Enrolment Form

Personal Details

Further Details

Employment (19+)

Terms

Personal Details

Surname

Surname at Birth

First Forename

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?

YesNo

Contact Details

Email Address

Can we write to you at this email?

Tick for YES - leave blank for NO

Mobile

Can we call you on this number?

Tick for YES - leave blank for NO

Home Telephone

Can we call you on this home number?

Tick for YES - leave blank for NO

Photo Upload

Please upload a clear headshot, for iPhone users - make sure the photo is rotated the correct way round

This photo will be used on you ID card, please use a sensible image (similar to a passport photo) or you may be asked to provide a new photo

You can drag and drop files here, or click 'choose file' to upload from your device

NOTE: only JPG, JPEG, PNG and GIF files are allowed, 15MB maximum

Only .jpg,.png,.jpeg,.gif Files are allowed

Photographic/Video Image

I DO NOT consent to the College and any third party acting on thier behalf, to take my photographic and/or video image whilst attending College sites or any other related event and to use it in educational, publicity or other media as they deem appropriate. Such material may include but not be exclude to websites, social-media, electronic formats, printed publication, newspaper and events display material

Tick for YES - leave blank for NO

Address

Please enter your postcode or partial address below:

Search:

Search Results

Property/Street

Locality

Town

County

Postcode

Years at this address

Can we write to this address?

Tick for YES - leave blank for NO

Is your term time address different to your home address?
YesNo

Term Time Address

If you are living away from home during your studies, please provide the details of your Term Time address below

Term - Time Address Line 1

Area

Town/City

County

Postcode

Please choose which address you would like to receive correspondence to:
Main AddressTerm-Time 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?
YesNo

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?
YesNo

Medical Conditions

Primary Medical Condition

Secondary Medical Condition

Other Medical Conditions

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

Do any of the below questions apply to you?

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

Are you a looked after Young Person?

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)

Young carer?

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

Young parent?

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

Care leaver?

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)

Do you have an Education Health & Care Plan?
YesNo