Course Application - Confetti Institute of Creative Technologies

YOUR DETAILS

First Name*

Middle Name

Last Name*

Sex*

Female
Male

We require your legal sex for registration with awarding bodies and funding suppliers.

Preferred pronouns

Preferred name

Communications from Confetti and our partners will usually be sent with your legal name, but occasionally may use the preferred name that you provide.

Date of Birth*

National Insurance No.

Unique Learner Number

The Unique Learner Number (ULN) is a 10-digit reference number which is used alongside and to access the Personal Learning Record of anyone over the age of 13 involved in UK education or training. Learners in England, Wales, and Northern Ireland will be given their ULN by their school or FE college. It may also be printed on your exam certificate by awarding bodies.

Address*

Street Address Address Line 2 City ZIP / Postal Code

Home Phone

Mobile Phone*

Email*

Pick your preferred method of contact*

Are you over or under 18?*

I am 18 or over
I am under 18

Parent/guardian name*

If you are under the age of 18, please provide the name of one of your parents/guardians.

First Last

Parent/guardian email*

Parent/guardian phone number*

Second parent/guardian name (if applicable)

If you are under the age of 18, please provide the name of one of your parents/guardians.

First Last

Second parent/guardian email (if applicable)

Second parent/guardian phone number (if applicable)

Emergency contact name*

First Last

Emergency contact email*

Emergency contact phone number*

Relationship to you*

Second emergency contact name (if applicable)

First Last

Second emergency contact email (if applicable)

Second emergency contact phone number (if applicable)

Relationship to you

ETHNIC ORIGIN

How would you describe your ethnic origin?*

What is your nationality?*

Are you an asylum seeker?*

Yes
No

Do you have refugee status?*

Yes
No

Have you lived in the UK for the whole of the last three years?*

Yes
No

If no, please state where you have lived (a fee assessment may be required before proceeding)

If you have answered no, are you a national of an EU/EEA country?

Yes
No

Do you have EU Settlement Scheme Status?

Yes
No

If yes, which status do you have?

Settled
Pre-settled

If no, did you apply for EU Settlement Scheme before 30 June 2021

Yes
No

ADDITIONAL NEEDS AND EXTRA SUPPORT

At Confetti, we use person centred approaches to ensure that you are supported to make progress, and to maximise your future potential as an independent learner. We ask you to share as much information as you are willing, and to provide additional evidence (if you have any), so that we can plan your support with you. All information is treated confidentially and will only be shared within the Confetti team, in support of your learning. You will be contacted to arrange a support assessment if required.

Are you in care of the local authority or with the leaving care team?*

Yes
No

Are you or have you been subject to a Child Protection or Child in Need plan?*

Yes
No

Do you have an Education, Health and Care Plan?*

Yes
No

An Education, Health and Care plan (“EHC plan”) is a legal document which describes a child or young person's special educational needs, the support they need, and the outcomes they would like to achieve. Please submit a copy of your EHCP to supportdocs@confetti.ac.uk.

Do you have any additional learning need which will require extra support?*

Yes
No

If you have declared an additional learning need, you need to fill in our Specific Learning Difficulties checklist after you complete your application.

This takes about 5 minutes and you can do it online. You will find this on the confirmation page.

Please let us know any additional learning needs:

What support have you had in the last 3 years of your education?*

Please give as much detail regarding your previous support as possible

We need you to provide details for each individual form of support you have ticked on the question above.

Please submit the applicable attachments below to supportdocs@confetti-live.com in order to progress your application.

Education Health and Care Plan (EHCP)
Diagnosis
Exam concession reports
Health reports
Medication that will need to be taken on site

Do any of the following wellbeing concerns affect you?

Young carer / carer
Substance dependency / misuse
Self harm
Suicidal ideation
Support from Social Worker / Support agency
Other (please specify)

If other, please specify

Please provide further information where appropriate

Qualification (E.g. GCSE English, A Level Maths, BTEC L2 Diploma in Media.)	Predicted Grade	Grade Achieved	Year of Exam

YOUR DETAILS

ETHNIC ORIGIN

ADDITIONAL NEEDS AND EXTRA SUPPORT

COURSE DETAILS

QUALIFICATIONS

HOW DID YOU FIND US?

YOUR DECLARATION

Staff & Students

Our Mission & Policies

Contact