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Self Referral Form - HE Programme
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Email
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Your email
Please write your surname (family name)
*
Your answer
Please write your first name(s)
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Your answer
Please write your Postcode
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Your answer
Please write your Address
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Your answer
Mobile Number
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Are you?
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Male
Female
Prefer not to say
What is your residency status?
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Asylum Seeker
Refugee (5yrs LTR), DLTR, ILTR
EU Settled
EU Pre-settled
Family Reunion
Spouse
UK Citizen
Other
Do you have UK qualifications?
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Yes
No
If yes, tell us what they are
Your answer
Do you have non UK qualifications?
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Yes
No
If yes, tell us what they are
Your answer
What country did you achieve these?
Your answer
What is your English Level?
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National 5 and above (Upper Intermediate and above)
National 4 (Intermediate)
National 3 (Pre-Intermediate)
Below National 3
Not known or not been assessed
Are you? (Tick all that apply)
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Working Full Time (FT)
Working Part Time (PT)
Student FT
Student PT
Unemployed
Carer for adult or children
Required
Please write here any other information you would like to add
Your answer
Please read and agree to our Terms and Conditions Terms and Conditions. I confirm I have read, understand and agree to the Terms and Conditions of use as put forward by Bridges Programmes. Bridges Programmes provides employment support to anyone who has English as a second language. We specialise in providing high quality training. To join us, please submit this form. How we use your information: We collect information about you so that we can support your employment search and provide a tailored service to you. This personal data includes identifiers such as names and date of birth, qualifications, service and employment history. We will keep copies of any correspondence we have with you relating to your training, GMC registration or job search. Bridges Programmes will not share your information with third parties, unless you agree to this, and will use it only for the purposes you have agreed to. We do our best to keep your data accurate and up to date, to the extent that you provide us with the information we need to do so. If your data changes (for example, if you have a new email address), then you are responsible for notifying us of those changes. We take reasonable and appropriate measures to protect Personal Information from loss, misuse and unauthorised access, disclosure, alteration and destruction, taking into account the risks involved in the processing and the nature of the Personal Information. We aim to keep our data secure, but if a security breach causes an unauthorised intrusion into our system that materially affects you we will notify you as soon as possible and later report the action we took in response. Once you have left the programme, we will retain your information for two years and will then delete your details and all correspondence with you. You may of course, re-register with us at any time. You can see the information we hold about you by contacting: Amanda Crawford, Bridges Programmes,
amandacrawford@bridgesprogrammes.org.uk
You can also have your information deleted at any time by contacting Amanda Crawford.
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