Student Reference 70216557

ULN
Enrolment and Learning Agreement 2022 / 2023

Please complete this form in BLOCK CAPITALS

1. Personal Details

Legal name as it appears on your birth certificate or passport. This will appear on any qualification certificates you receive.

Title Miss Surname / Family Name Simpson First Name(s) Halle

Preferred name(s) - these will appear on registers and other College systems

Surname / Family Name Simpson First Name Halle

Date of Birth Age at National Insurance

eg. 2-Mar-1984 09 Dec 2005 31-Aug-2022 16 Number PK977463D

Address 23 Marnock Road Postcode SE4 1EU

London

Home Tel.

Email Hallesim09@gmail.com Mobile Tel. 07908897637

Next of Kin / Emergency (first contact) - for students under 18 years this must be a parent/carer
Full
Name Carolyn Grant Relationship to you Mother

Email Cgrant254@gmail.com Mob 07539222488

Next of Kin / Emergency (alternative contact) - this person must be over 18

Full
Name Raquel Barker Relationship to you Sister

Email raquelrb@live.co.uk Mob 07506 305267

Previous School Date of last attendance

Prendergast School (Hilly Fields College) 24 Jun 2022

LEB: Corinne Riordan EF2223-01

2. Equalities and support
We want to ensure that all learners feel welcome and are able to study, achieve and progress. We collect information on age,
sex, gender, sexual orientation, disability, religion and ethnic origin to monitor our performance on equality and diversity and
improve what we do to make your experience better. The information on disability also helps us to identify anyone that may
need additional support.

Sex Gender identity: Which of the following

(legal status)
þ Female ¨ Male describes how you think of yourself? þ Female ¨ Male

¨ Non-Binary ¨ Transgender

Sexuality þ Bisexual ¨ Heterosexual/Straight ¨ Homosexual/Gay Man ¨ Lesbian/Gay Woman

¨ Prefer not to say

Religion / Faith ¨ Agnostic þ Atheist ¨ Buddhist ¨ Christian

¨ Hindu ¨ Jewish ¨ Muslim ¨ Sikh
¨ Prefer not to say ¨ Other

What is your nationality? English What is your first language? English

Ethnic Origin
White Mixed / Multiple ethnic group Asian / Asian British

¨ 31 English / Welsh / Scottish / N Irish / British ¨ 35 White / Black Caribbean ¨ 39 Indian

¨ 32 Irish ¨ 36 White / Black African ¨ 40 Pakistani
¨ 33 Gypsy / Irish Traveller ¨ 37 White / Asian ¨ 41 Bangladeshi
¨ 34 Any other white background ¨ 38 Any other mixed /multiple ethnic ¨ 42 Chinese
background ¨ 43 Any other Asian
Black / African / Caribbean / Black British Other ethnic group background
¨ 44 African ¨ 47 Arab
þ 45 Caribbean ¨ 98 Any other ethnic group
¨ 46 Any other black background ¨ 99 Not provided

Are you currently in local authority / foster care? ¨ Yes þ No If yes, with which local authority?

Have you recently left local authority / foster care? ¨ Yes þ No

Foster Carer

Name Mob Email

Social Worker

Name Mob Email

Do you consider yourself to have a learning difficulty, disability or a health problem? ¨ Yes þ No

If "YES" please put a 1 in the box next to the category that you believe has the biggest impact on your learning, then tick any
other boxes that you feel describe your difficulty, disability or problem.
¨ 4 Visual impairment ¨ 11 Severe learning difficulty ¨ 94 Other specific learning difficulty
¨ 5 Hearing impairment ¨ 12 Dyslexia ¨ 95 Other medical condition
¨ 6 Disability affecting mobility ¨ 13 Dyscalculia ¨ 96 Other learning difficulty
¨ 7 Profound complex disabilities ¨ 14 Autism spectrum disorder ¨ 97 Other disability
¨ 8 Social and emotional difficulties ¨ 15 Asperger's syndrome ¨ 98 Prefer not to say
¨ 9 Mental health difficulty ¨ 16 Temporary disability after illness
¨ 10 Moderate learning difficulty ¨ 93 Other physical disability

