sparsholt, Winchester, Hants SO21 2NF Tel: 00000 000000 Email: xxxxxxx@xxxxxxxxx.xx.xx Andover courses: Part-time Courses, Admissions Andover College, Charlton Road, Road Andover, Hampshire Hants SP10 1EJ Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. This activity is part-financed by the European Union Student name - Student ID - Course - 2019/2020 2020/2021 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- 1 - Payment in full - – by credit/debit card via the online store  o Option 2- Sponsorpayment - 2 – Sponsor payment – Please completeyoursponsorcomplete your sponsor/employer detailsbelow  details below o Option 3- 3 – Fee Remission - l – I will be applying for fee remission (if applicable)  Courses o Course length - – more than 10 days Option 1- 1 - Payment in full - – by credit/debit card via the online store  o Option 2- 2 - Payment by instalments - lnstalment – Instalment plan and 10% initial payment via the online store  o Option 3- 3 – Sponsor payment - – Please complete your sponsor/employer details below  o Option 4- 4 - Advanced Learner Loan - l I will be applying for an Advanced Learner Loan (if applicable)  o Option 5- 5 – Fee Remission - l – I will be applying for fee remission (if applicable)  o Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  🞏 No religion  🞏 Atheist 🞏 Buddhist 🞏 Christian (all denominations)  Buddhist  🞏 Hindu  🞏 Jewish  🞏 Muslim  🞏 Sikh  🞏 Any other religion: 🞏 Prefer not to say Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  🞏 Heterosexual  🞏 Lesbian/Gay  🞏 Bisexual  🞏 Other  🞏 Prefer not to say Please indicate where you first heard of the College:  Taster Day  🞏 Word of Mouth 🞏 Outdoor Banner School Event  🞏 Twitter / Facebook 🞏 Radio Careers Fair  🞏 Google Advert 🞏 Newspaper Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert  🞏 Bus Advert  Outdoor Banner  Radio  Newspaper  🞏 Train Station  Careers Adviser  🞏 Other - please specify: 🞏 🞏 🞏 🞏 🞏 PT Application Form 2022/23 15/07/2022 COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are a UK resident (who meets residency requirements – see Fees and Funding page on our website) and age 19 or over 19 on 31st August 2022 and in one of the groups listed below when the course starts, and the course you are applying for is available for fee remission Fee Remission (see prospectus PT Guide 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. If you do not provide your NI number, we might not be able to process your remission form. Please read the categories below and if any will apply to youyou when the course starts, please tick the appropriate box. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/22: National Insurance Number: (If you do not include your NI number we might not be able to process your remission form) For Entry Level, Level 1 1, 2 & 2 3 courses (tick if any apply to you)  Unemployed in 🞏 In receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.  only (Fee Code A, C & M) 🞏 In receipt of Employment Support Allowance (ESA).  ) (Fee Code A, C & M) 🞏 In receipt of Universal Credit and earned income from employment take-home pay as recorded on your Universal Credit statement (disregarding Universal Credit payments and other benefits) is less than £338 494 (sole adult in benefit claim) or £541 782 (joint benefit claim with partner) a month.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.  month (Fee Code A, C & M) 🞏 In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income Take-home pay (disregarding Universal Credit payments and other benefits) is less than £338 494 (sole adult in benefit claim) or £541 782 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.  (Fee Code A, C & M) 🞏 Earn less than £18,525 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date or a copy of your Contract of Employment. (Fee Code A, C & M) 🞏 Aged 19 - 23 without a FULL Level 2 or above qualification and studying up to and including a Level 1 qualification*~ (Fee Code H) 🞏 Aged 19 - 23 applying for your first FULL Level 2 qualification qualification*~ (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.  Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCPFee Code A). We will require a copy of your plan.  Applying for English and/or Maths course and do not already hold A*-C or Grade 4 or higher in the subject. For Level 3 courses (tick if any apply to you)  Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.  Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for other purposes by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:  about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:  by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:  about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete please forward to: Part-time Courses, Admissions, Andover College, Charlton Road, Andover, Hampshire SP10 1EJ Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. Student name - Student ID - Course - 2019/2020 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- Payment in full - by credit/debit card via the online store  Option 2- Sponsorpayment - Please completeyoursponsor/employer detailsbelow  Option 3- Fee Remission - l will be applying for fee remission (if applicable)  Courses length - more than 10 days Option 1- Payment in full - by credit/debit card via the online store  Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  Option 3- Sponsor payment - Please complete your sponsor/employer details below  Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.voluntary)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation Orientation:  Heterosexual (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.voluntary)  Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please Please specify: COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the Payment Method section on next section page If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate box. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/17: For Entry Entry, Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.  only  In receipt of Employment Support Allowance (ESA).  In ) and are in the work related activity group (WRAG)  Unemployed in receipt of Universal Credit state benefits other than JSA and earned income from ESA (WRAG) who want to enter into employment (disregarding benefits) and need skills training to do so. Please note this is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a monthat the discretion of the College - please contact Admissions team for more details.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income (disregarding benefits) is employed and earning less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) 330 a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – - please contact Admissions team for more details.   Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higherA*-C, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ xxx.xxxxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold A*-C or Grade 4 or higher in the subject. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ xxx.xxxxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice Official Stamp PLEASE NOTE: THIS FORM MUST EITHER BE STAMPED BY YOUR BENEFIT OFFICE AS EVIDENCE THAT YOU ARE IN RECEIPT OF JSA inc. receipt of National Insurance credits only or ESA and are in the WRAG group OR PROOF MUST BE SUPPLIED PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. OVERSEAS LEARNERS The rules and regulations regarding whether or not you are eligible to receive Government funding are very complex. Each case has to be determined individually. Please contact a member of the Admissions team; you will be required to show your passport and provide information relating to your eligibility to live in the UK. For Office Use Evidence: ____________________________ Seen by: ______________________________ Date: ________________________________ Payment Method:  I am paying my own fees (Please complete attached payment form)  I am applying for an advanced learning loan *  My employer is paying  I am applying for Fee Remission (please make sure you have completed the section on the previous page) *If you have ticked this box we will send you an application pack/details on how to apply for a Loan Employer details - Only complete this section if your employer is to be invoiced Employer Name: Purchase Order Number: Address: Postcode: Telephone number: Employer signature: Position in the company: To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxx.xxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilitiesIn addition, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information you may be used for contacted after you have completed your programme of learning to establish whether you have entered employment or gone onto further education, training, employment and well- being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their its behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted opt out of contact for other purposes by ticking any of the following boxes on either your application/enrolment or learning agreement form if you do NOT wish to be contacted:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:  about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete please forward to: Part-time Courses, Admissions, Andover Sparsholt College, Charlton RoadXxxxxxx Xx, AndoverSparsholt, Hampshire SP10 1EJ SO21 2NF Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx xxxxxxx@xxxxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. Student name - This activity is part-financed by the European Union. The Direct Debit Guarantee • This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits. • If there are any changes to the amount, date or frequency of your Direct Debit, Sparsholt College Hampshire will notify you ten working days in advance of your account being debited or as otherwise agreed. If you request Sparsholt College Hampshire to collect a payment, confirmation