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Personal Details



Denotes a mandatory field :



First Name
Known As
Last Name

Sex


Date Of Birth
Personal Contact Number (Main Number)
Mobile
Personal Email Address
Personal Email Address (enter again)
     

A personal email address is preferred (not a school or work email address)



Address Details


Use the postcode look-up below or enter manually

Please enter your postcode or partial address below:

Search:


Search Results - Select correct address and click on 'Fetch Selected Address'

House No./Name and street (Address Line 1)
Address Line 2
Town / City
County

Postcode


Emergency Contact Details

If you are aged under 18, we MUST have details of a parent, guardian or carer we can contact in case of an emergency. If aged 18 or over, please provide details of a next of kin. The person must know they are your emergency contact.


Contact Name (First & Last Name)
Relationship to Applicant
Contact Main Phone Number
Contact Email Address
Are you living with this person?
Is Living With Contact1

Contact Address

Contact House No./Name and street (Address Line 1)
Contact Address Line 2
Town / City
County

Contact Postcode



About You

Ethnic Group
To enable us to monitor equality of opportunity, please select the appropriate option
Nationality


Learner Support

We collect information relating to special educational needs, disabilities and additional support so our learning support team can work with you to ensure that you receive the appropriate help and advice to achieve your full potential

Do you have any disabilities or learning difficulties?
Main Disability/Learning Difficulty
Please identify any secondary Disabilities / Learning Difficulties


Do you have an educational health and care plan (EHCP)?

Student Declared EHCP at Application


Safeguarding / Criminal Disclosure

Do you have any convictions, cautions, reprimands, final warnings or pending court cases which are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)?

South Hampshire College Group is keen to support all students to help them succeed. For some careers you will need to declare all criminal convictions including those that are spent. Doing this will not necessarily stop you being offered a place on the course. If you are unsure about what to declare then please seek advice from Student Services (you do not need to give your name) or the National Careers Service. You only have to disclose convictions where these are not spent under the Rehabilitation of Offenders Act 1974. If you are unsure if your conviction is spent you can check on the NACRO website at: nacro.org.uk. A custodial sentence of four years or more will never be spent. If you are applying for a course which will involve working with children (under 18) or vulnerable adults then you will have to declare all convictions including cautions and reprimands. These activities are exempt from the Rehabilitation of Offenders Act 1974. Please note that failing to complete this section or providing false information may lead to your application/ enrolment being withdrawn. Any information you provide the College Group in relation to criminal convictions will only be disclosed to third parties if this is necessary in the interests of the safety and welfare of other students or staff.


If yes - please give details


Prior Attainment

What is your highest level of Qualification?

Use the following table to help you pick the correct qualification level...

Level

Academic Qualification Equivalent

Entry Level

Qualifications at Entry Level including Literacy, Numeracy, ESOL, Key Skills, Functional Skills, Essential Digital Skills

Level 1

Qualification at Level 1 including GCSE/O Level (at grades D-G/3-1 or fewer than 5 at grades A-C/9-4), 1 AS Level, Foundation 14-19 Diploma, Introductory Diploma

Level 2

Qualifications at Level 2 including Functional Skills, ESOL, Technical Awards

Full Level 2

GCSE/O Level (5 or more GCSEs grades A*-C/9-4), 2 or 3 AS Levels, 1 A Level, Higher 14-19 Diploma, QCF Diploma, NVQ, GNVQ Intermediate

Level 3

Qualifications at Level 3 including Core Maths, components of international baccalaureate, vocational and technical qualifications not listed as Full Level 3

Full Level 3

2 or more A Levels, 4 or more AS Levels, QCF Diploma, Access to HE, Advanced 14-19 Diploma, GNVQ Advanced, NVQ, T-Level

Level 4

QCF/RQF qualifications at Level 4, Higher National Certificate (HNC), Certificates of Higher Education

Level 5

QCF/RQF qualifications at Level 5, Higher National Diploma (HND), Foundation degree

Level 6

QCF/RQF qualifications at Level 6, Bachelor’s degree, graduate certificates and diplomas

Level 7+

QCF/RQF qualifications at Level 7+, Master’s degree, postgraduate certificates and diplomas, Doctorate

Employment

Employment Status

How many hours per week? (If employed)

How long have you been employed? (If employed)

Length of Unemployment (If Unemployed)

Are you in receipt of any benefits?




Review & Submit

I consent to receive marketing communications from South Hampshire College Group via the following methods regarding their courses and further learning opportunities, events, and related offerings. I understand that I can unsubscribe at any time.

By Email
By Text
By submitting this form, I agree to South Hampshire College Group contacting me by the methods I have ticked above.

South Hampshire College Group is committed to doing the right thing when it comes to how we collect, use and protect your personal data.


Data Controller: South Hampshire College Group


Our address is: Bishopsfield Road, Fareham PO14 1NH

Please familiarise yourself with our Data Protection Policy and GDPR Pack which will provide you with further information about use of and access to your personal data, and details of organisations with whom we regularly share data: https://www.shcg.ac.uk/policies/
If you have any questions about this policy or the ways in which we use your personal information, please contact our Data Protection Officer at dp@shcg.ac.uk.


This policy has been prepared in accordance with the General Data Protection Regulation (EU) 2016/679 (GDPR) and the Data Protection Act 2018.


The personal information you provide is passed to the Chief Executive of Skills Funding (the Skills Funding Agency) and the Department for Business, Innovation and Skills (BIS). Where necessary, it is also shared with the Department for Education, including Education Funding Agency. The information is used for the exercise of functions of these government departments and to meet statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009, and to create and maintain a Unique Learner Number (ULN) and a Personal Learning Record (PLR).

If the course is government funded either through the EFA or the agency, it could also be eligible for match funding and can therefore be partially funded by the ESF. I consent to the college and the partner (where applicable) processing and using the personal and sensitive data set out in this form (the data) and any other stats which the college and the partner (where applicable) may obtain from me or other people about me for the purpose stated on this form or connected with my studies or any other legitimate reason.

South Hampshire College Group will contact you (and named parents/guardians for students aged 16 to 18 years old) via email and text in relation to the progress of your application, events you need to attend as part of the application and enrolment process and information about South Hampshire College Group on the lawful basis of legitimate interest in accordance with the General Data Protection Regulation 2018. The information submitted is processed by South Hampshire College Group on the lawful basis of legal obligation, public task and legitimate interest in accordance with the General Data Protection Regulation 2018. For information on how long we hold your personal data, your rights of access and deletion of personal data, please view our Data Protection policy which can be found at https://www.shcg.ac.uk/policies/.


Please confirm the data processing consent




Declaration

Please take time to read through this declaration before proceeding

If I am accepted on the course(s) for which I am now applying, I agree to observe all campus regulations. I understand that College will store the information on this form and other information while attending the College subject to the provisions of the Data Protection Act 2018 and the registration of the College under the Act.


I confirm that the information given on this form is true, complete and accurate and no information or other material information has been omitted. I accept that if this is not the case, the College shall have the right to cancel my application and any offer of a place on a course maybe withdrawn. I shall also have no claim against the College (where this data will be recorded for statistical purposes) or any other education institution relation thereto.




I agree to the data protection declaration. By submitting this form I am confirming that I am mentally and physically fit enough to embark on this programme of learning



Signature

Clear Signature