Do you have an Education, Health and Care Plan? ¨ Yes þ No

EF2223-02
3. Criminal Convictions

Do you have any pending prosecutions or criminal convictions, which are not yet spent under the rehabilitation of Offenders Act
1974? (For further advice regarding unspent convictions contact NACRO at www.nacro.org.uk)
¨ Yes þ No

4. Eligibility

Are you currently attending another school or college? ¨ Yes þ No

Have you lived outside of the UK in the last 3 years? ¨ Yes þ No

Were you born outside of the UK? ¨ Yes þ No

Evidence reference number or

Proof of identification UK Passport EU Settled Status share code
553874343

If you were born outside of the UK, then please list the countries you have lived in since birth and be aware that we will need to see visa
and/or Home Office paperwork
Name of Country Date From Date To

We need to know your reason for being in the UK, so please select the relevant status from below

Asylum Seeker ¨ Yes þ No Settled status ¨ Yes þ No

Deportation Order ¨ Yes þ No EU citizen settled status ¨ Yes þ No

Exceptional leave to remain ¨ Yes þ No EU pre-settled status ¨ Yes þ No

Indefinite leave to remain ¨ Yes þ No Student visa ¨ Yes þ No

Full refugee status ¨ Yes þ No Limited leave to enter / remain ¨ Yes þ No

Ukraine Family Scheme /
Sponsorship Scheme ¨ Yes þ No

When does your current status expire?

5. Students' Union & LSEC Alumni Association Membership

Student Union: As a college student you are entitled to be a member of the Students' Union. If you choose not to be a member, you will not be able to take
part in any elections and may not be able to take part in activities organised by the Students' Union or have your opinions represented at Students' Union
Meetings.

Would you like to be a member of the Students' Union ¨ Yes þ No

Alumni: You will always be part of the LSEC community even when your studies are complete, we would love for you to join our Alumni Association, you can
opt in by ticking yes in the box below. Please note: You can opt out at any time, to do this and find out more information please visit our web page
https://www.lsec.ac.uk/alumni-association

Would you like to opt in to the LSEC Alumni ¨ Yes þ No

Are you aged 18 or under on the 31 August 2022? þ Yes ¨ No

If you have answered "YES", then sections 6, 7 & 8 will be blank If you have answered "NO", then please complete sections 6, 7 & 8

EF2223-03
6. Employment status

Please choose the box that best describes you and tick the relevant statement
I am employed and work... (please state the relevant
employment status below) If you are on a zero hour contract
please estimate your average weekly hours. How long have you been with your current employer?
¨ 0 - 10 hours per week ¨ For up to 3 months
¨ 11 - 20 hours per week ¨ 4 - 6 months
¨ 21 - 30 hours per week ¨ 7 - 12 months
¨ 31+ hours per week ¨ More than 12 months
¨ I am self employed

Not in paid employment

I am not in paid employment (unemployed) and I am... (please state how long you have been unemployed)
¨ Looking for and available to start work
¨ Less than 6 months
¨ Not looking for work and/or not available to start work
¨ 6 - 11 months

Reason for unemployment ¨ 12 - 23 months

¨ Due to redundancy ¨ 24 - 35 months

¨ 36 months or more
¨ Reason(s) other than redundancy

Low Income
If you are on a low income please select the relevant statement below. You will need to provide a contract of employment
showing your salary or payslips for the 3 months before the start date of the course or your P60 from April 2022 if you are self
employed

¨ I do not live within a London postcode, I am employed and earn less then £18,525.00 per year

¨ I live in a London postcode, I am employed and earn less then £21,547.50 per year

7. Benefit Status -Self Declaration

I am in receipt of a state benefit, I earn less than £345 on average (if I am the sole adult) or £552 a month (if
I make a joint claim with my partner) and I intend to use this course to directly improve my employment
prospects (to gain employment or progess in to more sustainable employment) in the local labour market.
¨ Yes þ No

If "YES", please supply some additional information, if "No", please go to the next question

Job Seeker's Allowance ¨ Yes þ No This is a formal declaration to

the college and/or ESFA/GLA,
Universal Credit (Work Related, Work Prep or Work Focused) ¨ Yes þ No please only tick yes if you could
produce evidence if required at a
Employment Support Allowance ¨ Yes þ No later date.

