Book Now | West Herts College

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Your Details

Title*

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First name*

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Surname*

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Date of Birth*

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Address Line 1*

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Address Line 2

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Town/City*

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County*

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Postcode*

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Mobile*

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Telephone

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Email*

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Sex*

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Gender (optional)

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Preferred Pronoun (optional)

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ID Photo

Please upload a portrait photograph of yourself, this should be suitable for your Student ID badge - it should be taken in the style of a passport or driving licence photo. If you have studied with us within the last 12 months, then we do not require a new photo.

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Nationality

Nationality*

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Ethnicity*

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Have you been a UK resident for the past 3 years?*

YesNo Please select if you have a European resident for the past 3 years

Please provide your residency status *

Please provide your residency status

Date of entry to UK (Non-EU students)

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First Language (If Not English)

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Next of Kin

First Name*

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Surname*

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Telephone*

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Mobile*

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Relationship*

Please select your next of kin's relationship to you

Email*

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Academic Qualifications

What is your previous highest qualification?*

Please select your previous highest qualification

Employment Status

Employment Status*

Please select your employment status

Employment/unemployment commenced*

Please select your employment/unemployment start date

Length of employment*

Please select the length of employment

How many hours of paid employment do you undertake per week?*

Please select the amount of paid employment you undertake per week

Length of unemployment*

Please select your length of unemployment

Are you in receipt of any benefits?*

YesNo Please select if you are in receipt of any benefits

What benefits are you in receipt of?*

Please select the benefits are you in receipt of

National Insurance number*

Please enter your National Insurance number

Additional Support

The College welcomes applications from students with disabilities and learning difficulties. If you consider yourself to have a learning difficulty or disability, please specify in the boxes below so we may discuss your needs in confidence and help wherever possible.

Do you have a learning difficulty or disability?*

YesNo Please select if have a learning difficulty or disability

Disability*

Please select your disability

Criminal Convictions

At West Herts College we are commited to providing a safe environment. To help us achieve this it is important to disclose any unspent criminal convictions

Do you have any criminal convictions?*

Please select if you have any criminal convictions?

Payment

When you press the Pay now with Paypal button at the bottom of this page you will be direct through to Paypal to pay for this course.

Amount*

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Declaration

At WHC Group we take your privacy seriously and look after your personal data as if it was our own. In compliance with the General Data Protection Regulation (GDPR), the information you share on this form will only be kept for the required amount of time as detailed in our Retention Schedule and used in accordance with our Privacy Notice - both policies are available to read here: Policies Statements

Our support teams may need to contact you using the details you have provided in this form - this may be done by phone, text, email and post. Your data will only be shared with third-party organisations where it is legally required, e.g. Government funding agencies, exam boards etc. Your data will not be used or shared for marketing purposes without your consent.

Find out more about how the Education and Skills Funding Agency (ESFA) process your data

The information you supply is used by the Learning Records Service (LRS). The LRS issues Unique Learner Numbers (ULN) and creates Personal Learning records across England, Wales and Northern Ireland, and is operated by the Education and Skills Funding Agency, an executive agency of the Department for Education (DfE). More information about how your information is processed, and to access your Personal Learning Record

Please tick the box below to confirm you have read and accepted the above information.

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