Participant Enrolment Form
Participant Details
Full Name
Postcode
Borough
Contact Number
DOB
Gender
Male
Female
Other
Prefer not to say
Employment Status on Joining (Labour Market Status)
Please tick and provide details where necessary:
Out of Work – looking for work
Out of Work – Not looking for work
Employed
Studying
Highest Educational attainment upon joining
Below Primary education
Primary education or equivalent
Lower secondary education or equivalent
Upper secondary education or equivalent
Post-secondary education or equivalent
Higher education or equivalent
Not Known
None
Does the Participant have at least a Level 2 or equivalent of GCSE A-C/level 4 in Math and English?
Yes
No
If no, please provide more detail:
Where appropriate, highest level of qualification completed in English (if known)
Pre-entry
Entry 1
Entry 2
Entry 3
Level 1
Level 2
The Equality Act 2010 defines a disabled person as a person with a disability. A person has a disability for the purposes of the Act if he or she has a physical or mental impairment and the impairment has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities.
This means that, in general:
the person must have an impairment that is either physical or mental
the impairment must have adverse effects which are substantial
the substantial adverse effects must be long-term
the long-term substantial adverse effects must be effects on normal day-to-day activities
Under the definition of the 2010 Equality Act, do you consider yourself to be disabled?
Yes
No
Prefer not to say
Participant Equalities Characteristics
Ethnic Origin
White – English/Welsh/Scottish/Northern Irish/British
White – Irish
White - Gypsy or Irish Traveller or Roma
White - Other
Asian or Asian British – Indian
Asian or Asian British - Pakistani
Asian or Asian British – Bangladeshi
Asian or Asian British –Chinese
Asian or Asian British - Other
Black or Black British – African
Black or Black British – Caribbean
Black or Black British – Other
Mixed/Multiple Other
Mixed /Multiple White and Asian
Mixed /Multiple– White and Black African
Mixed / Multiple– White and Black Caribbean
Other Ethnic Group - Arab
Other Ethnic Group - Other
Prefer not to say
Barriers
Please give a summary of barriers that have prevented the participant from accessing adult education, including if these barriers specifically relate to math or numeracy learning.
These might include but not limited to:
Childcare, low income, disability or health conditions, confidence (especially for math/numeracy learning), negative experience of learning (especially for math/numeracy learning), awareness of opportunities, homeless, ex-offenders.
Do any of the barriers identified relate to Numeracy?
Yes
No
Engagement Activities
Please give a summary of how the project is going to help the Participant to access adult education opportunities and what engagement activities they will undertake whilst engaging on the project.
These might include but not limited to:
Description of activities, one to one sessions, sign posting, group sessions or workshops.
Privacy Notice
1. Who we are
The Greater London Authority (GLA) is London’s regional government. The Mayor of London provides citywide leadership, and the London Assembly is a watchdog for London responsible for holding the Mayor and his advisors to public account.
2. Purpose
The Skills for Londoners Community Outreach Programme is a vital initiative led by the Mayor of London, dedicated to enhancing adult education and skills provision throughout the city. This Programme is aiming to make adult education more accessible, relevant, and community oriented. The aim of the Programme is to increase participation in education, raise awareness, overcome barriers and to promote opportunities to adult education.
We are collecting data on individuals involved within the Skills for Londoners Community Outreach Programme to help the GLA understand how well the Programme activities are working and if they are achieving their outcomes.
3. The nature of your personal data we will be using
The categories of your personal data that we will be using for this project are:
· your full name
· your postcode
· your email address
· your telephone number
· your date of birth
· your gender
· your employment status
· your prior educational attainment
· your disability and health conditions information
· your ethnic origin
· your destination information (where you go when you leave the project)
You should note that our use of your personal data is limited to processing for the purposes listed above.
4. Why we ask providers to collect your personal information on our behalf
a. Quality checking.
b. Market Research, engagement and programme tracking to understand which organisations are involved, how we can improve the programme etc.
c. Research and evaluation purposes including surveys and interviews as part of the process and impact evaluation and User Centred Design interviews and processes.
5. Our legal basis for collecting your personal information.
We collect personal information only where we need to and law permits. In order for our use of your personal data to be lawful, we need to meet conditions in the data protection legislation. For the purpose of this programme, the relevant condition(s) that we are meeting are:
1. Article 6 (1)(e): It is necessary to collect data from users in order to effectively access the service and to evaluate outcomes of the service. The legal basis is public task and the legal gateway is Section 87 of the Education and Skills Act 2008.
2. Article 6 (1)(f): It is necessary to collect data from users as the processing is necessary for the organisation’s legitimate interests or the legitimate interests of a third party unless there is a good reason to protect the individual’s individual data that overrides those legitimate interests.
6. How we use your personal information
Personal information collected from organisations is treated as confidential and collected only for the purposes set out in point 5. Any information shared publicly will be anonymised so you cannot be identified.
7. Who we will make your personal data available to
We sometimes need to make personal data available to other organisations. These include the Department for Education (DfE) who are Joint Controllers for the purposes of Data Protection Legislation with respect to Learner and Provider participation data and Provider performance data, contracted partners whom we may employ to process your personal data on our behalf and/or other organisations (with whom we need to share your personal data for specific purposes, including research and evaluation).
For the purposes of this project, we need to share your personal data with external evaluators working for the GLA under contract who may:
· Contact you directly to invite you to take part in research (e.g., qualitative interviews and/or surveys) to understand your experience with the programme. Participation in the research is voluntary. If you do not want to participate in these interviews/surveys, you can request this from our 3rd party contractor if you are contacted.
8. How long we will keep your personal data
We will keep your personal data in its original format for a maximum of 7 years, after which point it will be securely destroyed. However, the GLA will conduct reviews every 2 years to test if it is necessary to still retain this data.
9. Request to access, rectify or erase your information
This service is optional for individuals to use. If you decide you do not want your data to be used, you can notify the GLA and withdraw from further involvement.
Under the Data Protection Act 2018, you are entitled to ask if we hold information relating to you and ask for a copy, by making a ‘subject access request’. Please visit https://www.gov.uk/data-protection for more information.
More information about use of and access to our personal data held by the GLA, details of organisations with whom the GLA regularly shares data, information about how long the GLA retain your data and how to exercise your rights is set out in the GLA Privacy Policy published here: https://www.london.gov.uk/about-us/governance-and-spending/privacy-policies/gla-privacy-policy
If you have a concern about the accuracy of personal information about you, if you want to erase or restrict use of your personal information, if you object to use of your personal data, if you wish to exercise rights in relation to automated decision-making or if you are unhappy with how we have used your personal information, please email: Data.Protection@london.gov.uk
You can also find more information from the Information Commissioner’s Office at https://ico.org.uk/for-organisations/guide-to-data-protection/guide-to-the-general-data-protection-regulation-gdpr/individual-rights/
If you have any questions about how your personal information will be used, please contact us at: SFLCommunityOutreachProgramme@london.gov.uk and enter Community Outreach Programme as a reference.
I confirm that:
¨ I have read and agree to the conditions indicated in the above Data Protection Enrolment Declaration.
¨ The information provided in this Enrolment Form is correct to the best of my knowledge.
¨ I will inform you of any changes in my circumstances which may affect my eligibility between now and the day I start on the project.
Print Name (Participant): …………………………………………………………
Participant Signature: …………………………………………………………
Date: ………………………………………