SQA Level 1 British Sign Language Course

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Please complete and return pages 2&3 (and page 4 if your employer is paying for this course) SQA Level 1 British Sign Language Course To apply for this course simply complete this booklet and return to Deaf Action This course which is accredited by the Scottish Qualifications Authority (SQA), is designed for students with no previous experience of BSL Course information Cost - The cost of the course is 350, this includes all course fees. If your employer is sponsoring you, please ensure that you complete the Confirmation of Booking section (page 3), which they must sign. For all applications, excluding work sponsored places; a non-refundable deposit of 50 must be received with the application in order to secure a place on the course. Course payment is due by the first night of the course unless a payment plan is in place. Payment plans must be paid off by the end of the course. Skills Development Scotland ITA funding account This course has been approved to participate in the ITA Scotland scheme. ITA Scotland is a Scottish Government scheme that can help pay for the cost of learning. It s for people who are 16 or over and living in Scotland if: Your income is 22,000 a year or less You are on benefits You do not hold a UK degree (or overseas equivalent) You are not undertaking any form of full-time or part-time secondary, further or higher education You are not participating on any National Training Programme (Modern Apprenticeships, Get Ready for Work or Training for Work) Then you can apply for a learner account from ITA Scotland that will give you up to 200 a year towards the cost of a course. To find out more you can contact Skills Development Scotland on 0808 100 1090, or visit their website at www.myworldofwork.co.uk then navigate to the SDS Individual Training Accounts (ITA) page. You still need to submit this application pack to secure your place on the course. Cancellation Terms & Conditions - Once an application form and deposit are submitted you have committed to a place on a course. You may cancel your place on a course up to 14 working days in advance of the course start date with no cancellation charge; however, your deposit will not be refunded. Any cancellation must be received in writing (email or letter). Cancelling within 14 working days of your course start date will incur 50% of the course fee. This rises to the full amount on the course start date or if you leave after the course has started. Occasionally, if there are insufficient bookings on a particular course we may have to cancel it. In these circumstances we will advise you approximately two weeks prior to the course and issue a refund on any fees paid. Deaf Action 49 Albany Street Edinburgh EH1 3QY Tel: 0131 556 3128 :: Text: 0131 557 0419 :: SMS: 07775 620 757 email: learn@deafaction.org :: website: www.deafaction.org

Application Form SQA Level 1 BSL Personal Details Name: Address: Postcode: Mobile no: Date of Birth: e-mail: Recommended minimum age for this course is 15 years old Course Details (please tick which class you would like to attend) Level 1 BSL February 2019 Course fee: 350 Venue: Deaf Action office, Edinburgh Monday evening 6pm 8pm Start: 4/2/2019 - Finish: 1/7/2019 Duration of course: 20 weeks No class on: 8 th / 15 th April Other Information How did you learn about the course? Do you have any disabilities we should be aware of: Yes No If yes please explain: Do you have any specific learning requirements that you would like the tutor to be aware of? If yes please explain:

Application Form SQA Level 1 BSL Payment Please indicate your method of payment for both: Deposit Remaining balance Paying 50 deposit by: Paying 300 remaining balance by: OR Paying 350 (full balance) by: Employer paying (please fill in next page) I will be using my ITA Scotland funding to part fund the course fee If you would like to pay by bank transfer please use your name and the course you are applying for as the reference so that we are able to identify your payment easily. For example: JSmith6weekBSL The details for bank transfer payments are: Sort code: 80-31-20 Account Number: 10023564 Account Name: Deaf Action Cheques are made payable to Deaf Action Card payments can only be made over the phone or in person at reception between 9am-5pm Payment plan. See instructions on page 5 If using ITA Scotland funding: You will receive an email from ITA telling you to send proof of income to the training provider once you ve submitted your funding application. Deaf Action is the training provider. Ideally you should send us your proof of income at the same time as your application form. Proof of income is your last 3 payslips or proof of benefits (letter from where you receive them) or the nil income form attached to your ITA confirmation email. If you are sending payslips or benefit forms, they must be originals, not photocopies and you must sign and date all three. These can be returned to you once they have been processed. If you receive digital payslips, please email these to learn@deafaction.org with a digital signature on them. If you do not supply your proof income to us within 4 weeks of your ITA application, it will expire and you will need to re-apply. Deaf Action will never share your personal or contact information with any 3 rd parties except the Scottish Qualification Authority (SQA) for registration purposes. We would like to keep you informed of any future BSL or Deaf Awareness courses which may be of interest to you. If you consent to us emailing you with information about new courses please tick the box. I have read the payment information and terms & conditions on page 1 regarding deposit, payment of the course, cancellation policy and ITA funding and agree to them. Signed:... Date:

If your employer is paying, please return the following form Confirmation of Booking - To be completed if your employer is paying Name of Employee Attending Course (student s name):... Name of Organisation:... Type of Training: Date: Venue: Cost: 350 SQA Level 1 British Sign Language Deaf Action 49 Albany Street Edinburgh EH1 3QY I confirm that I / we wish to book the above training provision (please tick preferred option) I enclose a cheque Signed: Position: (Person authorising training) Invoice should be sent to Send me an invoice PO number: Contact Name: Address: Job title: Postcode: Telephone no: email: Cancellation charges will be made as follows: Up to 14 days before start of class: From 14 days before start of class: Start of class and after: No cancellation charge but deposit will not be refunded 50% of class fees 100% of class fees

Payment Plan Deaf Action are committed to making our courses as accessible as we can. We therefore offer payment plans to help spread the cost of the course. We work with Go Cardless to offer this Direct Debit service. To find out more about Go Cardless visit www.gocardless.com If you wish to set up a Direct Debit payment plan, please read the information below. The payment plans do not cover your 50 deposit. This must be paid at time of booking Step 1 Which payment term are you choosing for the remaining 300 balance? three payments of 100 or two payments of 150 Step 2 What date of the month would you like your payment to come out of your bank account? day of each month (e.g. 1 st day / 28 th day) Step 3 We will set up your Direct Debit using the email address you have provided in the contact details section of this application pack. The Direct Debit will start in February to ensure that your course fee is paid off by the end of your course. Please provide your bank details below so we can set up the payments Account number:. Sort code: - - When payment is taken out of your account it will show as Deaf Action on your statement. Step 4 Done! All that remains is for you to enjoy your BSL class! Declaration I fully understand the process of setting up this payment plan and give my permission to Deaf Action to use my contact details for this. As per the cancelation terms and conditions set out in page 1 of this application pack, I understand I am obligated to fully pay off any remaining course fees should I leave the course on or after the course start date. Signed:.. Date:..