of the amount and date will be given to you at the time of the request. • If an error is made in the payment of your Direct Debit by Sparsholt College Hampshire or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society. • If you receive a refund you are not entitled to, you must pay it back when Sparsholt College Hampshire asks you to. • You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us. Payment by Debit / Credit Card Name of Cardholder (CAPITAL letters please): Card Number: Expiry date: Valid from Security No. Issue No. MM/YY MM/YY (last 3 digits on reverse): (Switch only): Signature of Cardholder: Date: Direct Debit Checklist Date  Mandate Checked First Payment Entered On Spreadsheet Category Amended Mandate Entered On QLX Auddls File Created Letter Produced OFFICE USE ONLY Student ID - number: Amount paid £ Course - 2019/2020 FE Part-Time title: Start and Short Course Payment Form Payment method Please indicate your preferred method end date of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- Payment in full - by credit/debit card via the online store  Option 2- Sponsorpayment - Please completeyoursponsor/employer detailsbelow  Option 3- Fee Remission - l will be applying for fee remission (if applicable)  Courses length - more than 10 days Option 1- Payment in full - by credit/debit card via the online store  Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  Option 3- Sponsor payment - Please complete your sponsor/employer details below  Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Numbercourse:

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  🞏 No religion  🞏 Atheist 🞏 Buddhist 🞏 Christian (all denominations)  Buddhist  🞏 Hindu  🞏 Jewish  🞏 Muslim  🞏 Sikh  🞏 Any other religion: 🞏 Prefer not to say Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  🞏 Heterosexual  🞏 Lesbian/Gay  🞏 Bisexual  🞏 Other  🞏 Prefer not to say Please indicate where you first heard of the College:  Taster Day  🞏 Word of Mouth 🞏 Outdoor Banner School Event  🞏 Twitter / Facebook 🞏 Radio Careers Fair  🞏 Google Advert 🞏 Newspaper Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert  🞏 Bus Advert  Outdoor Banner  Radio  Newspaper  🞏 Train Station  Careers Adviser  🞏 Other - please specify: 🞏 🞏 🞏 🞏 🞏 PT Application Form 2022/23 & 23/24 07/06/2023 COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are a UK resident (who meets residency requirements – see Fees and Funding page on our website) and age 19 or over 19 on 31st August 2022 (for courses starting on or before 31/7/23) or 31st August 2023 (for courses starting on or after 1/8/23) and in one of the groups listed below when the course starts, and the course you are applying for is available for fee remission Fee Remission (see prospectus PT Guide 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. If you do not provide your NI number, we might not be able to process your remission form. Please read the categories below and if any will apply to youyou when the course starts, please tick the appropriate box. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/23: National Insurance Number: (If you do not include your NI number we might not be able to process your remission form) For Entry Level, Level 1 1, 2 & 2 3 courses (tick if any apply to you)  Unemployed in 🞏 In receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.  only (Fee Code A, C & M)* 🞏 In receipt of Employment Support Allowance (ESA) (Fee Code A, C & M).  * 🞏 In receipt of Universal Credit and earned income from employment take-home pay as recorded on your Universal Credit statement (disregarding Universal Credit payments and other benefits) is less than £338 617 (sole adult in benefit claim) or £541 988 (joint benefit claim with partner) a month.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.  month (Fee Code A, C & M)* 🞏 In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income Take-home pay (disregarding Universal Credit payments and other benefits) is less than £338 617 (sole adult in benefit claim) or £541 988 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.  (Fee Code A, C & M)* 🞏 Earn less than £20,319 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date or a copy of your Contract of Employment. (Fee Code A, C & M)* 🞏 Aged 19 - 23 without a FULL Level 2 or above qualification and studying up to and including a Level 1 qualification*~ (Fee Code H) 🞏 Aged 19 - 23 applying for your first FULL Level 2 qualification qualification*~ (e.g. Fee Code A) 🞏 Aged 19 - 24 with learning difficulties and you don’t have an Education, Health and Care Plan (EHCP) We will require a copy of your plan. 