Enrolment Form - Session 2021/22

Student ID:

Please complete in BLOCK CAPITALS

Section 1: Personal Information
Forename(s)
Luke
Surname: Rainey Date of Birth: 26/10/2005

Home Address: 26 Drummond Terrace, Southpark 2

Town: Crieff Region: Perthshire Postcode: PH7 4AF

Home Tel No: Mobile No: 07592969609

By supplying your mobile number, you are agreeing that we can send you reminders and short messages by text.

If you have been known by any other last name (ie: recently married) please enter
previous last name
Email Address: Luke.rainey@yandex.com

Term Time Address: (if

different from home)

Scottish Candidate No: Nationality:

In which country have you been permanently resident for the

last three years?

Emergency Contact Details:

Full Name: Relationship: Contact Number:

Section 2: Course Information (to be completed with support from Academic staff)
Department: Curriculum Area:

Course Code: Campus:

Course Title:

Start Date: Expected Completion Date:

Mode of Attendance:
Full Time Short Full Time Block Release Part Time Day Release
Part Time (Day) Evening/Weekend Distance Learning Flexible Learning
Work Based Learning

Student Category: (tick one box only)

Primary School Pupil Access Course for Higher Education
School Based Not School Link Modern Apprentice/Skill Seeker
School Winter Leaver Other Government Training Scheme
School Based 1st Year Full Time College Based (not listed above)
School Based 2nd Year Permanent or Temporary Employed
School Based 3rd Year Reg Unemployed & Jobseeker Allowance
School Based 4th Year Reg Unemployed & No Jobseeker Allowance
School Based 5th Year Not Reg Unemployed but Not Working
School Based 6th Year Retired
Scottish Wider Access Programme (SWAP) Migrant Worker

Registry Team – Fife College Student Enrolment Form 21/22

 Student on European Exchange (ERASMUS,COMETT)

Section 3: School & Previous Qualifications (enter number of qualifications)

If you are currently a school pupil please tick this box:

If you are currently a school pupil, or left school in the last 5 years, please state
the secondary school attended:

Section 4: Fee Information

Please note it is the your responsibility to ensure that all required funding applications are completed fully to ensure that
where eligible fees will be paid.
Who is responsible for the payment of your course fees? (tick one box only)
Income Support SAAS
Low income no benefits College Bursary
Incapacity Benefit Skill seeker/Modern Apprentice
Severe Disablement Allowance Training for Work/Local Enterprise Company
Housing Benefit Other Government Training Scheme
Special Needs (DPG 18) Student European Funding
Carers Allowance Self-Funding
Disability Living Allowance Individual Training Account
Pension Credit Employer/Sponsor
Working Tax Credit Islands Authority
School Pupil Orkney or Shetland Island Authority
Attendance Allowance Veterans
Income Based Job Seeker Allowance Personal Independence Payments
Income Related ESA Universal Credits
Student in Care Student from Rest of UK (RUK)
Contribution Based ESA Asylum Seeker or Spouse/Child of an Asylum
Seeker
Workforce Development Fund (FWDF) Work Programme

Section 5: Employer/Sponsor Information

Information requested regarding your employer/sponsor will be used to provide progress/attendance and, where
appropriate, to issue an invoice for the payment of your course fees.

Has your employer to be sent progress/attendance? (please circle) Yes / No

Employer/Sponsor Name:

Contact Name:
Company/Section:
Address (including Town
and Postcode):
Tel No: Fax No:
Email Address:

Contact/Address Information for sending Progress/Absence Reports

Contact/Address Information for Invoicing Purposes (if different from above)

Contact Name:
Section:
Address (including Town
and Postcode):
Registry Team – Fife College Student Enrolment Form 21/22
Tel No: Fax No:
Email Address:

Section 6: Meeting your Needs/Care Experienced/Young Carers

We will use this information to make sure, you have access to the services and support you may require Yes /
No at College.

Which best describes your first or preferred language?

English Gaelic British Sign Language (BSL)
Any other national language Prefer not to say

Please indicate if you fall under the following schemes (If you are an EEA/EU/Swiss national with settled or pre-settled
status you should declare this here).
Pre-Settled Status Settled Status Iraqi Direct Entry Assistance
Scheme
Profound and Complex Needs Asylum Seekers Refugees

Person Granted Humanitarian Person Granted Discretionary Syrian Vulnerable Persons

Protection Leave to Remain Relocation Scheme (VPRS
Veterans Afghan Locally Employed Staff Estranged Person
Stateless Person Bereaved Children Scheme

Additional Support Requirements:

Please tick this box if you consider yourself to have additional support requirements that might affect your studies, e.g.
disability, difficulties with learning, health condition or impairment. (we will contact you in confidence to discuss
your individual needs and the support available).

Young Carer
A young carer is a young person who provides care to another individual in their family who is ill, misuses drugs or alcohol
or has a disability. The term is normally used for those under 18 years old, however in Fife College we extend this up to 26
years old.

Do you have unpaid caring responsibilities for a family member or friend who is ill, frail, disabled or has a mental health or
addition problem? (please circle) Yes / No

Please indicate who you care for?

Adult(s) 18 or over Child/Children under 18

Disabled Child/Children under 18 Prefer not to say

Care Experienced

A care experienced person is someone who has been or is cared for by a local authority; this could be in residential care,
foster care, kinship care, cared for by friends or relatives or in local authority care at home.

