Learner Enrolment

Please note you need to submit photographic ID such as a Passport or Drivers Licence. If you do not have any of these, not to worry but send us an email at [email protected]

"*" indicates required fields

First Name*

Last Name*

Phone*

Email*

Address*

Street Address Address Line 2 City Postcode

Date of birth (DD/MM/YYYY)*

Photo ID

Drop files here or

Max. file size: 2 MB, Max. files: 3.

Do you have any medical conditions or additional support needs that may affect your contribution to this course or access to a fair assessment?*

Yes

Please provide more details*

Privacy Notice

Why do we collect information about you?
When undertaking a regulated qualification, it is important that we are able to uniquely identify each learner. We do this by your name and date of birth. There may be a requirement for us to contact you after you have completed this qualification. This may be for the purpose of quality assurance, investigating incidents or replacing certificates. With your consent (below) your data will be shared with your training provider. We do not share your information with any other third parties. We will not contact you for any marketing purposes.

How long will you keep my data?
Your data is stored for the lifetime of your qualification, plus 2 years. This allows us to provide you with evidence in the future of your attainments. After this time your data is securely destroyed. You have a number of rights in relation to your data, including the right of access, to request an amendment and to restrict processing.

On occasion Hassocks Academy may want to contact you. This may be for quality assurance purposes, for information about events and special offers or to remind you about refresher training. Please use the boxes below to indicate that you would like to opt in-to these services. Your Training Provider will be able to provide you with a copy of their Privacy Policy on request.

Are you happy for Education and Academy to contact you, in regards to:

Requalification reminders:*

Yes

Events, new qualifications and services, and special offers:*

Yes

Signature*

Name

This field is for validation purposes and should be left unchanged.