QCF-DIPLOMA ENROLMENT FORM

Tutorcare Limited, Spectrum House, Beehive Ring Road, Gatwick, RH6 0LG

Tel: 0800 781 2041 Fax: 0800 781 3625 www.tutorcare.co.uk Email: admin@tutorcareltd.co.uk


(To be completed by Tutorcare)

Section 1: Employee Personal Details

Name*
Date of Birth*
(DD/MM/YYYY)
Surname*
Gender*
Address line 1*
Address line 2
Town
Telephone Number
County
Mobile Number
Postcode
Email*

Section 2: Employment Status

Occupation Details (area of work) i.e. Care
Employer Name
Workplace Address  1
Workplace Address  2
Town/City
County
Postcode
Employer Tel Number:
Employer Contact:
Employer Website:
Employer Email

Section 3: Course Choice

Course Title:

Section 4: Do you have any Disability/Learning that may affect your attendance or inclusion?

 

Data Protection Act 1996 - Information given in this form is classified data and your consent is required before we can process it. By signing this form you give consent for your data to be processed preparation for enrolment on your pending training course.

Section 5: LEARNER

I declare that the information contained herein is accurate to the best of my knowledge. I give consent for Tutorcare to contact me to clarify information contained in this enrolment form should it be necessary. I have undergone mandatory in-house training provided by my employer and I have read the terms and conditions as shown at www.tutorcare.co.uk and agree to abide by them.

Date(DD/MM/YYYY)
Print name
This is an application to undertake a QCF Diploma with Tutorcare Ltd. The method of course delivery will be by E-Portfolio unless you tick this box to indicate that you require a paper-based service: -

Section 6: EMPLOYER (must be completed if the employer is paying for the course chosen)

I confirm that, to the best of my knowledge, the information on this form is correct. I declare that the above named learner is employed by me and that they have a contract of employment. If the above named learner is a volunteer within my organisation, they are unpaid. I have read the terms and conditions as shown at www.tutorcare.co.uk and agree to abide by them.

Date (DD/MM/YYYY)
Print name
Position
This is an application to undertake a QCF Diploma with Tutorcare Ltd. The method of course delivery will be by E-Portfolio unless you tick this box to indicate that you require a paper-based service: -