Family and Community Learning - Course Enrolment Form 2026-2027

Complete this form to sign up for one of our courses. Once you’ve submitted it, we’ll be in touch for a friendly chat to confirm your place and talk through the next steps. If you need any help completing the form, please call us on 01225 770478.

Step 1 of 15

Section 1 of 15 - Referral Information

Where did you hear about us?(Required)

If you were referred by a professional (e.g. a support worker, social worker, or other practitioner), please provide the name of the person, if known.(Required)

If you are happy to share, please tell us the name of the school.(Required)

If needed, do you consent to us contacting your referrer to better understand how we can support your learning?(Required)

Yes

Section 2 of 15 - Personal Details

Title(Required)

Please specify(Required)

Name(Required)

First Last

Please provide your address and contact details(Required)

Street Address City County / State / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Gender(Required)

Please specify(Required)

Date of Birth(Required)

Month

Day

Year

Please enter your age (some courses require you to be 19 by 31 August)(Required)

Do you have an Education, Health and Care Plan (EHCP)?(Required)

Yes

Section 3 of 15 - Emergency Contact (In case we need to contact someone in an emergency, please provide their details below)

Title(Required)

Please specify(Required)

Name of emergency contact(Required)

First Last

What is this person’s relationship to you?(Required)

Email of emergency contact(Required)

Phone number of emergency contact(Required)

Section 4 of 15 - Ethnicity

Which best describes your ethnic background?(Required)

White British

Black, Black British, Caribbean or African

Asian or Asian British

Mixed or multiple ethnic backgrounds

Other ethnic background

Please Specify(Required)

English / Welsh / Scottish / Northern Irish / British

Irish

Gypsy or Irish Traveller

Any other white background

Please Specify(Required)

African

Caribbean

Any other Black, African or Caribbean background

Please Specify(Required)

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

Please Specify(Required)

White and Black Caribbean

White and Black African

White and Asian

Any other mixed background

Please Specify(Required)

Arab

Any other ethnic group

Section 5 of 15 - Residency & Nationality (legal status)

Are you a British citizen?(Required)

Yes

If no, which country did you live in before coming to the UK?(Required)

When did you start living in that country?(Required)

Month

Day

Year

When did you leave that country?(Required)

Month

Day

Year

What date did you arrive in the United Kingdom?(Required)

Month

Day

Year

What is your current status in the UK? Please choose the option that best describes your current status.(Required)

I have settled status (EU Settlement Scheme)

I have pre-settled status (EU Settlement Scheme)

I have indefinite leave to remain (permanent right to stay)

I have a visa (e.g. work, spouse visa)

I am a refugee (granted protection in the UK)

I am an asylum seeker (in the UK less than 6 months)

I am an asylum seeker (in the UK 6 months or more)

Not Sure

Section 6 of 15 - Employment & Eligibility

Which best describes your current employment situation?(Required)

In paid employment

Self-employed

Not in paid employment, currently looking for work

Not in paid employment and not currently looking for work

Not in paid employment but would like to work in the future

Approximately how many hours a week do you work?(Required)

What is your annual personal income (not household income)?(Required)

£25,750 or less

Over £25,750

How long have you been unemployed?(Required)

Less than 6 months

6–11 months

12–23 months

24–35 months

36 months or more

Not Applicable

Are you currently receiving any of the following benefits?(Required)

Universal Credit

Employment and Support Allowance (ESA) (income-related)

Jobseeker’s Allowance (JSA) (income-based)

Income Support

Housing Benefit

Pension Credit

Personal Independence Payment (PIP)

Disability Living Allowance (DLA)

Carer’s Allowance

Other benefit

None of the above

Please specify which benefit you receive:(Required)

Do any of the following apply to you? (please select all that apply)(Required)

I have school-aged child(ren) who qualify for free school meals

I am a care leaver

I am currently serving in the armed forces

I am a veteran (ex-armed forces)

I am part of a military family

I have caring responsibilities (e.g. foster carer, unpaid carer supporting my child or other family member)

I am a parent/carer of a child with additional support needs (SEND or mental health — no formal diagnosis required)

None of the above apply

Section 7 of 15 - Health disabilities and learning difficulties

Do you have any learning difficulties, disabilities, or health conditions that affect your learning?(Required)

Yes

Please tell us which apply to you (you can select more than one)(Required)

Autism spectrum condition (including Asperger’s)