Income Support ¨ Yes þ No

8. Household situation

Please tick which of the following statements apply (one or more may apply):

¨ No member of the household in which I live (including myself) is employed

¨ The household that I live in includes only one adult (aged 18 or over)
There are one or more dependent children (aged 0-17 years or 18-24 years if full time student or inactive) in the
¨ household

¨ None of these statements apply OR ¨ I confirm that I wish to withhold this information

EF2223-04
9. Privacy Notices

Individualised Learner Record (ILR) Privacy Notice

This privacy notice is issued by the Education and Skills Funding Agency (ESFA) on behalf of the Secretary
of State for the Department of Education (DfE) to inform learners about the Individualised Learner Record
(ILR) and how their personal information is used in the ILR. Your personal information is used by the DfE to
exercise our functions under article 6(1)(e) of the UK GDPR and to meet our statutory responsibilities,
including under the Apprenticeships, Skills, Children and Learning Act 2009.

The ILR collects data about learners and learning undertaken. Publicly funded colleges, training organisations, local
authorities, and employers (FE providers) must collect and return the data to the ESFA each year under the terms of a funding
agreement, contract or grant agreement. It helps ensure that public money distributed through the ESFA is being spent in line
with government targets. It is also used for education, training, employment, and well being purposes, including research. We
retain ILR learner data for 3 years for operational purposes and 66 years for research purposes. For more information about
the ILR and the data collected, please see the ILR specification at https://www.gov.uk/government/collections/individualised-
learner-record-ilr
ILR data is shared with third parties where it complies with DfE data sharing procedures and where the law allows it. The DfE
and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact learners to
carry out research and evaluation to inform the effectiveness of training.

For more information about how your personal data is used and your individual rights, please see the DfE Personal Information
Charter (https://www.gov.uk/government/organisations/department-for-education/about/personal-information-charter) and the
ESFA Privacy Notice (https://www.gov.uk/government/publications/esfa-privacy-notice)

If you would like to get in touch with us or request a copy of the personal information DfE holds about you, you can contact the
DfE in the following ways:

• Using our online contact form at https://www.gov.uk/government/organisations/department-for-

education/about/personal-information-charter
• By telephoning the DfE Helpline on 0370 000 2288
• Or in writing to – Data Protection Officer, Ministerial and Public Communications Division, Department for Education,
Piccadilly Gate, Store Street, Manchester, M1 2WD
If you are unhappy with how we have used your personal data, you can complain to the Information Commissioner’s Office
(ICO) at – Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF. You can also call their helpline on 0303 123 1113 or
visit https://www.ico.org.uk
Learning Records Service (LRS) Privacy Notice
The information you supply is used by the Learning Records Service (LRS). The LRS issues Unique Learner Numbers (ULN)
and creates Personal Learning records across England, Wales and Northern Ireland, and is operated by the Education and
Skills Funding Agency, an executive agency of the Department for Education (DfE). For more information about how your
information is processed, and to access your Personal Learning Record, please refer to:
https://www.gov.uk/government/publications/lrs-privacy-notices

What information do we collect and what is the basis for storing and processing your data?
Personal Information
such as name, address, date of birth and contact numbers
Health, Wellbeing and Safeguarding Information
such as Education, Health and Care Plan, looked after child status, health problems, next of kin/emergency contact, parent/guardian
details for under 18s, criminal convictions
Funding Eligibility Information
such as residency status, asylum details, employment status, benefit status, prior qualifications, initial assessment results
On Programme Information
such as attendance, disciplinary issues, academic progress, pastoral support, additional learning support
Completion and Destination
such as exam results, paper/unit scores, qualification achievement and destination to work, apprenticeship or HE
Protected Characteristics
such as ethnicity, nationality, gender, sexuality, religion