🞏 Course is English and/or Maths and do not already have 5 GCSEs, grades hold GCSE A*-C or grade Grade 4 or higherhigher in the subject* (Fee Code F) 🞏 Aged 19-23 applying for your first FULL Level 3 qualification*^ (Fee Code B & M) 🞏 Aged 24+ applying for Level 3 remission as part of the Free Courses for Jobs offer and not unemployed or low wage*^ (Fee Code M)* * The College is required to carry out checks on your prior qualifications. For level 3 courses funded via Free Courses for Jobs, Level 2 Certificate, Diploma etc.) refer this includes a check to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ confirm that you have not previously been funded for full list of L2 or equivalent qualificationsa level 3 course through the Free Courses for Jobs offer; by ticking this box and signing this form you are confirming that you do have not already have a FULL Level 2 qualification previously been funded via Free Courses for Jobs and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.  Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.  Applying for English and/or Maths course and do not already hold A*-C or Grade 4 or higher in the subject. For Level 3 courses (tick if any apply to you)  Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.  Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for other purposes by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:  about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:  by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:  about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete please forward to: Part-time Courses, Admissions, Andover College, Charlton Road, Andover, Hampshire SP10 1EJ Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. Student name - Student ID - Course - 2019/2020 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- Payment in full - by credit/debit card via the online store  Option 2- Sponsorpayment - Please completeyoursponsor/employer detailsbelow  Option 3- Fee Remission - l will be applying for fee remission (if applicable)  Courses length - more than 10 days Option 1- Payment in full - by credit/debit card via the online store  Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  Option 3- Sponsor payment - Please complete your sponsor/employer details below  Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)   Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please specify: PT Application Form 2020-21 V4 30-06-20 COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus PT Guide 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate boxbox and add your National Insurance Number in the space provided. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/20: National Insurance Number: For Entry Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.   In receipt of Employment Support Allowance (ESA).   In receipt of Universal Credit and earned income from employment (disregarding benefits) is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a month.   Earn less than £16,009.50 17,004 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income (disregarding benefits) is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.   Aged 19 - 23 without a FULL Level 2 or above qualification and studying up to and including a Level 1 qualification.  Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold GCSE A*-C or Grade 4 or higher in the subject. The College is required to carry out checks on your prior qualifications. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxxxxxx.xx.xx or xxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- well-being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for by other purposes third parties by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:   about courses or learning opportunities  for surveys and research PT Application Form 2020-21 V4 30-06-20 Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete complete, please forward toto the College where the course is being delivered: Sparsholt/Online courses: Part-time Courses, AdmissionsAdmissions Sparsholt College, Xxxxxxx Xx Sparsholt, Winchester, Hants SO21 2NF Tel: 00000 000000 Email: xxxxxxx@xxxxxxxxx.xx.xx Andover courses: Part-time Courses, Admissions Andover College, Charlton Road, Road Andover, Hampshire Hants SP10 1EJ Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. PT Application Form 2020-21 V4 30-06-20 Student name - Student ID - Course - 2019/2020 2020/2021 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- Payment in full - by credit/debit card via the online store  q Option 2- Sponsorpayment Sponsor payment - Please completeyoursponsorcomplete your sponsor/employer detailsbelow  details below q Option 3- Fee Remission - l will be applying for fee remission (if applicable)  q Courses length - more than 10 days Option 1- Payment in full - by credit/debit card via the online store  q Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  q Option 3- Sponsor payment - Please complete your sponsor/employer details below  q Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  q Option 5- Fee Remission - l will be applying for fee remission (if applicable)  q Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number Employer Signature Position in Company Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number.

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  No religion  Christian (all denominations)  Buddhist  Hindu  Jewish  Muslim  Sikh  Any other religion: Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)   Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please specify: COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus PT Guide 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate boxbox and add your National Insurance Number in the space provided. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/20: National Insurance Number: For Entry Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.   In receipt of Employment Support Allowance (ESA).   In receipt of Universal Credit and earned income from employment (disregarding benefits) is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a month.   Earn less than £16,009.50 17,004 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income (disregarding benefits) is less than £338 (sole adult in benefit claim) or £541 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.   Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have without a FULL Level 2 or above qualification and give permission for the College studying up to view your PLR (Personal Learning Record) held by the Learner Records Serviceand including a Level 1 qualification. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold GCSE A*-C or Grade 4 or higher in the subject. The College is required to carry out checks on your prior qualifications. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxxxxxx.xx.xx or xxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- well-being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for by other purposes third parties by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:   about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete complete, please forward toto the College where the course is being delivered: Sparsholt/Online courses: Part-time Courses, AdmissionsAdmissions Sparsholt College, Xxxxxxx Xx Sparsholt, Winchester, Hants SO21 2NF Tel: 00000 000000 Email: xxxxxxx@xxxxxxxxx.xx.xx Andover courses: Part-time Courses, Admissions Andover College, Charlton Road, Road Andover, Hampshire Hants SP10 1EJ Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. Student name - Student ID - Course - 2019/2020 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- Payment in full - by credit/debit card via the online store  Option 2- Sponsorpayment - Please completeyoursponsor/employer detailsbelow  Option 3- Fee Remission - l will be applying for fee remission (if applicable)  Courses length - more than 10 days Option 1- Payment in full - by credit/debit card via the online store  Option 2- Payment by instalments - lnstalment plan and 10% initial payment via the online store  Option 3- Sponsor payment - Please complete your sponsor/employer details below  Option 4- Advanced Learner Loan - l will be applying for an Advanced Learner Loan (if applicable)  Option 5- Fee Remission - l will be applying for fee remission (if applicable)  Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Numberxxxxxxx@xxxxxxx.xx.xx

Beliefs. What is your religion? (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)  No religion  Christian (all denominations) Atheist  Buddhist  Christian  Hindu  Jewish  Muslim  Sikh  Any other religion:  Prefer not to say Sexual Orientation (This question is voluntary and by ticking one of the boxes below you are agreeing to us holding and processing this information internally for statistical and data analysis purposes.)   Heterosexual  Lesbian/Gay  Bisexual  Other  Prefer not to say Please indicate where you first heard of the College:   Taster Day   Word of Mouth  Outdoor Banner  School Event   Twitter / Facebook  Radio  Careers Fair   Google Advert  Newspaper  Teacher / School  Word of Mouth  Twitter / Facebook  Google Advert   Bus Advert  Outdoor Banner  Radio  Newspaper   Train Station   Careers Adviser   Other - please specify: COURSE DETAILS: Course Title Course Code Start Date End Date Fee Total Paid Fee Remission Application – if this doesn’t apply to you move to the next section If you are over 19 and in one of the groups listed below and the course you are applying for is available for fee remission (see prospectus PT Guide 19+ Funding Key for details of eligible courses or contact Admissions team), you may not have to pay tuition or examination fees. You will need to supply supporting documentation, as appropriate. Please read the categories below and if any apply to you, please tick the appropriate boxbox and add your National Insurance Number in the space provided. Please note that you will be liable for tuition fees until we have confirmed your eligibility to receive Fee Remission. Age on 31/8/1931/8/20: National Insurance Number: For Entry Level 1 & 2 courses (tick if any apply to you)   Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only.   In receipt of Employment Support Allowance (ESA).   In receipt of Universal Credit and earned income from employment take-home pay as recorded on your Universal Credit statement (disregarding Universal Credit payments and other benefits) is less than £338 343 (sole adult in benefit claim) or £541 549 (joint benefit claim with partner) a month.  Earn less than £16,009.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.   In receipt of ‘other’ state benefits and either not employed but want to be employed or employed. Earned income Take-home pay (disregarding Universal Credit payments and other benefits) is less than £338 343 (sole adult in benefit claim) or £541 549 (joint benefit claim with partner) a month and you can demonstrate that the course you are applying for is going to help you get a job or improve your current employment situation; by ticking this box and signing this form you are confirming that you wish to e nte r enter employment or progress in employment and require the skills of this course to do so. Please note this is at the discretion of the College – please contact Admissions team for more details.   Earn less than £17,374.50 annual gross salary – we will need to see valid evidence i.e wage slips/Universal Credit statements that are within 3 months of your course start date and a copy of your Contract of Employment.  Aged 19 - 23 without a FULL Level 2 or above qualification and studying up to and including a Level 1 qualification.  Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don’t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of L2 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 2 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan.   Applying for English and/or Maths course and do not already hold GCSE A*-C or Grade 4 or higher in the subject. The College is required to carry out checks on your prior qualifications. For Level 3 courses (tick if any apply to you)   Aged 19 - 23 applying for your first FULL Level 3 qualification (e.g. e.g you don’t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to xxx.xxxxxxx.xx.xx/xxxxxxxxxxx/xxxxx/ the application page on xxxxxxx.xx.xx or xxxxxxxxx.xx.xx for full list of Full L3 or equivalent qualifications; by ticking this box and signing this form you are confirming that you do not already have a FULL Level 3 qualification and give permission for the College to view your PLR (Personal Learning Record) held by the Learner Records Service. The College is required to carry out checks on your prior qualifications.   Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. Data Privacy Notice To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at xxx.xxxxxxx.xx.xxxxxxxxx.xx.xx or xxxxxxxxx.xx.xx. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well- well-being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for by other purposes third parties by ticking any of the following boxes on either your application/enrolment or learning agreement form if you wish to be contacted:   about courses or learning opportunities  for surveys and research If you have ticked one or both of the boxes above, please now tick to confirm your preferred method(s) of contact:   by post  by phone (including text messages)  by email We may wish to communicate with you directly once you have completed your programme of learning if we have opportunities that we think may interest you, if you’d like to be contacted please tick any of the boxes below. I wish to be contacted by the College:   about courses or learning opportunities  for surveys and research Learning Agreement information and advice: Information and advice should satisfy you in the following key areas: • The implications of doing your course • The entry requirements for doing your course • A check to see if you had any previous experience or qualifications that could be counted towards your course • A check to see whether you require any additional support (practical, tutor or financial) • A check to see that the course is suitable for your requirements By signing this form you agree to the following: • I certify that the information provided on this form is correct • I have read and fully understand the booking conditions • The recording and processing of personal data as outlined in the College Data Protection policy • I agree to abide by the College rules and regulations and pay all fees due • The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice Please sign declaration below Declaration I confirm that all the information on this form is correct and I understand that if I have declared false information relating to Tuition Fee Remission, the provider may take action against me to reclaim the tuition fees and any support costs provided. Signed (Student) Date: Signed (College) Date: When complete complete, please forward toto the College where the course is being delivered: Sparsholt/Online courses: Part-time Courses, AdmissionsAdmissions Sparsholt College, Xxxxxxx Xx Sparsholt, Winchester, Hants SO21 2NF Tel: 00000 000000 Email: xxxxxxx@xxxxxxxxx.xx.xx Andover courses: Part-time Courses, Admissions Andover College, Charlton Road, Road Andover, Hampshire Hants SP10 1EJ Tel : 00000 000000 Email: xxxxxxx@xxxxxxx.xx.xx PLEASE NOTE THIS FORM IS CORRECT AT THE TIME OF GOING TO PRINT BUT IS DEPENDENT ON GOVERNMENT LEGISLATION AND IS SUBJECT TO CHANGE. This activity is part-financed by the European Union Student name - Student ID - Course - 2019/2020 2020/2021 FE Part-Time and Short Course Payment Form Payment method Please indicate your preferred method of payment. The Admissions Team will confirm your place on the course and they will provide you with instructions on how to make payment, including a link to the online store and any relevant deadlines. Course length - 10 days or less Option 1- 1 - Payment in full - – by credit/debit card via the online store  o Option 2- Sponsorpayment - 2 – Sponsor payment – Please completeyoursponsorcomplete your sponsor/employer detailsbelow  details below o Option 3- 3 – Fee Remission - l – I will be applying for fee remission (if applicable)  Courses o Course length - – more than 10 days Option 1- 1 - Payment in full - – by credit/debit card via the online store  o Option 2- 2 - Payment by instalments - lnstalment – Instalment plan and 10% initial payment via the online store  o Option 3- 3 – Sponsor payment - – Please complete your sponsor/employer details below  o Option 4- 4 - Advanced Learner Loan - l I will be applying for an Advanced Learner Loan (if applicable)  o Option 5- 5 – Fee Remission - l – I will be applying for fee remission (if applicable)  o Sponsor/Employer Details This section only needs to be completed if your sponsor/employer is paying your tuition fees. Course length - 10 days or less Employer/Sponsor name Contact name Contact number Contact email Invoice Address Purchase Order Number