110


7 Support for Your Success: access requirements for interview Do you have any access requirements for interview?


NO


Communicator support for the deaf Wheelchair accessibility


Advocacy support for mental health issues Other (Please state requirements)


This information will only be passed on to staff to organize support at interview. If you would like to discuss this support in advance, please contact the Learner Support Liaison Officer – voice 020 8918 7486 or text phone 020 8918 7394.


8 The following is required for monitoring equal opportunities policies. Please indicate the ethnic group to which you see yourself belonging by ticking the appropriate box:


Asian or Asian British Bangladeshi Indian


Pakistani Other Asian


11 12 13 14


Black or Black British Caribbean African


Black Other


16 15 17


White


British Irish


Other White


23 24 25


Mixed White & Asian


White & Black African White & Black Carribean Other Mixed


9 Fee Status Are you a national of a European Union (EU) country (the United Kingdom, Austria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia,


Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden) and have you lived in the EU or in Iceland, Lichtenstein, Norway or Switzerland for the past 3 years?


10


How did you first hear about the College? Advertisement


Brochure through door School 11 Floodlight/Hot Courses


19 20 21 22


Chinese Any Other


18 25


YES


If yes, please indicate if you wish the Learner Support Team to make the following access arrangements for you:


Hearing loop Orientation for sight difficulties


YES


NO


Live / Work locally Library


Friend/relative


Job centre / Advice centre Other — please specify


To be completed by all applicants: I certify that the information given in this form is correct in all respects. Applicant's signature


Website


Date


Please tick this box if you would like us to send you additional information about the college Now return this form to: Admissions Team, South Thames College, Merton Campus, FREEPOST CN2701, London Road, Morden, Surrey, SM4 5QX HOW WE USE YOUR PERSONAL INFORMATION:


The personal information you provide is passed to the Chief Executive of Skills Funding and, where required, the Young People’s Learning Agency for England (“the YPLA”) to enable those organisations to fulfil their statutory obligations, principally under the Apprenticeships, Skills, Children and Learning Act 2009. Both organisations are registered as data controllers with the UK Information Commissioner’s Office.


The Skills Funding Agency funds adult further education and skills training, including apprenticeships, in England. The YPLA is responsible for arranging the provision of funding for the education and training of young people in England. The Skills Funding Agency processes learner data on behalf of the YPLA.


The information you provide may be shared with other organisations for purposes of administration, the provision of career and other guidance and statistical and research purposes, relating to education or training. Other organisations include the Department for Children, Schools and Families, the Department for Business, Innovation and Skills, Local Authorities, Connexions, Higher Education Statistics Agency, Higher Education Funding Council for England, educational institutions and organisations performing research and statistical work on behalf of the Skills Funding Agency, the YPLA, or partners of those organisations.


The Skills Funding Agency also administers the learner registration service (LRS) which uses your learner information to create and maintain a unique learner number (ULN). Further information about use of and access to your information is available at: Skills Funding Agency: http://skillsfundingagency.bis.gov.uk/foi.htm and YPLA:


http://www.ypla.gov.uk/foi.htm


At no time will your personal information be passed to organisations for marketing or sales purposes. The YPLA, the Chief Executive of Skills Funding and their partners may wish to contact you from time to time in respect of surveys and research to monitor performance, improve quality and plan future provision and to inform you about courses, or learning opportunities relevant to you.


Tick this box 4 if you do not wish to be contacted in respect of surveys and research by mail or phone.


Tick this box 3 if you do not wish to be contacted about courses or learning opportunities by post.


If you are in receipt of an Education Maintenance Allowance (EMA) / Adult Learning Grant (ALG) relevant information will be passed to the Assessment and Payment Body. You should be aware that information about your application, enrolment, attendance and progress at this college may be passed to the UK Border Agency for purposes connected with immigration.


The College is registered under the Data Protection Act 1998. Your signature will be taken to indicate that you consent to the processing of personal data by the College for legitimate administrative reasons connected with your studies or your health and safety. This may include reporting to parents in the case of students under the age of 18 years. Further information about data protection is available from the College Data Protection Officer. If you would like to see the information held about you, contact the College Data Protection Officer via Student Services.


(amended 041010)


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