ADHD

Dyslexia

Dyscalculia

Dyspraxia or other specific learning difficulty

Moderate learning difficulty

Severe or profound learning difficulty

Down syndrome

Mental health condition (e.g. anxiety, depression)

Social or emotional difficulties

Speech, language or communication needs

Hearing impairment

Visual impairment

Disability affecting mobility

Long-term health condition (e.g. asthma, epilepsy, diabetes)

Temporary condition due to illness or injury (e.g. post-viral, recovery)

Other (please specify)

Prefer not to say

Which of these affects your learning the most?(Required)

If you selected “Other”, please tell us more about your learning difficulties, disabilities, or health conditions, and how they may affect your learning.(Required)

Do you have any barriers to learning? (Please select all that apply)(Required)

Childcare responsibilities

Transport issues

Financial difficulties

Work commitments

Confidence or anxiety

Housing, family or personal circumstances

Other

None of these apply to me

Please specify your other barrier:(Required)

Is there anything you would like your tutor to know about your learning needs, or any challenges or barriers that may affect your participation? What helps you feel comfortable and supported during learning? (e.g. having breaks, a quiet space, or support from others)(Required)

Will you be bringing someone with you to support you during the course? (for example, a family member, friend or support worker)(Required)

Yes

Please tell us how this person will support you during the course(Required)

Is this is the same person as your emergency contact?(Required)

Yes

Name(Required)

First Last

Phone(Required)

Email(Required)

What is the relationship of this person to you? (e.g. family member, friend, support worker)(Required)

Section 8 - Language and Communication Needs

Is English your first language?(Required)

Yes

If English is not your first language, please tell us what your first language is:(Required)

Can you read and write in English on your own?(Required)

Yes, confidently

Yes, but I sometimes need support

A little (I need support to read and write in English)

No, I cannot read or write in English on my own

Section 9 of 15 - Qualifications

What is the highest level of qualification you currently hold?(Required)

No formal qualifications

Level 1 or below (e.g. 1–4 GCSEs at grades 1–3 / D–G, NVQ Level 1, entry level qualifications)

Level 2 or above (e.g. 5+ GCSEs at grades 9–4 / A*–C, NVQ Level 2, at least 1 A level, Intermediate, GNVQ, BTEC First or similar)

Level 3 or above (e.g. A levels, NVQ Level 3+, HND, degree, or higher)

Section 10 of 15 - Courses of Interest

Do you already have a course in mind that you would like to join?(Required)

Yes

Please tell us which course you are interested in:(Required)

Please tell us the ages of your children (to confirm course suitability) Please tell us what support your child is currently receiving (including school or other services) and whether you’ve taken any similar courses before?(Required)

Please select the course areas you are interested in exploring (for yourself or to support someone else):(Required)

Family Learning (Supporting Children and Young People)

ESOL (English for Speakers of Other Languages)

English Skills

Maths & Numeracy

Work, Employment & Skills for Jobs

Wellbeing & Confidence

Life Skills and Independent Living

Money Management

Family Learning - Supporting Young Children - (for parents/carers of primary school-aged children, typically from age 4)

Creative Learning with Your Child

Families Reading Every Day (for parents/carers of primary school-aged children

Family Learning Rocks (for parents/carers of primary school-aged children

Family Wellbeing: Stronger Together (for parents/carers of primary school-aged children

Helping My Child Build Concentration and Resilience (for parents/carers of primary school-aged children

Helping My Child Build Positive Connections (for parents/carers of primary school-aged children

Helping My Child Develop Listening and Attention Skills (for parents/carers of primary school-aged children

Helping My Child to Prepare Positively for Change (for parents/carers of primary school-aged children

Helping My Child with Anxiety and Worry (for parents/carers of primary school-aged children

Understanding School Anxiety: Early Signs of EBSA (Emotionally Based School Avoidance) – for early stages before additional support is in place

Story Box

Supporting Myself to Support My Child

Family Learning (Supporting Teenagers)

Supporting My Teen to Understand Their Skills (for parents/carers of children aged 12+)

Supporting My Teen with Anxiety (for parents/carers of children aged 12+)

Supporting My Teen with Study and Revision (for parents/carers of children aged 12+)

Supporting My Teen with Transitions to Adulthood (for parents/carers of children aged 14–18)

Supporting My Teen with Wellbeing (for parents/carers of children aged 12+)

Supporting Myself to Support My Child

ESOL (English for Speakers of Other Languages)

ESOL: New to English

ESOL: Reading and Writing in English

ESOL: English for Everyday

ESOL: English for Life

ESOL: English for Health and Wellbeing

ESOL: Boost Your English

ESOL: English for Work

ESOL: Enhance Your English

ESOL Creative Learning

Family ESOL: Creative Learning with Your Child

For learners whose first language is not English.

