Start Training from Home Sign UpYour Details Title ---MrMrsMissMsDrOther First Name Middle Name(s) Surname Previous Surname (if applicable) Gender ---MaleFemaleTransgenderOther Is your gender different from the gender you were assigned at birth? ---YesNoPrefer Not To Say Marital Status ---SingleMarriedCivil PartnershipWidowedDivorcedSeparatedOtherPrefer Not To Say Date of Birth National Insurance Number Email Address Telephone Number Mobile Number AddressCurrent Address County Postcode How long have you been at this address? ---Less than a year1 year2 years3 years4 years5 years or longer Previous Address Previous County Previous Postcode Further DetailsNationality ---AfghanAlbanianAlgerianAmericanAndorranAngolanAnguillanArgentineArmenianAustralianAustrianAzerbaijaniBahamianBahrainiBangladeshiBarbadianBelarusianBelgianBelizeanBenineseBermudianBhutaneseBolivianBotswananBrazilianBritishBritish Virgin IslanderBruneianBulgarianBurkinanBurmeseBurundianCambodianCameroonianCanadianCape VerdeanCayman IslanderCentral AfricanChadianChileanChineseCitizen of Antigua and BarbudaCitizen of Bosnia and HerzegovinaCitizen of Guinea-BissauCitizen of KiribatiCitizen of SeychellesCitizen of the Dominican RepublicCitizen of VanuatuColombianComoranCongolese (Congo)Congolese (DRC)Cook IslanderCosta RicanCroatianCubanCymraesCymroCypriotCzechDanishDjiboutianDominicanDutchEast TimoreseEcuadoreanEgyptianEmiratiEnglishEquatorial GuineanEritreanEstonianEthiopianFaroeseFijianFilipinoFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGibraltarianGreekGreenlandicGrenadianGuamanianGuatemalanGuineanGuyaneseHaitianHonduranHong KongerHungarianIcelandicIndianIndonesianIranianIraqiIrishIsraeliItalianIvorianJamaicanJapaneseJordanianKazakhKenyanKittitianKosovanKuwaitiKyrgyzLaoLatvianLebaneseLiberianLibyanLiechtenstein citizenLithuanianLuxembourgerMacaneseMacedonianMalagasyMalawianMalaysianMaldivianMalianMalteseMarshalleseMartiniquaisMauritanianMauritianMexicanMicronesianMoldovanMonegasqueMongolianMontenegrinMontserratianMoroccanMosothoMozambicanNamibianNauruanNepaleseNew ZealanderNicaraguanNigerianNigerienNiueanNorth KoreanNorthern IrishNorwegianOmaniPakistaniPalauanPalestinianPanamanianPapua New GuineanParaguayanPeruvianPitcairn IslanderPolishPortuguesePrydeinigPuerto RicanQatariRomanianRussianRwandanSalvadoreanSammarineseSamoanSao TomeanSaudi ArabianScottishSenegaleseSerbianSierra LeoneanSingaporeanSlovakSlovenianSolomon IslanderSomaliSouth AfricanSouth KoreanSouth SudaneseSpanishSri LankanSt HelenianSt LucianStatelessSudaneseSurinameseSwaziSwedishSwissSyrianTaiwaneseTajikTanzanianThaiTogoleseTonganTrinidadianTristanianTunisianTurkishTurkmenTurks and Caicos IslanderTuvaluanUgandanUkrainianUruguayanUzbekVatican citizenVenezuelanVietnameseVincentianWallisianWelshYemeniZambianZimbabwean Were you born outside of the UK, EU or EEA? ---YesNo Have you been a resident in the UK, EU and/or the EEA for the last three years? ---YesNo What is your first language? Ethnicity ---White BritishIrishGypsy or Irish TravellerAny other White backgroundWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other multiple ethnic backgroundIndianPakistaniBangladeshiChineseAny other Asian backgroundAfricanCaribbeanAny other Black/African/Caribbean backgroundArabAny other ethnic group Religion ---NoneChristianCatholicAgnosticAtheistHumanistJainMuslimBuddhistSikhJewishHinduOther Are you in or have you recently left care? ---YesNo Sexual Orientation ---HeterosexualHomosexualBisexualOtherPrefer Not To Say Do you have any unspent criminal convictions or cautions, except for minor motoring offences, in accordance with the Rehabilitation Act 1974? ---YesNo Disability ---NoneVisually Impaired (Very little or no sight)Hearing Impaired (using a hearing aid or sign language)Disability affecting mobility (e.g. wheelchair user)Profound complex disabilitiesSocial and emotional difficultiesMental health difficultyAsperger's SyndromeTemporary (e.g. after illness or accident)Other physical disabilityOther medical condition (e.g. epilepsy, asthma, diabetes)Other disability Learning Difficulty ---NoneModerate learning difficultySevere learning difficultyDyslexiaDyscalculiaAutistic Spectrum DisorderSpeech, language and communication needsOther specific learning difficulty (e.g. Dyspraxia)Other learning difficulty Do you require additional support with your studies? ---YesNo Education & EmploymentWhat is the last school/college/university you attended? GCSE English Language Grade GCSE Maths Grade Highest Qualification Title Highest Qualification Level ---NoneEntry Level (Basic/Foundation)Level 1 (5 GCSE's D-G)Level 2 (5 GCSE's A*-C)Level 3 (4 AS Levels, 2 A Levels)Level 4 (HNC, QCF 4)Level 5 (Foundation Degree, HND, QCF 5)Level 6 (Bachelors Degree, PGCE)Level 7+ Are you currently in fulltime education? (if yes, it is unlikely you will gain access to this course) ---YesNo Employment Status ---Unemployed and looking for workUnemployed and NOT looking for workEmployed 0-10 hours per weekEmployed 11-20 hours per weekEmployed 21-30 hours per weekEmployed 31+ hours per weekSelf Employed Household Situation ---Unemployed with dependent(s)Unemployed without dependent(s)Employed with dependent(s)Employed without dependent(s) Emergency ContactEmergency Contact Name Emergency Contact Relationship Emergency Contact Phone Emergency Contact Mobile Emergency Contact Address Emergency Contact County Emergency Contact Postcode I confirm all details provided are correct and accurate I agree to the Training Strategies Terms & Conditions
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