(insert Delivery agent id) EUROPEAN SOCIAL FUND SCOTLAND’S WORKFORCE’ ‘DEVELOPING ESF PARTICIPANT FORM 2017-18 The programme of study on which you are enrolled is part-funded by the european social fund PARTICIPANT Information (ALL FIELDS ARE MANDATORY) Title Surname Forename(s) Date Student National of birth / Insurance matriculation number number Address Place / Country of birth Postcode Nationality Home phone number / Email address Mobile phone number Course title and qualification level Course start date Course end date (DD/MM/YY) (DD/MM/YY) Status immediately prior to enrolment Select one option only. In education/ training < than 6 O O O O Registered unemployed < than 6 months Inactive < than 6 months Employed < than 6 months months O O O O Registered unemployed 6-12 months Inactive 6-12 months In education/ training 6-12 months Employed 6-12 months O O O O Registered unemployed 13-24 months Inactive 13-24 months In education/ training 13-24 months Employed 13-24 months O O O O Registered unemployed 25-36 months Inactive 25-36 months In education/ training 25-36 months Employed 25-36 months O O O O Registered unemployed over 3 years Inactive over 3 years In education/ training over 3 years Employed over 3 years Highest qualification level CURRENTLY HELD (prior to enrolment) Select one option only - please check SCQF level with staff You must be able to provide evidence of your stated current qualification O O O SCQF Level 4 or equivalent SCQF Level 7 or equivalent SCQF Level 10 or equivalent O O O SCQF Level 5 or equivalent SCQF Level 8 or equivalent SCQF Level 11 or equivalent O O O SCQF Level 6 or equivalent SCQF Level 9 or equivalent SCQF Level 12 or equivalent EQUAL OPPORTUNITIES MONITORING AGE GENDER CITIZENSHIP STATUS O O O O O Below 25 Years of Age Male EU Citizen UK Visa Holder Asylum Seeker O O O O Above 54 Years of Age Female Refugee Other O O Do you consider yourself to have a disability? Yes No ETHNICITY O O O O O White Scottish White English White Welsh White Irish Gypsy/Traveler/Roma
(insert Delivery agent id) EUROPEAN SOCIAL FUND ‘DEVELOPING SCOTLAND’S WORKFORCE’ ESF PARTICIPANT FORM 2017-18 The programme of study on which you are enrolled is part-funded by the european social fund PARTICIPANT Information (ALL FIELDS ARE MANDATORY) Title Date of birth Forename(s) Student / matriculation number Surname National Insurance number Address Place / Country of birth Postcode Nationality Home phone number / Mobile phone number Email address Course title and qualification level Course start date (DD/MM/YY) Course end date (DD/MM/YY) Status immediately prior to enrolment Select one option only. O Registered unemployed < than 6 months O Inactive < than 6 months O In education/ training < than 6 months O Employed < than 6 months O Registered unemployed 6-12 months O Inactive 6-12 months O In education/ training 6-12 months O Employed 6-12 months O Registered unemployed 13-24 months O Inactive 13-24 months O In education/ training 13-24 months O Employed 13-24 months O Registered unemployed 25-36 months O Inactive 25-36 months O In education/ training 25-36 months O Employed 25-36 months O Registered unemployed over 3 years O Inactive over 3 years O In education/ training over 3 years O Employed over 3 years Highest qualification level CURRENTLY HELD (prior to enrolment) Select one option only - please check SCQF level with staff You must be able to provide evidence of your stated current qualification O SCQF Level 4 or equivalent O SCQF Level 7 or equivalent O SCQF Level 10 or equivalent O SCQF Level 5 or equivalent O SCQF Level 8 or equivalent O SCQF Level 11 or equivalent O SCQF Level 6 or equivalent O SCQF Level 9 or equivalent O SCQF Level 12 or equivalent EQUAL OPPORTUNITIES MONITORING AGE GENDER CITIZENSHIP STATUS O Below 25 Years of Age O Male O EU Citizen O UK Visa Holder O Asylum Seeker O Above 54 Years of Age O Female O Refugee O Other Do you consider yourself to have a disability? O Yes O No ETHNICITY O White Scottish O White English O White Welsh O White Irish O Gypsy/Traveler/Roma
SFCGD082017_Annex_B_-_Participant_form_Word.docx