Creative Collective

Creative Collective

Registration & Monitoring Form 2020-2021
Name *

Title First Name Last Name
Gender *
Is the gender indicated the same as your gender at birth? *

Yes No Prefer not to say
Date of Birth *

Day Month Year
Address *

Door/ Flat Number

Street

City/ Town County

Postcode
Contact Number *
Email Address *
Please be aware that we may use your email to inform you of our services
Website
National Insurance Number *
e.g AB 12 34 56 C
Nationality *
Do you Speak Welsh? *

Yes No Prefer not to say
Sexual Orientation

Bisexual Gay/Lesbian Heterosexual/Straight Other Prefer not to say
Please tell us your religion or belief

No Religion (including Humanist, Atheist or Agnostic) Christian (including Church of England, Catholic, Protestant and all other Christian denominations) Buddhist Hindu Jewish Muslim Sikh Other Prefer not to say
Ethnicity *
If Other, please specify
Do you have any disabilities or learning difficulties? *

Yes No
Visual Impairment Hearing Impairment Disability affecting mobility Profound complex disabilities Social and emotional difficulties Mental Health Difficulties Moderate Learning Difficulty Severe Learning Difficulty Dyslexia Dyscalculia Autism Spectrum Disorder Aspergers Syndrome Temporary disability after illness e.g. Post Viral Speech, Language & Communication needs Other Physical Disability Other specific learning disability Other learning Disability Long term illness or debilitating disease Other disability Other medical condition e.g. Asthma, Epilepsy, Diabetes Prefer not to say
Of the above which is your primary difficulty/disability
Do You Have an Education Healthcare Plan? *

Yes No
Are you a Carer, been in care or a Lone Parent?

Carer* Lone Parent I'm Currently in care Prefer not to say None of the above
*Cares (unpaid) for a family/friend who has a disability, illness or who needs support in later life
Employment Status *

Employed Unemployed
If you are unemployed/in education/retired/, how long for? *

Up to 6 months 6-11 months 12-23 months 24-35 months Over 36 months
Are you claiming a benefit? *

Yes No
If Yes, please state which form of benefit *

Job Seekers Allowance (JSA) Employment and Support Allowance (ESA) Employment and Support Allowance (Work Related Activity Group/WRAG) Universal Credit Income Support Universal Credit (work-related) (required to undertake skills training) Working Tax Credit (household income of less than £15,105) Council Tax Support Housing Benefit Low Waged (with evidence) Pensions Credit (Guarantee Credit)
Please upload proof of unemployment

Browse Files
e.g Letter from Job Centre Plus/Department of Work and Pensions/Universal credit letter clearly showing employment payment, Screenshot of Universal Credit statement, Bank statement showing that benefits have entered their account, Official government letter e.g. Charity, social services or other professional Cancel of
Are you currently... *

Looking for Work Economically Inactive (neither employed nor unemployed, including those who want a job but have not been seeking work, are not receiving benefit and are supporting themselves financially through a third party such as family members or savings)
How many hours per week do you work? *

Under 11 11-20 21-30 31+
How Long have you been working? *

Up to 3 months 4-6 months 7-12 months 12+ months
What is your current job role? *
Are you married or in a civil partnership?

Yes No Prefer not to say
Household Situation

No member of the household in which I live (including myself) is employed There are one or more dependent children (aged 0-17 yrs or 18-24 yrs if a full-time student or inactive) in the household The household that I live in includes only one adult (aged 18 or over) I confirm that I wish to withhold this information None of these statements apply
How many dependant children (under the age of 16) do you have living with you?

0 1 2 3+ Prefer not to say
If applicable, are you pregnant, on maternity leave or returning from maternity leave?

