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Enrolment Form

Personal Details

Further Details

Employment (19+)

Terms


  Personal Details

Surname
Surname at Birth
First name
Known As Name (what we should address you as)
Title
Date Of Birth

Legal Sex


Do you identify as the same gender you had at birth?



  Contact Details


Email Address

Tick for YES - leave blank for NO


Mobile (no spaces)

Tick for YES - leave blank for NO


Home Telephone (no spaces)

Tick for YES - leave blank for NO



  Address

Please enter your postcode or partial address below:

Search:


Search Results


House number/name and street
Locality
Town
County

Tick for YES - leave blank for NO


Is your term time address different to your home address?

  Equal Opportunities

Nationality
Ethnicity
What is your country of residence
What is your first language?
What is your Religion?
What are your sexual orientation?
Will you have lived continuously in the UK for more than 3 years on the first day of your course?

If you have not been a resident of the EU/UK/EEA for 3 years you may not be entitled to funding - we will need to collect more information from you to determine your eligbility


Visa Type

Date of first entry into the UK (If not born in the UK) Please give the date when you entered the country to live here. If you are not currently living in the UK, please enter the date you expect to enter the UK to start your course


Date of Entry into the UK


  Learning Support

Do you have any disabilities or learning difficulties?

  Medical Conditions

Primary Medical Condition
Secondary Medical Condition
Other Medical Conditions

If you want to tell us more, you can do so here.

  Support

Inspire Education Group offers a range of support services for students and if you select any of the options below we will discuss confidentially any support you may require

Disability Support Allowance

Disabled Students’ Allowance (DSA) is support to cover the study-related costs you have because of a mental health problem, long term illness or any other disability.

Click here to find out how to claim

Please tick if you are a Local Authority Looked After Child (16-18), unaccompanied asylum seeker or previously care experienced(e.g. in foster care, supported lodgings, residential care, special guardianship, in receipt of leaving care services or adopted)

You're a young carer if you're under 18 and help to look after a relative with a disability, illness, mental health condition, or drug or alcohol problem

You're a young parent if you are under 18 and are the legal parent/guardian of a child

Please tick if you are a Local Authority Looked After Child (16-18), Recent Care Leaver (18-25), unaccompanied asylum seeker or previously care experienced(e.g. in foster care, supported lodgings, residential care, special guardianship, in receipt of leaving care services or adopted)