11. Personal Details
22. Ethnicity
33. Learner Monitoring
44. Work Details
55. Consent

A.Black Country ESF Community Grant Programme Participant Enrolment and Initial Interview Record

Participant's Name

(eg Ms/Mr/Dr/etc)

Full Address

(flat number + flat name/house number/house name)
(street name)

Contact Details

(one number and email must be provided)

Learner Eligibility

1. Participants engaged in Community Grant support must be over 16 years of age and able to take up employment in England. Please complete the relevant section below depending on if you are A) British Citizen B) EEA National or C) from a non-EEA country (one option must be complete).