Have you taken part in English classes before?(Required)

Yes

If yes, please tell us about the English classes you have taken before (e.g. where, when, and level).(Required)

Please tell us anything you find difficult when reading, writing or speaking English:(Required)

English Skills

Developing English Skills

For learners who already feel confident speaking English and want to improve reading, writing or communication.

Maths & Numeracy

Building Maths Skills

Build confidence with everyday maths skills.

Work, Employment & Skills for Jobs

Applying for Work

Communication for Work

Customer Service

Planning for Work

Working in Early Years

Working in Schools

Connect to Work: Resilience and Readiness

Resilience and Readinesss

Prepare for work, volunteering or your next step.

Wellbeing & Confidence

Confidence and New Directions

Discovering Confidence

Discovering Heathy Living

Discovering Resilience

Discovering Wellbeing

Discovering Art for Wellbeing

Positive Futures

Walk and Talk for Wellbeing

Wellbeing

Build confidence and support your mental wellbeing.

Life Skills and Independent Living (for adults with additional needs)

Exploring Baking

Exploring Celebrations Around the World

Exploring Conflict Resolution

Exploring Easy Meals

Exploring My Skills

Exploring Positive Emotions

Exploring Volunteering

Communication Smart

Community Smart

Confidence Smart

Eat Smart

Health Smart

Home Smart

Money Smart

Develop skills for everyday life, health and independence.

Money Management

Balance Your Budget

Budgeting for Work

Live for Less

Shop for Less

Learn to manage money, budgeting and saving.

Section 11 of 15 - Learning Purpose - What would you like to gain from this course?

Please select your intended Learning Purpose(Required)

Engaging and/or building confidence

Preparation for further learning

Preparation for employment

Improving essential skills (English, ESOL, maths, digital)

Equipping parents/carers to support children’s learning

Health and well-being

Developing stronger communities

Please tell us why you would like to take part in a Family and Community Learning course, and what would you like to learn?(Required)

Have you taken part in any similar courses before, with another provider?(Required)

Section 12 of 15 – Course Information

Please note: bookings close seven days before the course starts

All of our online courses begin with a 30-minute welcome meeting, which you only need to attend once before starting your first course. During the meeting, we will show you how to use itslearning (our online platform), explain how your sessions will run, and ask you to complete a short survey to help your tutor understand your starting point. The welcome meeting takes place online via Microsoft Teams, and a joining link will be provided.

We run online welcome meetings at the following days and times. Please select any options that work for you:(Required)

Monday 10:00am – 10:30am

Tuesday 10:00am – 10:30am

Wednesday 1:30pm – 2:00pm

Thursday 10:00am – 10:30am

Friday 10:00am – 10:30am

I want to attend an in person course option

A member of our team will contact you after you submit your enrolment form to arrange your welcome meeting and answer any questions you may have.

Learning venue preference(Required)

I would like to learn in a Wiltshire venue

I would like to learn online

I would like to learn either at a venue in Wiltshire or online

What IT equipment will you use to access the online course?(Required)

Laptop

Desktop computer

Tablet (e.g. iPad)

Smartphone (mobile phone)

I do not have access to a device

Other (please specify)

If you selected “Other”, please tell us more:(Required)

How confident do you feel using a device and joining online sessions (e.g. Microsoft Teams)?(Required)

Very confident – I can do this on my own

Quite confident – I may need a little help

Not very confident – I would need support

Not confident at all – I would need full support

Section 13 of 15 - Photograph Consent

If you are happy for us to use photographs or videos of you on our website or our promotional materials, please sign the consent section below. Images and photographs will only be used to promote or publicise Wiltshire Council’s Family and Community Learning service and will not be used for anything that may cause offence, embarrassment or distress. Images and photographs will not be passed to the media or any other third party without your consent. All photographs and images will only be retained for a period of two years.

Please select as appropriate(Required)

Yes - I consent to Wiltshire Council taking and publishing photographs and/or images of me for the purpose of promoting or publicising Family and Community Learning.

No – I do not consent to Wiltshire Council taking and publishing photographs or images of me for the purpose of promoting or publicising Family and Community Learning

Name(Required)

First Last

Date(Required)

Month

Day

Year

Section 14 of 15 - Learner Declaration

I agree to enrol on the course I have selected. I confirm all of the personal information on this form is correct. I declare I have correctly identified my income and benefits status and that I fulfil the residency regulations for the Department for Education in England. I understand if I have declared false information the provider may take action against me to reclaim any funding that has supported my learning.

