Name
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First Name
Last Name
Address
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Postcode
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Date of birth
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Please note this is an adult learning course for those aged 19+
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DD
YYYY
Email address
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Contact telephone number
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Employment Status
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I am unemployed but looking for work
I am unemployed but not looking for work
I am employed/self-employed for 0 to 10 hours per week
I am employed/self-employed for 11-20 hours per week
I am employed/self-employed for 21-30 hours per week
I am employed/self-employed for 31 hours or more per week
Do you currently have any dependents?
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No
Yes - 1
Yes - 2
Yes - 3+
What is the highest level of education you have received in your previous learning?
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Entry Level: Entry Level Functional Skills English and Maths or ESOL
Level 1: GCSE / O levels grades D-G or 3-1, GNVQ foundation, NVQ level 1, Intro diploma or certificate
Full level 2: 5+ GCSE / O levels grades A-C or 9-4 / CSEs grade 1, GNVQs Intermediate, NVQ level 2, QCF certificate level 2"
Other level 2: 1 to 4 GCSEs / O levels at grades A-C or 9-4
Full level 3: 2 or more A levels, 4 or more AS levels, QCF Diploma level 3, QAA access to HE, Advanced GNVQ
Other level 3: A single A level or 1 to 3 AS levels
Level 4: Certificates of higher education, QCF Level 4 award, certificate or diploma, NVQ Level 4, HNC
Level 5: Foundation degree, QCF Level 5 award, certificate or diploma, NVQ Level 5, HND
Level 6: Bachelor degree, graduate cert/diploma, QCF Level 5 award, certificate or diploma, NVQ Level 6
Level 7+: Doctorate, Masters, Postgrad cert/ diploma, QCF Level 7+ award/cert/diploma
Other qualification, level not known
Not known
No qualifications
Are you currently studying or training elsewhere?
If yes, please give details
Current salary
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Unemployed
Below £16,000
Between £16,000 and £21,157
Between £21,157 and £23,302
Between £23,302 and £25,300.60
If you live in a family unit home (e.g. with parents or a partner) what is your total household income?
What is the highest level of education your parents have received?
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Entry Level: Entry Level Functional Skills English and Maths or ESOL
Level 1: GCSE / O levels grades D-G or 3-1, GNVQ foundation, NVQ level 1, Intro diploma or certificate
Full level 2: 5+ GCSE / O levels grades A-C or 9-4 / CSEs grade 1, GNVQs Intermediate, NVQ level 2, QCF certificate level 2"
Other level 2: 1 to 4 GCSEs / O levels at grades A-C or 9-4
Full level 3: 2 or more A levels, 4 or more AS levels, QCF Diploma level 3, QAA access to HE, Advanced GNVQ
Other level 3: A single A level or 1 to 3 AS levels
Level 4: Certificates of higher education, QCF Level 4 award, certificate or diploma, NVQ Level 4, HNC
Level 5: Foundation degree, QCF Level 5 award, certificate or diploma, NVQ Level 5, HND
Level 6: Bachelor degree, graduate cert/diploma, QCF Level 5 award, certificate or diploma, NVQ Level 6
Level 7+: Doctorate, Masters, Postgrad cert/ diploma, QCF Level 7+ award/cert/diploma
Other qualification, level not known
Not known
No qualifications
Are you currently in receipt of any benefits? If so, please state which
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No
Yes - Job Seekers Allowance
Yes - Employment Support Allowance (WRAG)
Yes - Universal Credit
Yes - Other
Prefer not to say
Do you identify as Black, Brown, Asian and/or a Person of Colour and/or from a minoritised ethnic group?
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Yes
No
What is your ethnic origin?
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Do you identify as a member of the LGBTQIA+ community?
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Yes
No
Prefer to self describe
Prefer not to say
Is your gender identity the same as the sex you were assigned at birth?
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Yes
No
Prefer not to say
Prefer to self-describe
What pronouns do you use/how would you like us to refer to you?
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Do you identify as disabled?
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This course is in Practical Horticulture Skills with an emphasis on training participants for work in the industry Please use this space to share what kinds of roles you might be interested in exploring in horticulture and why you are interested in joining the industry 3 sentences max
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This information will not impact your eligibility for a free place.
Please confirm that you are happy for us to contact you by email/phone about this training
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Would you like to sign up for our mailing list?
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Sign up with your email address to receive updates about the Garden, including special offers, workshops, fundraising & events.
Where did you hear about this training?
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If you are completing this submission as a referral please add your own (ie the referrer) name, organisation and contact information here
