Support and Welfare Requirements Form Step 1 of 9 11% Academic Year (HIDDEN)18/1919/2020/2121/22Default to be changed at first of August of each academic year, and link to form to be emailed to potential students who have accepted a place.The information you provide on this form will be kept in strict confidence. Appropriate members of college staff will use this information to arrange any necessary support, additional learning or financial support that you may be entitled to. For more information about how we use student data, please visit our Privacy Information page. To begin, please provide your Bath College Student ID and click next to continue. Student ID* Exam Arrangements and Additional SupportHave you had exam arrangements previously?*For example: extra time, someone reading/writing for you, a separate room, etc.YesNoDo you have any Additional Support applications?Please tick any of the following you have now, in the past or are currently applying for. EHCP (Education, Health and Care Plan) DSA (Disabled Students' Allowance) Other Please specify "other":* Care and WelfarePlease tick any of the following categories that apply to you: I am currently in foster care (under 18 years of age) I have been in foster care, but now I am a care leaver (over 18 years of age) I am a young carer (under 18 years of age) I am a young parent (under 19 years of age) I am not currently in permanent accommodation (under 18 years of age) Are you supported by an agency?Please tell us about any agencies you are supported by. Agencies are listed in the "Agency Name" column. You can add more records by clicking the "+" button on the right.Agency NameContact NameContact Phone Number Select an agency...Social WorkerVirtual SchoolCAMHSYouth Offending Service Project 28Trauma Recovery CentreCompass ProjectOff the RecordBath Foyer/PathwaysJulian House TrustSouthside Family ProjectYouth ConnectMentoring PlusConnecting Families TeamOther agency Rehabilitation of Offenders Act 1974Under the Rehabilitation of Offenders Act 1974, you are required to give details of all criminal convictions which are not yet spent. Some convictions may prohibit you completing the course and finding future employment in that career path due to the nature of the conviction, spent or unspent. Failure to disclose may result in withdrawal from your course.Are you applying for a course that leads to working with children under 18, vulnerable adults, childcare or health and social care?*YesNoTick any of the following that apply to you: I have unspent convictions I am current facing prosecution I have spent convictions (including cautions, reprimands or final warnings) Tick any of the following that apply to you: I have unspent convictions I am current facing prosecution Unspent Convictions / Current Prosecutions*Please provide us with details of any unspent convictions or prosecutions you are currently facing.Offence DescriptionApprox. DateOffence Status Select option...Facing ProsecutionConvicted Are you currently on probation?*YesNoHave you been released from prison in the last 3 months?*YesNoAre you currently on parole?*YesNoParole Officer Name*Parole Officer Location*Please give the location where your parole officer is based. Spent Convictions, Cautions, Reprimands or Final Warnings*Please provide us with details of any spent convictions, cautions, reprimands or final warnings you have had.This is necessary where the course you are applying for leads to working with children under 18, vulnerable adults, childcare or health and social care.A DBS check may also be required.Offence DescriptionApprox. DateOffence Status Select option...Spent ConvictionCautionReprimandFinal Warning Future PlansWhat do you intend to do after the 19/20 academic year?*Select an option...Progressing onto a level 1 full-time programme of studyProgressing onto a level 2 full-time programme of studyProgressing onto a level 3 full-time programme of studyProgressing onto the second year of a level 3 full-time programme of studyProgressing onto an apprenticeship (intermediate/advanced/higher)Progressing onto a higher education programme (Bachelor’s Degree/Foundation Degree/HNC)Progressing into full-time employmentUnsure of progression Additional InformationAdditional InformationIf there is anything else you would like to tell us, or you feel we need to know so that we can support you fully in your studies please provide this in the space below: DeclarationPlease tick the declaration box and provide your full name to complete this form.I declare that...* ... the information given here is a full and correct account of my current needs and status and agree to inform Bath College of any changes to my needs or status whilst I am a student at the college. Failure to do so may result in my college place being put at risk My Full Name:* This iframe contains the logic required to handle Ajax powered Gravity Forms.