Yes No Prefer not to say
Qualifications (Please tick the highest level of qualification that you have)

Entry Level Other Qualification below level 1 Level 1 (GCSE/ O Levels) (5 or more with grades D-G or 3 AS levels) Level 2 (5 or more A*-C GCSE/ O Levels) Level 3 (A Levels) (2 or more A Level passes, 4 or more AS level passes) Level 4 (HNC/QLF Level 4 quals) Level 5 (HND/ Foundation Degree/ QLF Level 5 quals) Level 6 Bachelors degree/ Graduate Certs and diplomas Level 7 or above (PG certs/ Diplomas, Masters Degree and above) No Qualifications
Do you need help with Maths and/or English? *

English Maths Both No
Please upload TWO forms of ID (can include):

Valid Passport Driving Licence Official ID card

Home office letter/card Birth certificate/adoption certificate

A work permit or other approval to take employment that has been issued by Work permit UK/home office (must be accompanied by your passport)

Utility Bill Council tax bill Bank or Credit card account statement

Tenancy agreement Mail order statement Pension Book

Medical Card/NHS card/letter
Upload ID HERE

Browse Files
If you're not able to upload copies here, please email them to projects@resource-productions.co.uk. Cancel of
We are required to ask for ID as part of our contracts with Slough Borough Council and Education and Skills Funding Agency and other funders. Valid ID verification ensures that each individual that is entered is real and legitimised. Please email Siobhan at projects@resource-productions.co.uk if you have any questions.
What is your residential and immigration status?
Have you lived in the UK/EU/EAA for 3 years or more? *

Yes No
Are you an EEA Migrant Worker?

Yes No
Are you a refugee?

Yes No
Are you an asylum seeker?

Yes No
If yes, have you lived in the UK for 6 months or more?

Yes No
Are you the Husband, Wife or Civil Partner of one of the above?

Husband Wife Civil Partner
If you're married to a British citizen, how long have you been married?
How long have you lived in the UK/EU/EEA after marriage?
Eligibility for a fee reduction

You may qualify for a fee discount. If so, please provide recent evidence to a member of staff.
Are you unemployed or employed earning less than £330 per month, on a benefit, available for work and intend to take a qualification to enable you to seek employment?

Yes No
If yes, please sign below
Are you aged 19-23 and taking your first Level 2 Qualification?

Yes No
If yes, please sign below
Are you in receipt of a low wage?

Yes No
What course(s) are you interested in? If you would like more information about any of our courses or events please email projects@resource-productions.co.uk or call 01753 553374

Creative Collective Meet Ups/Showcase Editing 1-1 Sessions Make Up Zoom/Social Media Work, Funding and Business Basics Writing/Script Writing BFI Film Academy for 16-19 year olds Filmmaking/Videography
How did you hear about the Creative Collective?

Previous Attendee Newspaper Resource Productions Website Word of Mouth Facebook Online Listing Flyer School/College/ University Twitter My Group/ Society Networking Event/ Email
Would you like to be added to the Berkshire Film Office talent database? *

Yes No
If yes, please upload a copy of your CV

Browse Files

Cancel of
Please also upload your Headshot (If not a professional headshot, a smart one will do, not a selfie)

Browse Files

Cancel of
Having trouble uploading? Please email projects@resource-productions.co.uk with your CV & Headshot
What is your current experience? (Please list any experience) Some of this information will be edited for your listing on the Berkshire Film Office Website
What would you like your specialist area to be for the Berkshire Film Office Talent Database? (Creative Job Role e.g. Actor, Cinematographer, Artist, Dancer etc.)
Company Disclosure

Under the Data Protection Act 2018, we are required to gain your permission to keep personal details for you.
Resource Productions/YES and its agents may share this information with government and local authority departments and other authorised organisations for administrative, statistical and research purposes. For further information please visit: https://www.resource-productions.co.uk/corporate-privacy
Completing this form and signing it gives us your informed consent. If you are unable to access the provided links or wish to submit a query in relation to fair processing, please contact the data protection officer at dom@resource-productions.co.uk
Learning Agreement and declaration

Learning Programme
- I agree to the terms and conditions published in the course brochure.
- I confirm I have received suitable information and advice for my learning programme.
- I am satisfied that I fully understand the requirements of the programme and agree to be bound by the conditions of entry which are available on request.
- I agree to comply with the policies and procedures of this centre including e-safety.
- I do not have a place on a course until confirmed in writing by Resource Productions.
- I hereby allow Resource Productions to fill out an Individual Learner Record in my name.
Please sign below to agree to the terms above *

Clear
I agree to any media being used for at least five years for the purpose of promotion I agree to receive information from Slough Borough Council via email or post. I agree to join the Slough Library service
How we use your personal information

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:

About courses or learning opportunities For surveys and research By Post By Phone By Email
Please sign below to agree to the terms above *

Clear
Date

Day Month Year
Should be Empty: