version 2 · waiting for the provider’s check

Your enrolment form

Version 2 · sent 2 February. Your course carries on as normal.

What you changed

Your home address: ~~12 Alder Road, Leeds, LS6 2AB~~ changed to 4 Kirkstall Lane, Leeds, LS5 3BX
Line manager name: ~~Helen Ward~~ changed to Daniel Okafor
Line manager email: ~~helen.ward@meridiancare.example~~ changed to daniel.okafor@meridiancare.example

Not needed: you said you don’t need a visa to live in the UK.

Sensitive information · only you, the training provider and trainrs’ owner see this; never your employer

Nationality: British
Country of Normal Residence: United Kingdom
Have you been legally resident in the UK for the past 3 years?: Yes
If English is not your first language, please state your first language: Left blank

Sensitive information · only you, the training provider and trainrs’ owner see this; never your employer

Sensitive information · only you, the training provider and trainrs’ owner see this; never your employer

Do you consider yourself to have a learning difficulty, disability or medical condition (including severe allergies)?: No

Not needed: you said you don’t have a condition that needs support.

Highest level of qualification achieved to date: Level 6 (e.g. bachelor’s degree)

By ticking below, I confirm that the information I have provided in this form is accurate and complete to the best of my knowledge.: I confirm
Print name: Priya Shah
Date: 14 December 2026