Basis for processing: Article 6 (1) (a) Public Task

As a publicly-funded learning provider we are expected to provide data to underpin funding and commissioning decisions, as well as inform
the work of Ofsted/Office for Students (OfS) and other government agencies.
Data is used to calculate funding, monitor performance against a contract and measure the effectiveness of learning.
We are required to send data for all learners, including learners studying a commercial course not funded by the ESFA/GLA.

Basis for Processing: Article 6 (1) (a) Consent and Special Category Data Article 9 (2) (d)
As a public body we are required to demonstrate that learners with protected characteristics are treated fairly and equally, however if you
choose not to disclose these details you may select that option at the time.
EF2223-05
Who will we share your data with?

Learners aged 18 and under on the 31st August 2022

• we will provide information about your progress, attainment and attendance to your parent(s)/carer(s) while you are
enrolled on a programme of study and for up to one year after your actual end date
• we will share details with Local Authorities and youth support services as they have responsibilities in relation to the
education or training of 13-19 year olds under section 507B of the Education Act 1996
• if you are an apprentice, we will provide information about your progress, attainment and attendance to your employer
while you are enrolled on a programme of study and for one year after your actual end date

Learners aged 19 or over on the 31st August 2022

• we will provide information about your progress, attainment and attendance to the Office for Students, Students Loan
Company, sponsor and/or employer as appropriate while you are enrolled on a programme of study and for one year
after your actual end date

For all learners

We will share information with:
• awarding bodies to enable registration, examination and certification
• software providers with whom we have a data sharing agreement, these companies will not share your data, they will
not use your data for any other purpose not connected to your programme of study and they will not contact you
• auditors checking our internal processes and funding claims, with whom we have a data sharing agreement, these
companies will not share your data, they will not use your data for any other purpose not connected to your programme
of study and they will not contact you
• in the event of a cause for concern, accident or medical emergency we will contact the person you have provided as
your emergency contact
• agencies outside the College if it is our reasonable belief that someone is at risk of significant harm or could be if the
information is not shared

If you have a specific reason for us not to share your data with any of these parties, please contact us at GDPR@lsec.ac.uk

Your right to access, rectification and deletion

You have the right to:

• request your personal information
• request that inaccurate data be rectified, please note that ESFA/GLA data must be recorded as it is on the day you start
your course and may not be amended in government returns
• request that your data is erased/destroyed, please note that ESFA/GLA data must be retained for audit purposes for up
to 10 years and can only be destroyed after this time has passed

If you would like to read the Privacy Statement in full please visit:
https://www.lsec.ac.uk/images/policies/Combined_-_LSEEG_GDPR_Policy_Sept19-Sept21-min-2.pdf

If you have any queries or questions you may contact our Data Controller at GDPR@lsec.ac.uk

Agreements and Declarations

I agree that I have received information, advice and guidance and that the suitability and entry requirement of the course have
been explained to me
I understand my course may be part funded by the European Union, via the European Social Fund if my course is funded/part
funded by the ESFA
I agree that the costs of the programme have been explained to me and that my place on the course is dependent on full
payment of these fees
I understand that refunds will only be issued if the College cancels the course, or in exceptional circumstances in line with the
Tuition Fees, Payments and Other Charges Policy - 2022/23
I accept that if my fees are paid on my behalf by a third party (such as an employer or the Students Loan Company) that I
remain liable for the full amount
Please note: if you choose to pay using a debit/credit card, these details will be stored securely in an encrypted format on a
third-party system

I agree to abide by the College policies, procedures, regulations and code of conduct, including wearing a valid ID at all times
on college premises
I confirm that I have read the Privacy Statements and understand how to request changes and find more information

EF2223-06
COURSE DETAILS
10. L2/L3 Qualification self declaration

I confirm that I have achieved a level 2 qualification ¨

I confirm that I have achieved a level 3 or higher qualification ¨
11. English and maths

If you have taken a GCSE in English, (including an iGCSE before 1-Nov-16), and/or a GCSE in maths please enter your
highest grade(s) in the boxes below.

