AEB ILR Form Level 1 + 2

Creative ReWork Plus Enrolment Form

Please complete as best as possible
How We Use Your Personal Information: The personal information you provide will only be used for the purposed of the above stated project by Rinova Ltd and kept on file for the duration stated by the funding providers. The information will be is passed to the relevant project partners and the relevant funding agencies. Further information about use of and access to your personal data, and details of organisations with whom we regularly share data are available at: http://www.rinova.co.uk/privacy-notice/
Information given on this form is covered under the Data Protection Act 1998. You have a right to see the information which is being held about you. Information may also be shared with your agreement with other organisations providing learning, support and employment opportunities.

Learners are required to have Unique Learner Numbers (ULN). If the Learner does not have one this can be obtained by registering the Learner. All learners are asked to read the LRS Privacy Notice found here: https://www.gov.uk/government/publications/lrs-privacy-notices/lrs-privacy-notice so that they can be registered for a ULN.

Version 2 – August 2023 AEB – Jobs and Skills for Londoners – ILR
Creative ReWork Plus are excited about delivering Dance Leadership qualifications in Level One and Level Two.

Participants are required to attend full day sessions twice a week for the duration of the course.

Level One Dates:

Intensive Week - Tuesday 22nd - Friday 25th April

Or

Week One - Tuesday 29th April & Thursday 1st May

Week Two - Tuesday 6th May & Thursday 8th May

Week Three - Tuesday 13th May

Level Two Dates:

Week One - Monday 16th June & Wednesday 18th June

Week Two - Monday 23rd June & Wednesday 25thJune

Week Three - Thursday 3rd July & Friday 4th July

Week Four - Monday 7th June & Wednesday 9th June

We look forward to working with you supporting your artistic practice and development.
UKPRN
Learner Reference Number
Previous UKPRN
if applicable
Personal Details*
This section is for Office Use Only

Learner Information
Postcode prior to enrolment *
If you've moved house in the UK since gaining your last qualification. If not, enter your current postcode.
National Insurance Number*
Sex*
Ethnicity*
Prior Attainment Level
Please select your highest qualification level achieved (Level 1 - 7 and above eg. GCSE grades 1-3/D-G = Level 1, MA - Level 7) For details follow this link https://www.gov.uk/what-different-qualification-levels-mean/list-of-qualification-levels *
This applies to any course you have completed, it doesn't have to be creative.
Date of Qualification Completion*

DayMonthYear
Date
For Office Use Only:

Planned learning Hours
Planned learning hours
Learner Support

Please complete all sections
Do you have any of the following in action (tick all that apply)?*

Education Health Care PlanHigh Needs StudentDisabled Student's AllowanceSpecial Educational NeedsLearning Support Costs (£)N/A
Are you in receipt of any of the following,*
Learner Support Reasons
Do you have a long-term disability, health problem or learning difficulty?*

Yes (1)No (2)Prefer not to say / N/A (9)
If you answered Yes (1) please indicate the reasons below
Primary LLDD and Health Problem Catagory
Employment
What is your current employment status? e.g. Are you in paid employment or are you unemployed? *
Employment Status Date. When did the above employment status start? *

DayMonthYear
Date - Please share date for your most recent/current employment status
Length of Unemployment. Only complete if you've answered unemployed above
If you answered employed, is this self-employment work?*

YesNo
Were you in full-time education or training just before the time of enrolment?*

YesNo
Benefit Status Indicator*
Please state which benefits you currently recieve
How many hours a week do you work? (If you are self-employed/freelance, please input an average and choose one number. For example 20 hours, not 20-25 hours. *
How long have you been in this employment for?*
This project is funded by the UK Government through the Adult Skills Fund. It is a requirement of the funders to ask the following sensitive questions. Please tick as appropriate for the following questions:*

Migrant learnerCare leaverPerson affected by the criminal justice systemLone parentPerson with caring responsibilitiesNone of the above
Creative Re Work Plus Dance Leadership Courses

Please confirm your attendance by ticking the box below. We kindly ask that you commit to these sessions twice a week for the duration of the course. The list of dates for both courses can be found above. Learners are required to be UK residents for at least 3 years.
Dance Leadership is a course that will enable you to develop your skills as educators and leaders. The courses offer an opportunity to enhance dance techniques and develop skills to support with delivering lessons/workshops in a range of settings (Professional/Community)

You will be taught by Jenny Hayes & Laura Hague in a London location.
Dance Leadership Level One Dance Leadership Level Two

I am attending Level OneI am attending Level Two
How did you hear about us?*
If you answered other, please state where.
I agree to be contacted by (Tick all that apply)*

PostEmailPhone
I agree to be contacted (Tick all that apply)*

About course or learning opportunitiesFor surveys and research
I certify that the information contained above is correct and I have seen and read the LRS Privacy Notice and the Rinova Privacy Notice.
Date

DayMonthYear
Date
Thank you so much for completing this Enrolment Form. We will contact you in the near future to discuss and complete your registration.

If you have any queries please contact us directly.

Many thanks

The Creative ReWork Team

https://creative-rework.org/
This project is funded by the UK Government through the Adult Skills Fund. It is a requirement of the funders to ask the following sensitive questions. Please tick as appropriate for the following questions:*

Migrant learnerCare leaverPerson affected by the criminal justice systemLone parentPerson with caring responsibilitiesNone of the above
Contact
Previous Learner Reference Number
if applicable
ULN
Learner Information

Please complete all sections
Should be Empty:

Creative ReWork Plus Enrolment Form

This section is for Office Use Only

Prior Attainment Level

For Office Use Only:

Learner Support

Employment

Creative Re Work Plus Dance Leadership Courses

Contact

Learner Information