Registration Details Please enable JavaScript in your browser to complete this form.Name *FirstLastDate of Birth *Post Code *Address Line 1 *Address Line 2Town/City *County *Contact Number *Email *Gender *Please SelectFemaleMale NI Number *Ethnicity *Please Select31 - English / Welsh / Scottish / Northern Irish / British32 - Irish33 - Gypsy or Irish Traveller34 - Any Other White Background35 - White and Black Caribbean36 - White and Black African37 - White and Asian38 - Any Other Mixed / Multiple Ethnic Background39 - Indian40 - Pakistani41 - Bangladeshi42 - Chinese43 - Any Other Asian Background44 - African45 - Caribbean46 - Any Other Black / African / Caribbean Background47 - Arab98 - Any Other Ethnic Group99 - Not ProvidedHighest Level Qualification *Learning Difficulty and Disability *No Learning Difficulty or Disability Selected4 - Visual impairment5 - Hearing impairment6 - Disability affecting mobility7 - Profound complex disabilities8 - Social and emotional difficulties9 - Mental health difficulty10 - Moderate learning difficulty11 - Severe learning difficulty12 - Dyslexia13 - Dyscalculia14 - Autism spectrum disorder15 - Asperger's syndrome16 - Temporary disability after illness or accident17 - Speech, Language and Communication Needs93 - Other physical difficulty94 - Other specific learning difficulty (e.g. Dyspraxia95 - Other medical condition96 - Other learning difficulty97 - Other disability98 - Prefer not to say99 - Not providedHousehold Situation *Please Select3 - Individual lives in a single adult household with dependent children98 - Individual has withheld this information99 - None of the above applyIn Receipt of Working Tax Credits *NoYesCompany Name *Workplace Postcode *Hours of Work (Per Week) *Please SelectIndividual is employed 31+ hours per weekIndividual is employed for 0 to 10 hours per weekIndividual is employed 11 to 20 hours per weekIndividual is employed 21 to 30 hours per weekLength of Employment *Please SelectIndividual has been employed for more than 12 monthsIndividual has been employed for up to 3 monthsIndividual has been employed for 4-6 monthsIndividual has been employed for 7-12 monthsContract Type *PermanentTemporaryPrivacy Notice *I have read the following and confirm I accept this privacy notice.EDUCATION AND SKILLS FUNDING AGENCY PRIVACY NOTICE: This privacy notice is issued by the Education and Skills Funding Agency (ESFA), on behalf of the Secretary of State for the Department of Education (DfE). It is to inform learners how their personal information will be used by the DfE, the ESFA (an executive agency of the DfE) and any successor bodies to these organisations. For the purpose of relevant data protection legislation, the DfE is the data controller for personal data processed by the ESFA. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprecticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be shared with third parties for education, training, employment and well-being related purposes, including for research. This will only take place where the law allows it and the sharing is in compliance with data protection legislation. The ESFA (or agenst acting on its behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Further information about use of access to your personal data, details of organisations with whom we regularly share data, information about how long we retain your data, and how to change your consent to being contacted, please visit: https://www.gov.uk/government/publications/esfa-privacy-notice. For information on your rights with regards to data under GDPR and data retention arrangements, please visit: https://www.gov.uk/government/publications/dwp-request-for-personal-information. South Yorkshire SKILLS BANK AND CALDERDALE COLLEGE PRIVACY NOTICE: The South Yorkshire Skills Bank project is delivered by Calderdale College on behalf of the South Yorkshire Local Enterprise Partnership (SCR LEP). In this Privacy Notice, the word "we" refers to Calderdale College and the South Yorkshire LEP. Calderdale College are acting as the Managing Agent for the project; both of whom act as Data Controllers. We take privacy of your information very seriously. The Calderdale College Policy can be found at https://www.calderdale.ac.uk/about-us/data-protection/ The South Yorkshire LEP Policy can be found at https://sheffieldcityregion.org.uk/terms-and-privacy/ These policies explain how we will collect and use the information you give us via out websites and otherwise when you are using our services, for instance when you complete any paper or forms or otherwise, or provide data to us by telephone. We are committed to good information handling principles and protecting the privacy and confidentiality of any personal information we deal with. When we interact with you, we might give you supplementary privacy notices which are more specific to the personal data we're collecting or using at that point. You should read those notices alongside the Privacy Policy. The information we hold will be accurate, up to date and held securely. Where you notify us of any incorrect information, we will delete or edit the information promptly. We may use technology to track behaviour patterns of visitors to our website, these include using 'cookies' which are stored on your browser. We may share information provided on this ILR within Calderdale College, the SCR LEP and with the SCR District Councils, for the purposes of research and evaluation. We may invite you to participate in further SCR LEP programmes, which are entirely voluntary.You can agree to be contacted for other purposes by selecting ANY of the following options *Individual has not agreed to be contactedAgrees to be contacted about coursesAgrees to be contacted for survey or researchAgrees to be contacted for survey, research or coursesPreferred Method of Contact *Individual has not agreed to a contact methodAgrees to be contacted by postAgrees to be contacted by telephoneAgrees to be contacted by emailGDPR Agreement *I consent to having this website securely store my submitted information for the purpose of receiving funding through skills bank.Your personal information will be securely deleted once it is no longer required for funding purposes.Declaration *I declare that to the best of my knowledge the information provided is reliable, accurate and true.Once you have successfully completed this form you will receive email confirmation of your registrationMessageFinish