Are you or were you Care Experienced? (please circle) Yes / No/ Prefer no to say

Which type of care setting have you most recently lived in or if you are no longer in care what care setting have you
previously been in?
:

Aftercare Continuing Care

Foster Care Kinship Care
Residential Care Unit
Secure Care Unit

Registry Team – Fife College Student Enrolment Form 21/22

 Section 7: Medicines
Yes/No
Please confirm if you carry medicines which are time critical in their application (e.g. epi pen) Please
give details of the medication ____________________________________

Section 8: Legal Declaration

Are you on a legal order that requires you to disclose any unspent convictions or are you subject to statutory conditions
such as bail conditions? Yes / No (please circle)

Section 9: Equal Opportunities

Fife College is committed to creating and maintaining a college environment that is open, welcoming and positive and in
which everyone feels valued and supported. The information below will help us monitor statistics, ensuring that our
Equality and Diversity Policy is effective.

Type of Disability (Please select the options below that apply to you)
No known disability
Specific learning difficulty such as dyslexia, dyspraxia or AD(H)D
Social/communication impairment such as Asperger’s syndrome/ other autistic spectrum disorder
A long standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease or epilepsy
A mental health condition such as depression, schizophrenia or anxiety disorder
A physical impairment or mobility issues, such as difficulty using arms or using a wheelchair or crutches
D/deaf or hearing impairment
Blind or a serious visual impairment uncorrected by glasses
A disability, impairment or medical condition that is not listed above
Specific learning disability such as Down’s Syndrome
Disability Allowance (please tick one box) (To be completed by Higher Education Students only)
No known disability
Disability and in receipt of Disabled Student Allowance
Disability but not in receipt of Disabled Student Allowance
Disability but information about Disabled Student Allowance is not known and not sought

Registry Team – Fife College Student Enrolment Form 21/22

This information is private and confidential and will help us monitor statistics, ensuring that our Equality and Diversity
Policy is effective.

Ethnicity: (please tick one box)

Arab Black Scottish/British Any other Background
Asian – Bangladesh Black Caribbean Polish
Asian – Chinese 23 Other African Background White English
Asian – Indian British White – Irish
Asian Pakistani Gypsy/Traveller White – Scottish yes
Asian Background – other Mixed Background White – Welsh
Black - African Northern Irish White Background – Other
Prefer not to say Other Caribbean or Black
Background
Information not known

Religion, Religious Denomination or Body (please tick one box)

None yes Christian: Protestant Christian: Roman Catholic
Christian: Other Muslim Buddhist
Sikh Jewish Hindu
Another religion or body Prefer not to say

Sexual Orientation (please tick one box)

Heterosexual (Straight) yes Gay Man Gay Woman/Lesbian
Bi/bisexual Other Prefer not to say
e
Sex of Student (please tick on box)
Male (incl trans man) yes Female (incl trans woman) In another way
Prefer not to say

Which best describes your current marital or partnership status? (please tick one box)
Married In a same-sex civil partnership Other yes
Prefer not to say

Are you currently pregnant or have you been pregnant in the past year? (please tick one box)
Yes No yes Prefer not to say

Are you a student who has a parent or carer who served or is serving in the regular or reservist British
Armed Forces (Royal Navy; Royal Marines; British Army; or Royal Air Force) at any point during the first 25
years of your life? (please tick one box)
Yes No yes Prefer not to say

Registry Team – Fife College Student Enrolment Form 21/22

Section 10: Declaration
I understand that Fife College requires the information I have provided on this form for the purpose of processing my enrolment. Fife College is
obliged to share information about you with Skills Development (SDS), Fife Council, and the Scottish Funding Council (SFC), the Scottish
Government, the Scottish Qualification Authority (SQA) and other awarding bodies.

SDS and SFC conduct research and analyse student destinations and may contact you or ask us to contact you on their behalf. Please refer
to the Student Privacy Notice for full details of the information we may share (this can be located on the Fife College Website).

Fife College has the right to amend the content of the courses without any form of compensation becoming payable to the students. When
there is insufficient demand, or if other circumstances arise, courses may be cancelled. In the unlikely event of a course being cancelled, the
College liability will be limited to a refund of fees or that part of the fees already paid.

Please note that Fife College is an approved student sponsor and reserves the right to request proof of immigration status from you to comply
with Home Office obligations for non UK and Overseas students.

We’d love to keep in touch with you about our courses and services that may be of interest to you, now and in the future. You can opt out of
this service at any time. Please tick if you wish to receive information about:

Courses and services Employment opportunities

By signing this form you are agreeing to the Colleges terms and conditions.

Student Signature: Date:

Curriculum Signature: Date:

Section 11: Office Use Only Fee Status 1 Status

BUNC (Bursary) N – Not to be Invoiced (Credits)
SANC (SAAS Not Confirmed) NICOM (Not to be Invoiced Commercial)
PTFGN – (PTFG Not Confirmed) RFIN (Release to Finance)
DB (Debtor Required) PO (Payment Outstanding)
FWC or FWNC (Evidence Seen/Not Seen) FWSP (Fee Waiver School Pupil)
MSCK (Managed Service check) DL (Hold Distance Learning)
POC (Payment Outstanding Contacted)
Support staff Signature: Date:

Registry Staff Notes:

Registered Scottish Charity Number SCO21203

Registry Team – Fife College Student Enrolment Form 21/22