Declaration of Criminal Convictions
Please disclose all unspent convictions for any offence. (You do not have to disclose any convictions that are spent, including any cautions, reprimands or final warnings unless they are relevant†.)
As a duty of care to staff and students, the College reserves the right not to enrol a person where there is evidence that they could be a threat or danger to others. Declaring convictions may not prevent you from being offered a place but failure to disclose something of which we later become aware could result in disciplinary action or your enrolment being cancelled.
†Relevant means offences against a person, whether of violent or sexual nature and convictions involving unlawful supplying of or possession of controlled drugs or substances.
Payment of Fees
Please complete one of the following sections, whichever is relevant to you. If section C applies, evidence must be provided at enrolment to confirm a fee concession
I am satisfied that the costs associated with the programme have been explained to me. If any proposed payment via a loan or employer is not fulfilled, or I withdraw, the liability for any unpaid fees will revert back to me. In the event that a debt collection agency is involved then I will be liable for tuition fees plus any legal and administrative fees incurred. I understand that refunds will only be issued in the event of the course being cancelled by the College or in exceptional circumstances in line with the College Refund Procedure (copy available on request).
I confirm that I have read and agreed the above declaration
Learning Agreement Declaration
I am satisfied that:
- The suitability of the programme and the entry requirements for it have been explained to me.
- I have received information, advice and guidance on my choice of learning programme and progression routes.
- I formally accept the learning programme specified on this agreement.
- I certify that the information I have provided is complete and correct.
- I agree to abide by the College regulations and the East Surrey College Charter (available at www.esc.ac.uk).
- I authorise the College to provide appropriate information to my parent(s) or guardian(s) (if under 19) or employer, sponsor or Student Loan Company (if appropriate) on progress and attendance on courses for which I have enrolled, or in the event of any cause for concern or a medical emergency.
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 purposes 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 Apprenticeships, 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 English European Social Fund (ESF) Managing Authority (or agents acting on its behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. You can agree to be contacted for other purposes by ticking any of the following boxes:
Further information about use of and 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: www.gov.uk/government/publications/esfa-privacy-notice
For reporting purposes we will need to contact you in order to establish your destination data.
Your privacy is important to us. We’d like to keep in touch so please complete your contact preferences below. (Please tick all that apply):
"I confirm that I have read the Learning Agreement Declaration incorporating the Imagery and Staying In Touch sections."
Please click Submit to confirm the above statement.
You can withdraw your permission for the use of your personal data at any time by contacting Client Services at firstname.lastname@example.org. (If you would like a more detailed explanation about changes to General Data Protection Regulations and the right to be forgotten visit https://ico.org.uk)