GCSE English grade 4 GCSE maths grade 4

If you have completed Functional Skills in English and/or maths please enter your highest level in the boxes below.

FS English level FS maths level

If required Initial Assessment results will be made available in eTrackr or will be recorded in an ILP for ESOL and
SEND learners.

Please note: Qualifications/Grades may be appended to this learning agreement by way of certificates/school results
slips or from the Personal Learning Record (PLR)

12. Advanced Learner Loan

Customer Reference Number (CRN)

13. Fee Assessment Checklist

ID

UK Passport þ Yes ¨ No Passport Number 553874343

Driving Licence
EU Settled/pre settled status ¨ Yes þ No Number

International Passport/ID Card ¨ Yes þ No

Other Evidence (please state) ¨ Yes þ No

Residency

3 years confirmed þ Yes ¨ No

OR indefinite leave
to remain
¨ Yes þ No

Reason for being in the UK Evidence expiry date

EF2223-07
14. Fee Band and Discount Reasons, follow the fees assessment in this order

Student/Course Free/Fees Fee band Discount Reason

1 Aged Under 16 Free Under16 1416

2 Aged 16-18 Free 16-18 1618

3 Aged 16-24 and on a Supported Learning course Free LLDD LLDD

4 Aged 19 + and studying English or Maths Free 19+ Co Funded BSKL – Basic Skills
(must not already have GCSE 9-4 or A*-C) Fee

5 Aged 19+ and studying Essential Digital Skills up to L1 Free 19+ Co Funded BSKL – Basic Skills
Fee

6 Aged 19+ learner studying British Sign Language (BSL) Free 19+ Co Funded BSKL – Basic Skills
with a GLA home post code ONLY Fee

7 Aged 19-23, has not achieved a full level 2 before and is Free 19+ Co Funded FFL2 – 19+ First Full Level 2
studying Pre-Entry/Entry/L1/Full L2 course (NOT ESOL). Fee
N.B. L2 courses which are not defined as a full L2 are
not funded for learners in this group.

8 Aged 19+ and studying L2 or below (including ESOL) Free 19+ Co Funded ASYM - GLA Adult Asylum Seeker
Asylum seeker who meets eligibility criteria in fee Fee
assessment guidance. GLA home postcode ONLY

9 Aged 19+ and studying L2 or below (including ESOL). In Free 19+ Co Funded JSKA - Job Seekers Allowance
receipt of a state benefit and take-home pay Fee ESPA - Employment Support
(disregarding benefits) is less then £345 a month (sole Allowance
claim) or £552 a month (joint claim) UNIC - Job Related Universal Credit
BENF - Income Support

10 Aged 19+ and studying L2 or below (including ESOL). Free 19+ Co Funded UNNBF - GLA Unemployed and No
Unemployed, not in receipt of a state benefit and wants Fee Benefit
to be employed and/or wants support with social
integration. GLA home postcode ONLY

11 Aged 19+ and studying L2 or below (including ESOL) Free 19+ Co Funded LOWF - Low income flexibility
GLA Home post-code - Salary less than £21,547.50 Fee IL - GLA Home Post-code
Other postcode – Salary less than £18,525 OL - not in the GLA

12 Aged 19+ and studying L2 or below (including ESOL) Fees to pay 19+ Co Funded FEES - 19+ co funded fees
and does not meet any of the criteria above Fee

13 Aged 19-23, has not achieved a full L3 before and is Free 19+ Level 3 FFL3 - 19+ First Full Level 3
studying a course listed as "FFL3"

14 Studying a L3 course listed as "Free Courses for Jobs" Free 19+ Level 3 L3NSF - L3 Free Courses for Jobs
Aged 19+ and has not achieved a full L3 before OR aged (previously NSF)
19+ and in receipt of state benefits/low income. If learner
already has a full L3 or any other qual in FCFJ list, this
must have been achieved before 01/04/2021

