Educafe's Accredited ESOL English Course Registration Form

Thank you for your interest in learning English with Educafe!

Join our accredited Educafe ESOL English Course –
Improvers (Entry 3) or Intermediate/Advanced (Level 1) and gain the skills and confidence to succeed in work, study, and everyday life!

COURSE INFORMATION:

12-week online course
2 hours per week (live online sessions)
100% attendance expected
Mandatory homework & assessments
Accredited qualification upon completion!

GAIN THIS ACCREDITED QUALIFICATION:

Improvers (Entry 3) start date - 7th May
Qualification Title: LASER Entry 3 Level Award for Learning, Employability and
Progression

Upper Intermediate/Advanced (Level 1) start date - 8th May
Qualification Title: LASER Level 1 Award for Learning,
Employability and Progression

For online courses, you’ll need WiFi, an email address, and a device with audio and video (PC, laptop, or phone). If you’re unfamiliar with online learning, we can help you with a connection and equipment check before your first class. A friend can also join you during lessons if you need extra support.

Eligibility:
Most courses are free for eligible West Berkshire residents who have lived in the UK for at least three years and hold settled status. You will need to provide ID, proof of residency, and any relevant visa documents. Asylum seekers must have been in the UK for a minimum of six months before applying. You will need to pay only:

• £30 Qualification Registration Fee

Important:
100% attendance is a mandatory.

Please complete the form carefully, and if you need assistance, feel free to contact us.
We look forward to helping you on your journey to improving your English!
Best wishes,
Educafe

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Post Code

Email

example@example.com

Phone Number

Home Phone

Date of Birth

Date

Age

Emergency contact details (must be 18+)

Contact name:

Relationship:

Phone Number:

Email address:

Please tell is if you have studied with Educafe or one of our partners before. Tick all that apply. I have studied with:

If you have studied with Educafe or BSE before, which courses did you attend?

Rows	Courses attended
ESOL Beginner
ESOL Improver
ESOL Advanced

My first language is

My English Level is

Previous highest level achieved (please tick the highest level achieved prior to the start of your course)

Which language support course would you like to join? Tick all that apply

Rows	I would like to join
Accredited ESOL Improver(Entry 3)
Accredited ESOL Upper-Intermediate / Advanced

Do you consider yourself to have a learning difficulty and/or disability and/or health issue?

Please tick the nature of any disability/learning difficulty by ticking the relevant boxes below. Tick all that are relevant.

Please tick your ethnic background:

Were you born in the UK?

Have you been permanently resident in the UK / EU / EEA for the last 3 years?

Country of residence before entering the UK

Date of entry to UK

Date

Please tell us about your employment status. We need evidence of this:

If you are currently looking for work, how long have you been unemployed?:

Are you employed or self-employed:

How many hours a week do you usually work?:

How long have you been working?:

Visa Type and Number:

Visa Expiry:

Do you have official status as an Asylum Seeker?

Do you have official status as a Refugee?

Please upload a copy or screenshot of your Universal Credit letter or proof of unemployment

Please upload a copy of your Passport or ID Card or letter from Home Office

BIOMETRIC RESIDENCE PERMIT ( BRP ) SIDE-1 (please upload a copy or Home Office Letter or Share Code letter)

BIOMETRIC RESIDENCE PERMIT SIDE-2 (please upload a copy or Home Office Letter or Share Code letter)

Please upload your Share Code to prove your immigration status

Proof of address (please upload a copy of Utility Bill, Council Tax, Bank Statement

Any questions? Please write them below:

I understand that 100% attendance required for this course. I understand that the course is FREE for eligible student, BUT I agree to pay £30 Qualification Registration FeeI understand that the homework & assessments are MANDATORY

Please choose:

Qualification Registration Fee - Improvers ENTRY 3

Qualification Registration Fee (Accredited Educafe ESOL English course - Spring / Summer 2025)

£30.00

Qualification Registration Fee - Intermediate-Advanced LEVEL 1

Qualification Registration Fee (Accredited Educafe ESOL English course - Spring / Summer 2025)

£30.00

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Educafe Privacy Statement for Language Support Courses

At Educafe CIC, we are committed to protecting your privacy and ensuring that your personal information is handled securely. This Privacy Statement explains how we collect, use, and share your personal data when you register for our language support courses. By providing your information, you agree to its processing as outlined below.

Information Collection
We collect personal information, including your name, gender, date of birth, ethnicity, address, telephone number, email address, and nationality, as required by government rules for enrolment and to support the delivery of language support courses.

Purpose of Data Collection
We use this information to comply with ESFA (Education and Skills Funding Agency) Funding Rules and to secure funding for Adult Skills Fund (ASF) courses. We may also collect data related to learning difficulties or disabilities to ensure appropriate learning adjustments.

Data Sharing
Your personal information is shared between Educafe and the relevant course partner, such as Berkshire School of English, Newbury College, or West Berkshire Council, to ensure the effective delivery of your course. Partners may maintain both paper and/or digital records of your data. All parties adhere to strict confidentiality and data protection standards.

Data Storage and Retention
Your information is securely stored in our database. Digital copies of personal and ID documents are destroyed after 12 months or sooner, while other data may be retained for up to 5 years, after which it will be securely deleted.

Your Rights
You have the right to request access, rectification, erasure, restriction of processing, or objection to the use of your personal data. If you have any concerns or wish to exercise these rights, please contact us.

Complaints
If you believe your data protection rights have been violated, you can file a complaint with the Information Commissioner's Office (ICO).

We are dedicated to safeguarding your privacy and complying with all applicable data protection laws. If you have any questions or need further information, please feel free to contact us.

EDUCAFE CIC

info@educafeuk.co.uk

Thank you so much for your interest in studying English with Educafe. We will let you know about your course as soon as possible. Please submit your form below.

Educafe's Accredited ESOL English Course

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