Learner Enrolment Form

Please note: Unless otherwise stated, all fields are required.

To be eligible for funding you must tick to confirm you meet the following criteria:

I currently live in England

I have lived in the European Union for the last 3 years

I was aged 19 or over on 31st August 2024

I have not studied the course I am applying for before

I am not currently enrolled on any other government funded education programme, either with College of West Anglia or any other provider

Personal Details

Where do you live?

Chosen Course

Title

First Name

Middle Name(s) (optional)

Surname

Previous Surname (optional)

Legal Sex

Male

Female

Is your gender different from the sex you were assigned to at birth?

Yes

Prefer not to say

Marriage/Civil partnership status

Date of Birth

National Insurance Number

First line of address

City / Town

County / Region

Postcode

Years at current address

Note: If you have lived at your current address for fewer than 3 years, previous address details will be required.

First line of previous address

Second line of previous address

Previous Postcode

Contact telephone number

Mobile number

Email address

The Email fields do not match.

Confirm email address Error: The Email fields do not match.

The Email fields do not match.

Previous College/School (optional)

Diversity Information

Nationality

Date of Entry into the UK

Were you born outside of the UK/EU/EEA?

Yes

Have you been a resident in the UK , EU, EEA for the last three years?

Yes

Date of Entry into the UK / EU / EEA

Previous Country of Residence

What immigration permissions do you currently hold in the UK?

Proof of residency status covering the last 3 years is required. Providing proof of your residency status is a mandatory requirement in order to access funding. If this is not provided you will be deemed ineligible for funding and not permitted to access your chosen course.

Residency Evidence (optional)

Must be a .jpeg, .jpg, .png, .pdf, .doc or .docx and be less than 10MB in size

Immigration Status expiry date (optional)

First language

Ethnicity

Religion / Faith

Are you in or have you recently left care?

Yes

Sexual orientation

Do you have any unspent criminal convictions or cautions, except for minor motoring offences, in accordance with the Rehabilitation Act 1974?

Yes

Disability

Learning Difficulty

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

Yes

Do you require any additional support with your studies?

Yes

Qualifications and Employment Details

GCSE English Language Grade

If you are in Scotland please input your National or Standard grades.

GCSE Maths Grade

If you are in Scotland please input your National or Standard grades.

Highest Qualification Achieved

What is the title/name of your highest qualification (optional)

Are you currently in full-time education?

Yes

Employment Status

You must be receiving benefits if you are unemployed to be eligible for funding.

Date Employment Started

Length of Unemployment

Household Situation

Emergency Contact Information

Please note: Providing an emergency contact is an essential requirement for obtaining funding. This will not be shared or used in any way other than in an emergency. For distance learning learners this is highly unlikely but remains a requirement of the funding body.

Emergency Contact Name

Emergency Contact Relationship to Me

Emergency Contact Phone

Emergency Mobile Number

Emergency Contact Address Line One

Emergency Contact Town

Emergency Contact County (optional)

Emergency Contact Postcode

English Knowledge Questions

Q1a. Select the correct vowel sound to complete the word below and add the missing letters.

Q1b. Select the correct vowel sound to complete the word below and add the missing letters.

Q2. Select the correct vowel sound to complete the word below and add the missing letters.

br _ _ n

Q3. Read through the grammatically incorrect paragraph below. Then, select the grammatically correct option for each sentence.

have you heard of this book. Are you bored of reading the same things Wouldnt you like to try something new? give this new book a go It’s a bestseller if you want to check it out please visit our website You wont be disappointed. let us know your thoughts,

Part 1:

Part 2:

Part 3:

Part 4:

Part 5:

Part 6:

Part 7:

Part 8:

Q4. Complete each sentence by selecting the correct option to fit each gap.

Q5. Read through the following sentence, then select the correct options in the paragraph below so that the text makes sense.

Q6. Rearrange the clauses below by putting them in the correct order to form a grammatically correct sentence.

Part 1:

Part 2:

Part 3:

Part 4:

Part 5:

Q7. If teaching experience is listed as ‘desirable but not essential’ on a college application form, which of the following best fits the meaning of this?

Maths Knowledge Questions

Q1. Take a look at this chart which shows the average number of visitors to a coffee shop throughout the year, and answer the questions below.

Bar chart displaying the average number of visitors to a coffee shop per day for each month of a 12 month period.

Q1a. What was the average number of visitors to the coffee shop in June?

Q1b. Which two months had the lowest average numbers of visitors per day?

Q1c. Which month had the highest average number of visitors per day?

Q2. For each of the measurements listed below, select the equivalent measurement from the dropdown menu.

500ml

100g

500cm

10cm

Q3a. If a bar of soap costs 70p and a box of plasters costs 95p, how much does buying one of each cost?

Q3b. How much change would you get from £2 after making the purchase described in question 3a?

Q4. Look at the figures listed below and put them in order from lowest to highest.

1150
96
572
1530
370
994

Lowest:

2nd Lowest:

3rd lowest:

4th lowest:

5th lowest:

Highest:

Q5. If there are six rooms in an office block and each contains 20 employees, how many employees are there in the office in total?

Q6. A group of teenagers are asked about their favourite hobbies. The results are shown in the following table:
	Sports	Playing video games	Watching films	Total
Male	9	2	3	14
Female	7	3	8	18
Total	16	5	11	32

Q6a. In fractions, what is the probability that a teenager selected at random is female and their favourite hobby is watching films? You can simplify this fraction if you wish.

Q6b. The teenager from the question above rejoins the group and another teenager is picked at random.
What is the probability that the teenager picked at random is male and their favourite hobby is playing video games? You can simplify this fraction if you wish.

Q7. There are five envelopes on a table. Four of the envelopes are marked 8, 2, 4 and 1. You are told that the mean of the numbers on the envelopes is 4. What is the number on the fifth envelope?

Q8. Take a look at the shape below. Which two squares would need to be coloured in to give a shape with two lines of symmetry?


2	5		8	10
		6
	4
1	3		7	9

Q9. If two of the angles in a scalene triangle are 54° and 87°, what is the other angle?

English Score:

Maths Score:

Final Details

Why do you want to study this course?

To develop my knowledge about this subject area

To gain a qualification

I have spare time and want something to do

None of the above

My reason for choosing this distance learning course is:

Seeing a tutor or fellow students face to face is:

I would classify myself as someone who:

Classroom discussion is:

When a tutor hands out directions for an assignment, I prefer:

I need feedback on my assignments:

Considering my professional and personal schedule, the amount of time I have to work on a distance learning course is:

When I am asked to learn technologies that are new to me:

As a reader, I would classify myself as:

If I am asked to use computers I:

Preferred Contact Method (optional) This is how we will contact you about your application.

Text

Phone call

Preferred Marketing Methods (optional) Please select how you would like to receive marketing communications.

Text

Phone

Upload a copy of your passport / full driving licence (provisional driving licences are not acceptable) / birth certificate

Must be a .jpeg, .jpg, .png, .pdf, .doc or .docx and must be less than 10MB in size

Providing proof of your identity is a mandatory requirement in order to access funding. If this is not provided you will be deemed ineligible for funding and not permitted to access your chosen course. Examples of acceptable evidence are: Passport, Birth Certificate, Full Driving Licence (provisional driving licences are not acceptable)

ID Document Reference Number

For example: Passport number, driver number

Form of ID given

Learner Agreement & Declaration

By signing this application you are also signing our learner agreement and declaration. These documents can be found below.
Click here to view our privacy notice
Click here to view our learner declaration

Signature

Please provide your full name below:

Full name