15 Aged 19+, does not meet any of the criteria above, GLA Free 19+ Level 3 L3LRF - L3 GLA London Recovery
home postcode, studying a L3 course listed as "L3LRF" Flexibility
and in receipt of state benefits, GLA low income or
unemployed and not in receipt of benefits

16 Aged 19+, studying a L3 course, does not meet any of Fees to pay 19+ Level 3 L3FP – Learner paying fees
the criteria above and/or is on a L3 course that does not L3AP – Learner applied for Loan
meet the criteria above ADLL – Loan approved

17 Aged 19+ who has been assessed as paying fees but Fees paid by LSF 19+ Co Funded LRSF - Learning Support Fund
meets the criteria for Learning Support Fund Fee

18 Aged 19+ an a Commercial course Fees to pay Commercial COMM - Full Price

19 HE Learner (N.B. from 21/22 onwards HNC Building Fees to pay HE HEDR - LSEC HE (fees to us)
courses at Holly Hill will be paying the University and will HECC - CCCU HE (fees to CCCU)
be recorded as HEUG) HEUG - UoG HE (fees to UoG)

20 Learner who does not meet residency criteria and is Fees to pay International INTR - Non-Home or International
therefore a "non-home student" or international

EF2223-08
 15. Enrolments

All of our study programmes require you to continue with English and maths and undertake compulsory work experience.

Programme: L2 Study Programme in Beauty Therapy (SPL2BTY)

Planned Planned Learn /

Class Code Subject/Course Learning Aim Start End EEP Hrs
22L2DPBTY-0D-BB CG L2 Dip in Beauty Therapy (SPL2BTY) 50090768 05/09/2022 30/06/2023 324 / 36

22HUBSENG-0D-GEN English Skills (Stretch and Challenge) 05/09/2022 12/05/2023 0 / 50

22HUBSMAT-0D-GEN Maths Skills (Stretch and Challenge) 05/09/2022 12/05/2023 0 / 54

22AWL1RES-0D-BA OCN L1 Award in Developing Emotional Resilience 60331215 05/09/2022 29/06/2023 8/0

22NASPWEX-NA-BR Work Experience for Bromley 05/09/2022 30/06/2023 0 / 36

22CRADVTG-NA-BR Career Advantage at Bromley 05/09/2022 30/06/2023 0 / 36

Total 332 / 212

16. Fee Information

Fees before any discount £0.00 Tuition Fee £0.00

Fee Band 16-18 Exam Fees £0.00

Reason 16-18 Other Fees £0.00

Discount 16-18 Total Due £0.00

I confirm that the information on this form is accurate and I agree to the course of study as set out in this document

Student Signature Date Signed on behalf of the College Date

{{S1_es_:signer1:signature}} Aug 26, 2022
{{Dte_es_:signer1:date}} {{S1_es_:signer2:signature}} {{Dte_es_:signer2:date}}
Halle Simpson (Aug 26, 2022 15:12 GMT+1)

Halle Simpson
Print Name {{N_es_:signer1:fullname}} Print Name {{N_es_:signer2:fullname}}

The College cannot guarantee the provision of any course and has the right to remove a place on any programme of study at any time. Any
course may be altered or withdrawn owing to circumstances including (but not limited to) industrial action, change in College circumstances,
withdrawal of funding and lack of demand. The college will not reimburse students for any loss or expenditure occurred as a result of the
withdrawal of an offer.
Your signature confirms that you are paying fees or your fees are being paid for on your behalf by a third party (such as an employer or the
Students Loan Company) you remain liable for the full amount of any outstanding debt should such a party fail to pay, or should you withdraw
from the course prior to completion.

ESF

Your signature confirms that you have been made aware that your college course may have been been directly or
indirectly part-funded by the European Union through Europeans Social Fund.

17. Finance Overview

No finance detail available

EF2223-09