Declaration(Required)

I confirm that the information I have provided is correct to the best of my knowledge.

I confirm that I have completed this form on behalf of the learner and that the information provided is correct to the best of my knowledge.

Name(Required)

First Last

Date(Required)

Month

Day

Year

Phone(Required)

Email(Required)

Relationship to learner (e.g. parent, carer, support worker)(Required)

Section 15 of 15 - Privacy Notice

PRIVACY NOTICE 2025-2026 This privacy notice is issued on behalf of the Secretary of State for the Department of Education (DfE) to inform learners about the Individualised Learner Record (ILR) and how their personal information is used in the ILR. Your personal information is used by the DfE to exercise our functions under article 6(1)(e) of the UK GDPR and to meet our statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009. Our lawful basis for using your special category personal data is covered under Substantial Public Interest based in law (Article 9(2)(g)) of UK GDPR legislation. This processing is under Section 54 of the Further and Higher Education Act (1992). The ILR collects data about learners and learning undertaken. Publicly funded colleges, training organisations, local authorities, and employers (FE providers) must collect and return the data each year under the terms of a funding agreement, contract or grant agreement. It helps ensure that public money is being spent in line with government targets. It is also used for education, training, employment, and well-being purposes, including research. We retain your ILR learner data for 20 years for operational purposes (e.g. to fund your learning and to publish official statistics). Your personal data is then retained in our research databases until you are aged 80 years so that it can be used for long-term research purposes. For more information about the ILR and the data collected, please see the ILR specification at https://www.gov.uk/government/collections/individualised-learner-record-ilr ILR data is shared with third parties where it complies with DfE data sharing procedures and where the law allows it. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact learners to carry out research and evaluation to inform the effectiveness of training. For more information about how your personal data is used and your individual rights, please see the DfE Personal Information Charter ( https://www.gov.uk/government/organisations/department-for-education/about/personal-information-charter ) and the DfE Privacy Notice ( https://www.gov.uk/government/publications/privacy-notice-for-key-stage-5-and-adult-education ) If you would like to get in touch with us or request a copy of the personal information DfE holds about you, you can contact the DfE in the following ways: • Using our online contact form https://form.education.gov.uk/service/Contact_the_Department_for_Education • By telephoning the DfE Helpline on 0370 000 2288 • Or in writing to: Data Protection Officer, Department for Education (B2.28), 7 & 8 Wellington Place, Wellington Street, Leeds, LS1 4AW If you are unhappy with how we have used your personal data, you can complain to the Information Commissioner’s Office (ICO) at: Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF. You can also call their helpline on 0303 123 1113 or visit https://www.ico.org.uk Date last updated: April 2025

Consent(Required)

By submitting this form, I confirm that I am happy for my information to be used by Wiltshire Council and the Department for Education.

In order to improve our provision you may be contacted after you have completed your programme of learning, including to establish whether you have entered employment or gone into further training or education.(Required)

I agree to be contacted about this and/or about future learning opportunities.

Identification (ID requirement) - As our courses are funded by the government, we will ask you to bring ID to your welcome meeting. If you are unsure what type of ID to bring, we can let you know.

Please click ‘Submit’ once you have completed the form.

Family & Community Learning Enrolment Form – 2026-2027

Family and Community Learning - Course Enrolment Form 2026-2027

Section 1 of 15 - Referral Information

Section 2 of 15 - Personal Details

Section 3 of 15 - Emergency Contact (In case we need to contact someone in an emergency, please provide their details below)

Section 4 of 15 - Ethnicity

Section 5 of 15 - Residency & Nationality (legal status)

Section 6 of 15 - Employment & Eligibility

Section 7 of 15 - Health disabilities and learning difficulties

Section 8 - Language and Communication Needs

Section 9 of 15 - Qualifications

Section 10 of 15 - Courses of Interest

Section 11 of 15 - Learning Purpose - What would you like to gain from this course?

Section 12 of 15 – Course Information

Section 13 of 15 - Photograph Consent

Section 14 of 15 - Learner Declaration

Section 15 of 15 - Privacy Notice

Identification (ID requirement) - As our courses are funded by the government, we will ask you to bring ID to your welcome meeting. If you are unsure what type of ID to bring, we can let you know.