Participant Enrolment Form

September 2026 - August 2028

The Mayor of London and the Greater London Authority (GLA) are committed to investing in free adult skills courses and employment support to empower Londoners with the tools they need to thrive in a rapidly changing job market.

Please use this form to express an interest to sign up to a fully funded course or employment support and we will call you to talk through suitable options, or feel free to contact us directly.

Best wishes,

Urooj Khan

integratedcaresupport.com

hello@integratedcaresupport.com

First name

Last name

Email

Phone

Borough

Post Code

Gender

Date of Birth

Are you currently in paid work, self-employed, or doing any kind of work (including temporary or occasional)?

Yes

No

Are you currently required to look for work by the Job Centre or as part of a benefit (e.g., Universal Credit, Job Seekers Allowance)? This usually means you must apply for jobs or attend regular meetings.

Yes

No

Unsure

Even if you are not required to look for work, are you currently doing so on your own? (e.g., applying for jobs, searching online, speaking to employers, etc.)

Yes

No

Unsure

Are you receiving support or benefits related to health conditions, caring responsibilities, disability or other personal circumstances? (e.g., long-term health issues, caring for children or others, mental health, etc.)

Yes

No

What is your highest level of education?

What is your highest level of ESOL (English for Speakers of Other Languages), if applicable?

How would you describe your ethnic origin?

Under the definition of the 2010 Equality Act, do you consider yourself to be disabled?

Yes

No

Prefer not to say

Please specify the course/employment support type you're interested in. If you know the specific name, please let us know

Privacy Notice Declaration

I confirm that I have read and agree to the conditions indicated in the declaration here and the information provided is correct to the best of my knowledge. I will inform you of any changes in my circumstances which may affect my eligibility for the project.

Print Name

Date

Signature

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