Learner Information

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Learner Information

Learner Information sheet for completion prior to or at enrolment

First Name *

Surname *

Date of Birth *

YYYY

What is your career goal/destination? *

What is the course you have applied for? *

Do you get Free School Meals? *

Yes

Have there been any changes to your home circumstances since your interview? *

Have there been any changes to your health (physical or mental) since your interview? *

Would you have had Exam Access Arrangements for your GCSE exams? *

Yes

Have you had any exclusions or other warnings from your school/education provider since your interview? *

Yes (Please tell us about this below)

Has there been any issues resulting in police action or convictions since your interview? *

Yes (Please tell us about this below)

Tell us about your exclusions/warnings from school or any issues relating to police action/convictions

What access to technology do you have - tick all that apply *

Yes

Tick if it is shared with family

Tick if it is your own device

Desktop Computer

Laptop Computer/Netbook/Chromebook

Webcam either as part of your laptop/PC or an attachment

Android Tablet

Apple Tablet

Smartphone

Broadband

How do you intend to travel to college? *

Own Car or Cycle or Walk

Arriva Bus (please tell us which one on the next question)

College Minibus (only if you have been you have a place on the minibus)

Other e.g. Taxi, Train

Which Arriva Bus will you be using?

1 - Market Weighton, Holme on Spalding Moor, Bubwith, North Duffield

2 - Newport, Gilberdyke, Eastrington, Howden, Airmyn, Camblesforth

3 - Thorne, Moorends, Rawcliffe Bridge, Goole Hospital, Hemingbrough, Cliffe, Osgodby

42 - Drax Camblesforth, Wistow, Cawood

64s - Byram, Brotherton, Burton Salmon, Hillam, Monk Fryston, Hambleton, Thorpe Willoughby

401 - Goole, Rawcliffe, West Cowick, Snaith, Camblesforth

405 - Doncaster, Bentley, Askern, Norton, Whitley, Eggborough, Brayton

415 - York, Riccall, Barlby

476 - Pontefract, Ferrybridge, Knottingley, Beal, Kellington, Eggborough, Hensall, Brayton

402/403 - Leeds, Cross Gates, Garforth, Micklefield, Sherburn, Monk Fryston

Clear selection

Are you currently working part-time? *

Yes

If Yes, how many hours do you work?

Are your parents/carers happy with your choice of college, college course and career path? *

Yes

Who s allowed to have information shared with them about you e.g. estranged parent, step parent, alternative carer? Name and relationship to learner

Privacy Notice

Personal data held by Selby College is subject to General Data Protection Regulation (GDPR).
For information about your rights under GDPR you can see our Privacy Notice for Students at www.selby.ac.uk/privacy

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