ESFA #SkillsForLife Eligibility Questionnaire
Course Selection
Which training course are you interested in?
Please choose a value
Catering/Hospitality
Personal Training
Identity
Forename
Surname
DateOfBirth
Your Education (Tick highest level you currently hold)
Please choose a value
Entry Level
Other Qualification Below Level 1 (GCSE D-G)
Level 1 (GCSE D-G)
Full Level 2 (5 or more GCSEs A-C)
Full Level 3 (2 or more A Levels)
Level 4
Level 5
Level 6
Level 7 and above
Other Qualification, Level not known
Not Known
None
Demographic
Gender
Please choose a value
F
M
Ethnicity
Please choose a value
White or White British
Preferred Not to Say
Asian or Asian British
Black or Black British
Any Other White Background
Any Other Black Background
Black British Caribbean
Black British African
Mixed White & Black Carribean
Mixed White & Black African
Kurdish
Other
Mixed White & Asian
Any Other Mixed Background
Any Other Asian Background
Turkish Cypriot
Turkish
Greek
Do you consider yourself to have a learning difficulty and/or disability and/or health problem?
Please choose a value
Yes
No
Prefer Not to Say
If yes, please tick all that apply. (Hold 'Ctrl' button for multiple selections)
Asperger's Syndrome
Autism Spectrum Disorder
Disability Affecting Mobility
Dyscalculia
Dyslexia
Hearing Impairment
Mental Health Difficulties
Moderate Learning Difficulty
Not Provided
Other Disability
Other Learning Difficulty
Other Medical Condition
Other Physical Disability
Other Specific Learning Difficulty
Profound Complex Disabilities
Severe Learning Difficulty
Social & Emotional Difficulties
Speech, Language & Communication Needs
Temporary Disability after Illness or Accident
Visual Impairment
Please indicate what you would consider your primary LLDD and health problem
Address
Address1
Address2
Town
County
Post Code
Contact
Telephone
Mobile
Email
Employment Status & Benefits
Please confirm your employment status
Please choose a value
In paid Employment
Not in paid employment, looking for work and available to start work
Not in paid employment, not looking for work and/or not available to start work
Date Employment Status Applies
If unemployed, how long have you been out of work?
Please choose a value
Less than 6 months
6 - 11 months
12-23 months
24-35 months
Over 36 months
Were you in full time education or training prior to enrolment?
Please choose a value
Yes
No
Are you currently claiming any benefits?
Please choose a value
Yes
No
If yes, which ones?
Your Housing Situation
Which of these options most accurately affects your current household situation?
Please choose a value
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 include any dependent children
Lives in a single adult household with dependent children
None of the above statements apply
I wish to withhold this information
Submit