A Fuel Test

2023/24 Learner Agreement & Enrolment Form

Section 1: Learning Agreement

Enrolment Detail - IMPORTANT - Please review and amend any pre-populated course codes

Section 2: Learner Information - please review and complete

Section 3: Next of Kin and Emergency Contact Details

If you are between 14 and 18 years of age this must be your parent / guardian / carer

Section 4: Ethnicity (Please tick the box as appropriate)

Section 4.1: Fair Access to Education - to ensure fair access to education we capture key protected characteristics. This will allow us to support you in your journey with us.

Section 5: Prior Qualifications Attained - Highest Level Achieved

Section 6: Support Requirements (Please tick all that apply and also ONE as your main support need)

Section 7: Employment and Household Status (Please tick the box as appropriate)

--    As a duty of care to staff and students, the College reserves the right not to enrol a person where there is evidence
that they could be a threat or danger to others. Declaring convictions may not prevent you from being offered a
place but failure to disclose something of which we later become aware could result in disciplinary action or your
enrolment being cancelled.

--    Please inform the College if the circumstances marked above change during your course.

--    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.

Please contact safeguarding@cityplym.ac.uk to request a confidential disclosure form

By signing this form I confirm:

--   I have read the Data Protection policy and privacy notice on the College website and consent to the College processing my personal
data including any sensitive data in accordance with the data protection principles.

--   I have received, read and agree to abide by the terms and conditions of enrolment, which can be found on the College website
(www.cityplym.ac.uk) and at College reception areas. I agree that all of the information on this form is correct.

--   I have received appropriate advice and guidance prior to enrolling on this course and I understand that if I am 16 to 18 years old then
English, maths and work experience form mandatory elements of my study programme and I will be required to undertake each of
these where appropriate.

--   I confirm that if I am 16-18 or 19-24 with an EHCP, I am not enrolled on a funded study programme at another institution.

Where you are under the age of 18 the College will provide your previous years education provider with information about your academic
attainments for the purpose of evidencing educational destination and outcomes; provide your parent/guardian/carer with information about
your attendance, behaviour, progress and achievement outcomes.

Where your employer has directly funded your course the College will provide your employer details of your educational records including but
not limited to attendance, achievement and modular outcomes. The College may send certificates of achievement, to your employer who will
forward it on to you.

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

Learning Record Service (LRS) – The information you supply will be used to create and maintain a Unique Learner Number (ULN)
and a Personal Learning Record (PLR). For further information on the LRS privacy notice please visit
https://www.gov.uk/government/publications/lrs-privacy-notices/lrs-privacy-notice