Short Enrol 2023

Save & Continue Later

Clear Form

Short Course Enrolment 2023

"*" indicates required fields

1About You

2A Little More About You

3Where You Live

4Guidance Message

5In An Emergency

6Nationality

7Guidance Message

8Student Support

9Employment

10Guidance Message

11Criminal Disclosure

12Education So Far

13Identification

14Fee Assessment

15Payments

16Privacy Policy

17Guidance Message

18Declaration

19Before You Submit This Form

20Uploads

21Thank You

About You

The details provided will be used on your College ID Card and all Exam certificates - any Amendments will incur fees.

This field is hidden when viewing the form

EnrolAPI

This field is hidden when viewing the form

Enrol ID

Title*

Gender*

Male

Female

Forename(s) (Given Names)*

Surname (Family Name)*

Known As

Date of Birth*

Day

Month

Year

This field is hidden when viewing the form

How old will you be on the 31st August 2021

National Insurance Number*

I don't know this information

This field is hidden when viewing the form

Age

A Little More About You

Mobile Number*

Telephone Number

Email Address*

Enter Email Confirm Email

What is your intended destination after completing your planned course?*

Where You Live

House Name or Number & 1st Line of your Address*

2nd Line of your Address

Town / City*

County*

Postcode*

How long have you lived at this address?*

This field is hidden when viewing the form

Which of the following statements best describes your current household living situation? (one or more may apply)

No member of the household in which I live (including myself) is employed

The household that I live in includes only one adult (aged 18 or over)

There are one or more dependent children (aged 0 to 17 or 18-24 years if full-time students or inactive) in the household

None of these statements apply

I prefer not to say

Personal Details Done!

That's the personal details section completed, and you're nearly a quarter of the way through already.

If you have any problems completing your online enrolment, please contact our enrolment hotline and a member of the team will be able to help you. You can call 01484 437100

In An Emergency

We require the contact information for two people the College should get in touch with in case of an emergency.

Emergency Contact 1

Title*

First Name*

Last Name*

What relationship is this person to you?*

Do you live with this person?*

Yes

House Name or Number & 1st Line of their Address*

2nd Line of their Address

Town / City*

County*

Postcode*

What is their mobile telephone number?*

What is their home telephone number?

What is their email address?*

Would you like to provide a second emergency contact?*

Yes

Emergency Contact 2

Title*

First Name*

Last Name*

What relationship is this person to you?*

Do you live with this person?*

Yes

House Name or Number & 1st Line of their Address*

2nd Line of their Address

Town / City*

County*

Postcode*

What is their mobile telephone number?*

What is their home telephone number?

What is their email address?*

Nationality

What is your nationality?*

Have you been resident in the UK for the last 3 years prior to the intended start of your course?*

Yes

What is your normal country of residence?*

You will be asked to provide evidence of your residency status in the UK. This may include showing a member of staff your passport or immigration paperwork, by supplying one of the following documents, please indicate which documents you will be able to bring with you when you attend College.*

Passport

Residence Permit

Supporting Letter of Residence

Other

Which of the following is the closest to your ethnic background?*

Asian/Asian British

Black/Black British

Mixed

White

Other

Which of the following is the closest to your ethnic background?*

Bangladeshi

Chinese

Indian

Pakistani

Any other Asian background

Which of the following is the closest to your ethnic background?*

African

Caribbean

Any other Black / African / Caribbean background

Which of the following is the closest to your ethnic background?*

White and Asian

White and Black African

White and Black Caribbean

Any Other Mixed / multiple ethnic background

Which of the following is the closest to your ethnic background?*

English / Welsh / Scottish / Northern Irish / British

Irish

Gypsy or Irish Traveller

Any Other White background

Which of the following is the closest to your ethnic background?*

Arab

Any other ethnic group

That’s 5 sections already completed!

Don't forget, if you decide to stop completing this form, and you don't want your details being seen by others, click on the Clear Form button on the right-hand side of your screen, this will delete all the information you have added into the form so far.

If you have any problems completing your online enrolment, please contact our enrolment hotline and a member of the team will be able to help you. You can call 01484 437100

Student Support

Do you consider yourself to have a learning difficulty or disability?*

Please indicate your primary learning difficulty or disability*

Please indicate any other learning difficilty or disability

Do you require learning support at College?*

Yes

Do you require exam access arrangements?*

Yes

Do you have access to the Internet at home?*

Yes

Do you have access to a computer or device, e.g. a laptop or tablet, to enable you to complete work at home?*

Yes - My Own

Yes - A shared device

Employment

What will be your Employment Status on the first day of learning with us?*

In Paid Employment

Unemployed, looking for work and available to start work

Unemployed, not looking for work and/or not available to start work

How many hours do you work each week?*

Learner is employed for 0 to 10 hours per week

Learner is employed for 11 to 20 hours per week

Learner is employed for 21 to 30 hours per week

Learner is employed for 31+ hours per week

How long will you have been employed for?*

Learner has been employed for up to 3 months

Learner has been employed for 4-6 months

Learner has been employed for 7-12 months

Learner has been employed for over 12 months

Are you self-employed?*

Yes

As you have indicated you are currently Unemployed:

How many months have you been unemployed?*

Are you in receipt of any of the following benefits*

You're nearly done, you’re over halfway through.

When you submit your enrolment form, the form will automatically be cleared, and don't worry, none of your personal information will be kept on your laptop, desktop, or mobile device.

If you have any problems completing your online enrolment, please contact our enrolment hotline and a member of the team will be able to help you. You can call 01484 437100

Criminal Disclosure

Do you have any convictions, including offences committed outside of the UK?*

Yes

Please note: If you are applying for a course leading to working with children under 18, vulnerable adults, social services, uniformed services, teacher training or the health service you should ask at the interview for advice as certain convictions may affect future employment in these areas. All students need to be aware of their duty to inform the Safeguarding Team of any criminal convictions (spent and unspent).

As you have answered YES to having had a previous conviction, we will need to get in touch with you so you can fill out a Confidential Disclosure Form. Please continue to complete and submit your Enrolment form, and one of our team will be in touch with you soon.

Education So Far

What is your highest existing qualification*

Identification

You must provide proof of identification. Please upload one of the following:

Passport
Driving Licence
Letter with Name and Address
Birth Certificate
Bank Statement

Upload Your Proof of Identity

If you do not upload proof of identity as part of this enrolment your enrolment could be delayed as you will be required to show it in person. Accepted file types: png, jpeg, jpg, Max. file size: 5 MB.

Accepted file types: png, jpeg, jpg, Max. file size: 5 MB.

This field is hidden when viewing the form

I will be bringing:

Passport

Driving Licence

Letter with Name and Address

Birth Certificate

Bank Statement

Wage slip

Exam Certificates

I don't have any of the above documents

ASSESSMENT FOR FEES OR FEE WAIVER

The following section consists of questions that are designed to see if you meet any criteria that may allow you to waive the fee for your course. You may have to supply evidence to the contrary and also sign a declaration following the submission of this form.

Do you think you can claim a waiver for your course fees? (If, you are not sure, click yes here and answer the next question)*

Yes

Is your course a Functional Skills or GCSE English or Maths Course?*

Yes

SELF DECLARATION - GCSE ENGLISH & MATHS

SELF DECLARATION - GCSE ENGLISH & MATHS*

I declare that I do not already have a GCSE Grade C/Grade 4 or above in English Language or Maths*

Will you be aged under 24 years old (at the start of your course) AND your chosen course is a Full Level 3 Course?*

Yes

FIRST FULL LEVEL 3 (FL3) SELF DECLARATION

FIRST FULL LEVEL 3 (FL3) SELF DECLARATION*

I declare that I do not already have a full level 3 (FL3) qualification or above. I am aged at least 19 but under 24 at the start of my course*

Is your course a Full Level 2 Course, or a course leading to a Full Level 2 Course?*

Yes

FIRST FULL LEVEL 2 SELF (FL2) DECLARATION

FIRST FULL LEVEL 2 SELF (FL2) DECLARATION*

I declare that I do not already have a full level 2 (FL2) qualification or above. I am aged at least 19 but under 24 at the start of my course*

Are you currently unemployed and / or claiming benefits?*

Yes

BENEFITS AND INTENTION TO ENTER EMPLOYMENT DECLARATION

I confirm that I am unemployed and in receipt of a relevant state benefit at the start of the course and that this is an ongoing claim and I declare it is my intention to enter employment after completing the course, skills and training provided by Kirklees College.

benefitsdeclaration1*

Council Tax Reduction (excluding single occupancy)

Employment and Support Allowance (Income Related)

Housing Benefit

Income Support

Unemployed person named on a joint claim for Working Tax Credit with a household income under £15,276

N/A - I am not currently receiving any of the above state benefits

I confirm that I have been referred by the Job Centre to undertake a course at Kirklees College OR I am claiming one of the benefits listed below at the start of the course and that this is an ongoing claim.

benefitsdeclaration2*

Employment Support Allowance (ESA) Work Related Activity Group (WRAG)

Jobseekers Allowance (JSA) (inc. those receiving National Insurance Credits only)

Universal Credit and mandated (required) to undertake skills training - and accepted a “Claimant Commitment”

N/A - I am not currently receiving any of the above state benefits

Do you earn below £17,004.00 per year?*

Yes

BENEFITS AND INTENTION TO ENTER EMPLOYMENT DECLARATION

BENEFITS AND INTENTION TO ENTER EMPLOYMENT DECLARATION*

I confirm that I am in employment or self-employed and my annual gross income (before tax) is less than £17,004.00*

Please check the box to confirm on the start date of your course, you will bring with you your latest wage slip from your current employer, this must be dated with 3 months of your course start date.*

Please check the box to confirm on the start date of your course, you will bring with you your employment contract that states your monthly or annual gross (before tax) salary from your current employer.*

From your answers above you initially appear to be eligible to have your course fee waived.

Upon submission of this form you will be emailed a copy of the above enrollment and declarations you have made to which you will have to electronically sign. Simply follow the instruction in the email you receive. This may take up to 20 minutes to receive.

This field is hidden when viewing the form

FeeWaiverEligibile

This field is hidden when viewing the form

FeeWaiverNotEligible

From your answers on the previous page appears that you are not currently eligible for help with or having your course fees waived, and therefore your course must be paid for.

Here are your following payment options.

The cost for your [PS1] course will be [PS3] which is over a study term of [PS4] months.

How would you like to pay the above course fee?*

Full Payment

Monthly Installment

As you have selected to pay for your course in full, following submission of this form, you will be redirected to our secure payment gateway to pay for your course by credit or debit card in full.

If you need time to arrange the funds for this payment, you can save and continue this enrolment later (see link below), so you don't lose your progress and just pick up from right here.

As you have selected to pay for your course over monthly instalments, taking into account the value and term of your course, here are your monthly instalment plan options, please select one.

If you need time to arrange the funds for this payment, you can save and continue this enrolment later (see link below), so you don't lose your progress and just pick up from right here.

This field is hidden when viewing the form

First Initial Payment

This field is hidden when viewing the form

Subsequest Monthly Payments

This field is hidden when viewing the form

Installment Plan

This field is hidden when viewing the form

InstallmentPlanOption

This field is hidden when viewing the form

FullPayment

Your subsequent instalment payments should be deducted on which date?*

16th of the month (starting next month)

28th of the month (starting next month)

Only 3 more sections left

We do need you to take your time and read these sections carefully, making sure that all the information you have shared with us is correct.

If you have any problems completing your online enrolment, please contact our enrolment hotline and a member of the team will be able to help you. You can call 01484 437100

Privacy & Data Policy

This privacy notice is issued by the Education and Skills Funding Agency (ESFA) on behalf of the Secretary of State for the Department of Education (DfE) to inform learners about the Individualised Learner Record (ILR) and how their personal information is used in the ILR. Your personal information is used by the DfE to exercise our functions under article 6(1)(e) of the UK GDPR and to meet our statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009. Our lawful basis for using your special category personal data is covered under Substantial Public Interest based in law (Article 9(2)(g)) of GDPR legislation. This processing is under Section 54 of the Further and Higher Education Act (1992).

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 your ILR learner data for 20 years for operational purposes (e.g. to fund your learning and to publish official statistics). Your personal data is then retained in our research databases until you are aged 80 years so that it can be used for long-term research purposes. For more information about the ILR and the data collected, please see the ILR specification at https://www.gov.uk/government/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.

For more information about how your personal data is used and your individual rights, please see the DfE Personal Information Charter (https://www.gov.uk/government/organisations/department-for-education/about/personal-information-charter) and the DfE Privacy Notice (https://www.gov.uk/government/publications/privacy-notice-for-key-stage-5-and-adult-education)

If you would like to get in touch with us or request a copy of the personal information DfE holds about you, you can contact the DfE in the following ways:

Using our online contact form https://form.education.gov.uk/service/Contact_the_Department_for_Education
By telephoning the DfE Helpline on 0370 000 2288
Or in writing to: Data Protection Officer, Department for Education (B2.28), 7 & 8 Wellington Place, Wellington Street, Leeds, LS1 4AW

If you are unhappy with how we have used your personal data, you can complain to the Information Commissioner’s Office (ICO) at:
Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF.
You can also call their helpline on 0303 123 1113 or visit https://www.ico.org.uk

The College recognises and respects the importance of your privacy and is committed to treating your personal information responsibly and in compliance with all relevant data protection legislation. The information you provide on this form will be processed in order to administer your studies, to deliver your programme and to monitor your performance and attendance.

