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Identification
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Current State Pension Notification Letter
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Diversity Monitoring
Ethnicity
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Any disabilities?
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Do you have an EHC Plan?
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Is an EpiPen required?
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Education Details
Previous Learning Establishment
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Are you currently in education?
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--None--
Yes
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If yes, what education are you taking part in?
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GCSE English
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--None--
High A* (9)
A* (8)
A (7)
B (6)
High C (5)
C (4)
D (3)
E/F (2)
G/U (1)
None
GCSE Maths
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--None--
High A* (9)
A* (8)
A (7)
B (6)
High C (5)
C (4)
D (3)
E/F (2)
G/U (1)
None
Year Achieved GCSE
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Prior Attainment
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1 - Entry Level
10 - Level 7 and above
2 - Level 1
3 - Level 2
4 - Full Level 2
5 - Level 3
6 - Full Level 3
7 - Level 4
8 - Level 5
9 - Level 6
97 - Other qualification, level not known
98 - Not known
99 - No qualifications
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Criminal Offences
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Do you have any charges pending?
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If yes, please provide details
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Household Benefits
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No household member is in employment and the household includes one or more dependent children
No household member is in employment and the household does not have any dependent children
Learner lives in a single adult household with dependent children
Learner has withheld this information
None apply to me
Which of the following benefits are you claiming?
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Jobseekers Allowance
Employment Support Allowance (Work Related Activity Group)
Universal Credit
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Eligibility Questions
Have you been a UK resident in the UK at all times within the last 3 years?
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Yes
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Are you a UK Or EEA Citizen or do you have the right to abode in the UK?
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Yes
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Have you been a resident in the EEA for at least 3 years?
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