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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 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 31/8/21: National Insurance Number: \ud83d\udf8f Unemployed in receipt of Job Seekers Allowance (JSA) including receipt of National Insurance credits only. \ud83d\udf8f In receipt of Employment Support Allowance (ESA). \ud83d\udf8f In receipt of Universal Credit and take-home pay as recorded on your Universal Credit statement (disregarding Universal Credit payments and other benefits) is less than \u00a3345 (sole adult in benefit claim) or \u00a3552 (joint benefit claim with partner) a month. \ud83d\udf8f In receipt of \u2018other\u2019 state benefits and either not employed but want to be employed or employed. Take-home pay (disregarding Universal Credit payments and other benefits) is less than \u00a3345 (sole adult in benefit claim) or \u00a3552 (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 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 \u2013 contact Admissions team for more details. \ud83d\udf8f Earn less than \u00a317,374.50 or from 1 April \u00a318,525 annual gross salary \u2013 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. \ud83d\udf8f Aged 19 - 23 without a FULL Level 2 or above qualification and studying up to and including a Level 1 qualification. \ud83d\udf8f Aged 19 - 23 applying for your first FULL Level 2 qualification (e.g. you don\u2019t already have 5 GCSEs, grades A*-C or grade 4 or higher, Level 2 Certificate, Diploma etc.) refer to the Contact Us page on \u2587\u2587\u2587\u2587\u2587\u2587\u2587.\u2587\u2587.\u2587\u2587 or Apply Now page on \u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587.\u2587\u2587.\u2587\u2587 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. \ud83d\udf8f Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. \ud83d\udf8f 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. \ud83d\udf8f Aged 19+ and have digital skills assessed at below level 1 - you will need to have a College assessment to confirm your level. \ud83d\udf8f Aged 19+ applying for your first FULL Level 3 qualification (e.g you don\u2019t already have a Level 3 Certificate, Subsidiary Diploma, Diploma, Extended Diploma, 2 A Levels, 4 AS Levels etc.) refer to the Contact Us page on \u2587\u2587\u2587\u2587\u2587\u2587\u2587.\u2587\u2587.\u2587\u2587 or Apply Now page on \u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587.\u2587\u2587.\u2587\u2587 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. \ud83d\udf8f Aged 19 - 24 with learning difficulties and you have an Education, Health and Care Plan (EHCP). We will require a copy of your plan. To find out how your personal information is used, please refer to the full version of the Privacy Notice available on our website at \u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587.\u2587\u2587.\u2587\u2587. Your personal information is used by the DfE to exercise its 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. 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 the ESFA each year under the terms of a funding agreement, contract or grant agreement. It helps ensure that public money distributed through the ESFA is being spent in line with government targets. It is also used for education, training, employment, and well being purposes, including research. We retain ILR learner data for 3 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 \u2587\u2587\u2587.\u2587\u2587/\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587/ 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 behalf ) may contact learners to carry out research and evaluation to inform the effectiveness of training. In these cases, it is part of our statutory duties and we do not need your consent. \ud83d\udf8f about courses or learning opportunities \ud83d\udf8f for surveys and research \ud83d\udf8f by post \ud83d\udf8f by phone (including text messages) \ud83d\udf8f 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\u2019d like to be contacted please tick any of the boxes below. \ud83d\udf8f about courses or learning opportunities \ud83d\udf8f for surveys and research Information and advice should satisfy you in the following key areas: \u2022 The implications of doing your course \u2022 The entry requirements for doing your course \u2022 A check to see if you had any previous experience or qualifications that could be counted towards your course \u2022 A check to see whether you require any additional support (practical, tutor or financial) \u2022 A check to see that the course is suitable for your requirements \u2022 I certify that the information provided on this form is correct \u2022 I have read and fully understand the booking conditions \u2022 The recording and processing of personal data as outlined in the College\u2019s Data Protection policy and Privacy Notice both available on our website at \u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587.\u2587\u2587.\u2587\u2587 \u2022 I agree to abide by the College rules and regulations and pay all fees due \u2022 The information and advice I received adequately covered the broad areas set out under Learning Agreement information and advice 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: Part-time Courses, Admissions Sparsholt College, \u2587\u2587\u2587\u2587\u2587\u2587\u2587 \u2587\u2587 Sparsholt, Winchester, Hants SO21 2NF Tel: \u2587\u2587\u2587\u2587\u2587 \u2587\u2587\u2587\u2587\u2587\u2587 Email: \u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587@\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587.\u2587\u2587.\u2587\u2587 Part-time Courses, Admissions Andover College, Charlton Road Andover, Hants SP10 1EJ Tel: \u2587\u2587\u2587\u2587\u2587 \u2587\u2587\u2587\u2587\u2587\u2587 Email: \u2587\u2587\u2587\u2587\u2587\u2587\u2587@\u2587\u2587\u2587\u2587\u2587\u2587\u2587.\u2587\u2587.\u2587\u2587 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 Please indicate your preferred method of payment. 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