Higher education course on-line application

Site (please consult the course page on this website or the relevant course guide to find out at which site your course is available): *

Your details

Title (please tick one):


Have you been ordinarily resident in the UK/EU or other EEA country during the last three years? *

Have you ever been convicted of a criminal offence of a violent or sexual nature or involving the supply or use of illegal substances? *

If you answered Yes, you are required to complete a criminal convictions form, unless you have already provided details. If applying for a course leading to work with children (under 18) or vulnerable adults please provide information on any spent convictions or cautions.


Examinations taken or to be taken

Current employment, full or part-time

Previous employment, full or part-time

Personal statement


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). It is to inform learners how their personal information will be used by the DfE, the ESFA (an executive agency of the DfE) and any successor bodies to these organisations. For the purposes of relevant data protection legislation, the DfE is the data controller for personal data processed by the ESFA.
Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes.
Your information may be shared with third parties for education, training, employment and well-being related purposes, including for research. This will only take place where the law allows it and the sharing is in compliance with data protection legislation. The English European Social Fund (ESF) Managing Authority (or agents acting on its behalf ) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training.


You can agree to be contacted for other purposes by ticking any of the following boxes:

Further information about use of and access to your personal data, details of organisations with whom we regularly share data, information about how long we retain your data, and how to change your consent to being contacted, please visit: http://bit.ly/ESFAPN

Learning Records Service 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: http://bit.ly/lrsPLN Any changes to the privacy notice will be published on Moodle (for current students) and the website (for applicants) as soon as they become available. Please check for updates. If you require a hard copy of the notice please call 0345 120 0044

 ERC Applicant Privacy notice: http://bit.ly/ERCPN

Have you any disability or health problems?

Are you registered disabled?

Do you have any other support requirements?

Learning support

We will pass on information about learners’ disabilities and additional needs to those who need to know so that they can provide support. The client services manager, the special educational needs co-ordinator or the course tutor will decide who needs to know, in consultation with you, the learner. If you are not prepared to share this, please ask to see one of these people so that you can discuss any support needs confidentially. We recognise that you have the right to confidentiality now and throughout your course, but this may conflict with our commitment to providing you with all the support you need.

Equal opportunities

Equal opportunities monitoring - East Riding College has an equality and diversity policy that warmly welcomes people from all backgrounds regardless of race, ethnic origin, gender, disability, religion, sexuality or age. Please help us to monitor the effectiveness of our policy by answering the following questions.

Asian, Asian British, Asian English, Asian Scottish or Asian Welsh

Black, black British, black English, black Scottish or black Welsh

Chinese, Chinese British, Chinese English, Chinese Scottish or Chinese Welsh



If you need help with filling in this form, please call 0345 120 0044 and ask for learner services.

By submitting this form, you declare that all the information you have given is correct to the best of your knowledge.