FitFitures Enrolment Form Congratulations on your success at interview for FitFutures. To ensure we can proceed with your application and get you started, you will need to complete the short enrolment form below as part of our duty to ensuring we can accommodate your learning needs and get you officially registered onto the qualification. Once this form has been completed, you will be taken to a separate page to confirm, if relevant, how you will be financing the other 50% of the fees for your training. *Please note, for those of you on the 100% fee work back, please simply close the student finance page. Please select your FitFutures Option * Please choose:FF PT & Class InstructorFF L4 RehabFF L4 S&CFF Ultimate Please choose the agreed FF project * Work 50% pay 50% (smaller commitment)Work 100% (larger work commitment) Choose which best suits your intended start date. Preferred funding/payment option: * Please choose:Student Budget Account (monthly 9 months + 20% deposit)PayL8r (best for 12-18 months, credit checked)Pay Upfront (credit cards accepted) Please tell us how you heard about us: * Please choose:Google or other search engineFacebook or other social media"IndeedCareers guidance/Job CentreOne of our gymsWord of mouthOther Please tell us how you heard about us: Your Details: First Name * Surname * Address * Postcode * Email * Phone Number * Date of Birth * What region do you live for this project? Please select:EssexSuffolkKentNorfolkEast LondonWest LondonNorth LondonSouth London National Insurance Number * Gender * Male Female Are you a UK Citizen and have been resident for 5 years or more? * Yes No If 'No', you will not be eligible for funding. Prior Qualifications: * Please indicate the Subject, Level of Study, Grade and date achieved. If none, put 'None' in the box. Please indicate your ethnicity: * English/Welsh/Scottish/British Irish Gypsy or Irish Traveller Any other White Background White and Black African White and Black Caribbean White and Asian Any other mixed/multiple ethnic background Indian Pakistani Bangladeshi Chinese Any other Asian Background African Caribbean Any other Black/African/Caribbean Background Arab Any other Ethnic Group Not Provided We are required to obtain this information to monitor our equality and diversity policy. Support Requirements * NONE Visual Impairment Hearing Impairment Disability Affecting Mobility Other Physical Disability Other Medical Condition Social and Emotional Difficulties Mental Health Difficulty Temporary Disability after Illness or Accident Moderate Learning Difficulty Severe Learning Difficulty Dyslexia Dyscalculia Other Specific Learning Difficulty Autism Spectrum Disorder Other Learning Difficulty Profound Complex Disability Asperger's Syndrome Not Provided OtherOther Household Situation * 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 on or more dependent children in household Lone or Teenage parent Carer or Care Leaver None of these statements apply I confirm I wish to Withhold this information I confirm all the details given in this enrolment form are true * Yes By clicking submit you are confirming your space on the agreed training programme. A space will be confirmed for you by both the employer and us as the training provider. By clicking submit, you are confirming your enrolment and commitment to the programme. Should you withdraw from the programme after it has commenced, you will have incurred fees for the training booked and/or delivered due to the financial investment your employer has made into you and your training. Should you withdraw, you MUST give us notice of at least one month to avoid incurring any fees. Your Agreement: I fully understand that by withdrawing after this timeframe; less than 28 days notice; before induction, or at any time after the induction, will incur course fees as outlined in the academy terms and conditions. signature keyboard Clear Today's Date Send If you are human, leave this field blank.