We also use your information to manage recruitment, admission, registration, enrolment, study, examination and graduation. Your information will also be used to provide you with College facilities and services, to provide you with support and to process any payments made to you.

We may also use your information to conduct research and surveys to identify ways to enhance learning, teaching, assessment and the broader student experience. Information may be passed between various sections of the College for operational reasons and may also be disclosed to external agencies to which we have obligations (for example Government Agencies and associated Statutory Bodies, Office for Students, Government Survey & Research Organisations, UCAS, Student Loans Company, Education Authority, Learner Records Service, Crime Prevention Agencies, Employers who pay fees and/or allow you time off work to attend your course, Examination Awarding Bodies, Social Welfare Organisations, Trade Unions, Careers Service, UKBA and potentially other such organisations for defined purposes. Further information is available on the College website.

All evidence uploaded will be deleted once you have completed your enrolment.

Your data protection rights

Under data protection law, you have rights including:

Your right of access - You have the right to ask us for copies of your personal information.
Your right to rectification - You have the right to ask us to rectify personal information you think is inaccurate. You also have the right to ask us to complete information you think is incomplete.
Your right to erasure - You have the right to ask us to erase your personal information in certain circumstances.
Your right to restriction of processing - You have the right to ask us to restrict the processing of your personal information in certain circumstances.
Your right to object to processing - You have the right to object to the processing of your personal information in certain circumstances.
Your right to data portability - You have the right to ask that we transfer the personal information you gave us to another organisation, or to you, in certain circumstances.
You are not required to pay any charge for exercising your rights. If you make a request, we have one month to respond to you.

How to withdraw consent

You can agree to be contacted by other third parties by ticking any of the following boxes:

About courses or learning opportunities

For surveys and research

By Post

By Phone

By Email

Featuring my work and materials

I agree to my College experience and progress featuring in College publicity or guidance materials in written, photographic or video format.

Declaration

I confirm that the information on this form is accurate and I will inform the College if any details change regarding my name, address, employment status etc. I understand the college will keep parents / carers / employers informed of my progress.

I confirm that I have received adequate information, advice and guidance about my proposed programme of study including, entry requirements, work experience (if included) and any costs involved.

I understand that if I do not provide evidence of eligibility for fee remission within one month of my enrolment I will be liable for the full fees regardless of if they are provided at a later date.

I am aware that I must inform the College of any change in my circumstances affecting my eligibility for funding subsidy or other support.

I am aware of the College’s policies relating to the charging and payment of fees and agree to be bound by them.

Refunds, including exam fees will only be given in exceptional circumstances.

I agree to the College handling (including passing such information to authorised third parties in accordance with purposes set out above) and processing this information about me. I understand that the information will only be used for purposes set out above and my consent is conditional upon the College complying with its duties and obligations under Data Protection legislation.

I understand there may be variations which complement my primary learning goal as my studies progress.

By clicking continue on this page, you electronically agree that all of the information submitted in this form is accurate to the best of your knowledge and that you agree with the above declaration points, which you must check to prove you have read, understand and agree with them.

Signature*

Important

Before you submit this form, you will need to have all of the following available

A photo to upload for your student ID (if you have previously said you have one available, if not don't worry we can take one at college).
Funds will need to be available to pay your first instalment of £[first-instalment] as soon as you submit this form.
Have access to your [email] email account to accept the email invite to e-sign your enrolment form.

If you don’t have all the above available now, please click the save and continue button above and once you have all the information and funds, you can come back and complete your enrolment.

We will keep all your enrolment information available for you for 30 days from today.

If you do have all of the information and funds available, please click the next step button to finalise your enrolment today.

If you have any questions or need any assistance e-signing your enrolment, please contact the college on 01484 437 100.

Uploads

Photo for your student ID and pass

(please see acceptable examples below)

Note: If you do not wish to upload a photo or your photo does not meet our criteria. We will take your photo in college, and then issue your student identification badge.

Please ensure the photo you upload meets the requirements as illustrated in the example images below:

Upload Your Student ID Photo

If you do not upload a photo for your Student ID as part of this enrolment, your photo will be taken on your first day at college, so that your ID card can be produced.

Accepted file types: png, jpeg, jpg, Max. file size: 5 MB.

Thank you for completing your enrolment

If we have any questions about your form you will be contacted by the customer services team.

Once we have processed your enrolment you will receive a confirmation email.

If you are all ready to proceed, click SUBMIT ENROLMENT below