Pte Registration Form

LUTHER KING HOUSE MODULE REGISTRATION FORM

2015-16 Academic Year

Please use this registration form if you wish to attend one or more of our taught modules, for personal interest, on a not-for-credit basis, or if you wish to study on our “Explorations” guided study programme. These courses are not available to those who would require a student visitor visa in order to study at Luther King House.

PERSONAL DETAILS

Please write clearly in block capitals.

NAME: / PHONE:
ADDRESS: / EMAIL:
MOBILE:
DATE OF BIRTH:

WHICH MODULE(S) / COURSE(S) DO YOU WISH TO ENROL ON?

(Please give name and course code for each module. If you wish to enrol on the “Explorations” programme, please state what topic or topics you are interested inexploring.)

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PATTERN OF ATTENDANCE

Please indicate for each module you wish to attend if it is taught midweek (Mon-Fri), at weekends or as a summer school.

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If you need residential accommodation for any nights, please book and pay for this directly with Reception, requesting the student rate (email: phone: 0161 224 6404). Payment for accommodation and meals should be made to Reception upon arrival.

WHAT IS YOUR REASON FOR WANTING TO STUDY THIS COURSE / THESE COURSES?

…………………………………………………………………………………………………………

5. YOUR CHURCH TRADITION

Please specify your church denomination or tradition: …………………………………………

6. SPECIAL NEEDS

Are you registered disabled or do you have any special needs we should be aware of?

…………………………………………………………………………………………………………

7. DIETARY REQUIREMENTS

Luther King House provides a good selection of catering options suitable for a range of dietary requirements. Lunchtime meals are normally purchased from the dining room on a pay as you go basis without prior booking. If you have any specific dietary requirements (e.g. vegetarian, diabetic, nut allergy) and will be using LKH restaurant facilities, please let us know your needs here. It would be advisable for those with particular medical conditions to also speak directly to the chef.

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8. EMERGENCY CONTACT

If you would like someone to be contacted in case of emergency, please give their details here:

Name …………………………………………………………………………………………....……

Address …………………………………………………………………………………….…...……

Phone Numbers….……………..……………………………………………..………….…...……

Other Information (eg. Husband, wife) …………………………………………...……......

9. FEE PAYMENT ARRANGEMENTS

Please give details of how fees will be paid. SELF/OTHER

If an employer or other sponsor is paying fees for you, please provide all necessary details of who we should invoice……..………………………………………………………………………....

…………………………………………………………………………………………………………

Asylum-seekers, refugees and those who are in receipt of income-based benefits (e.g. JSA) are eligible for a discount rate for some courses. Please mark this box if this applies to you.

A fees invoice will normally be issued in advance of the commencement of the course.

10. DATA USE POLICY

I acknowledge receipt of the attached Luther King House Educational Trust Data Use policy.

Please mark the following box if you do not want to receive e-mails or mailings from

Luther King House Educational Trust after you have stopped studying here.

11. PLEASE INDICATE BELOW HOW YOU HEARD ABOUT LUTHER KING HOUSE AND THIS COURSE

…………………………………………………………………………………………………………

12. TERMS AND CONDITIONS OF COURSE REGISTRATION

I accept the terms and conditions set out in the attached document, including the requirement for regular attendance and those regarding payment terms and withdrawal from the course. I agree to alert the Registry Office immediately, in writing, should I wish to withdraw from any course for which I register.

Signed: ……………………………………………………….….. Date: ………………………

(If you are returning this form electronically, your typed name will be accepted in place of a signature as consent to the terms and conditions of registration on the course.)

Thank you for completing this form. You may update the information you have provided here at any time by contacting the Registry Office in writing.

Please return the form to:

Registry Office

Luther King House

Brighton Grove

Rusholme

Manchester

M14 5JP.

A) / White
English / Scottish
Welsh / Irish
Any other White background, please specify ………………………………………….
B) / Mixed
White and Black Caribbean / White and Black African
White and Asian
Any other Mixed background, please specify …………………………………...
C) / Asian, Asian British, Asian English, Asian Scottish or Asian Welsh
Indian / Pakistani
Bangladeshi
Any other Asian background, please specify …………………………………
D) / Black, Black British, Black English, Black Scottish or Black Welsh
Caribbean / African
Any other Black background, please specify ……………………………..…
E) / Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese Welsh or other Ethnic Group
Chinese
Any other background, please specify …………………………………………...
Sex:
Male / Female

Data Use Policy – Luther King House Educational Trust

1. LKH is registered with the Data Protection Registrar and recognises that the data collected falls within the category of data deemed to be sensitive. You have a legal right to request a copy of the data held about you by LKH.

2. Prior to admission, data will be requested on you, from your referees, or from your sponsoring college. Data will be used to set up an initial student record, identify if you may qualify for funding from the Student Loans Company, identify if you may be eligible for accreditation of prior learning or accreditation of prior experiental learning and identify if you have any special educational needs. You may request that data on your special educational needs not be transferred to members of staff.

3. Once enrolled for study at LKH, the following policy will be adopted:

Data will be kept or transferred between LKH, Manchester University [or the University of Chester], placement supervisors and any other relevant body in connection with study, academic plagiarism, recording of assignment results, recording of student progression, or academic quality (for example QAA).

Students registering on programmes validated by partner universities should be aware that data will be processed by these institutions in line with their own data policies. Further information is available from their own websites.

Data will be kept or transferred by or to staff of LKH (including external tutors) for academic purposes and to allow special educational needs to be met.

Colleges sponsoring students will be entitled to receive a copy of your assignment results.

Information supplied to any member of staff for the purposes of pastoral care will not be transferred to any other member of staff without seeking your specific consent, which may be given orally, provided that the member of staff does not have any legal duty to transfer that data.

Upon registration we will request details of a person who should be informed if you experience a sudden illness or similar emergency.

4. After you leave, with your permission, data will be kept to allow LKH to contact you to let you know about LKH or LKHET activities.

5. Data held on you will not be sold or transferred to any commercial organisation.

The Luther King House virtual learning environment, Moodle, does use cookies which are small text files inserted onto your computer. These are essential to the operation of the site. Using the Moodle site is deemed to be acceptance of these cookies.

6. The Data Controller for Luther King House Educational Trust is the Finance Officer.

7. Luther King House operates a closed circuit television recording system for the purpose

of crime prevention. Data is held in accordance with the policy agreed by the LKHET Board

and is only supplied to law enforcement agencies involved in the prevention and detection

of crime and to no other third parties.

LUTHER KING HOUSE EDUCATIONAL TRUST

TERMS AND CONDITIONS

(To accompany LKH Offer Letters and Registration Forms)

On your Offer Letter and LKH Registration Form, you are asked to sign to say that you accept the Terms and Conditions regarding your entry on to the course at Luther King House. So it is important that you know what these Terms and Conditions consist of. The information you need is in the following places:

Programme Handbook

The Programme Handbook contains important information you need to know about the course you are studying and is to be found on Moodle. In it you will find such things as details about the course you are studying, attendance requirements, academic regulations that must be followed, and guidance that must be adhered to in submitting assessed work. It is important you familiarize with this Handbook. There are separate Handbooks for the BA, MA and Research Study.

NOTE: Those attending individual modules for their own personal interest rather than for credit towards a degree will find that much of what is contained in the Handbooks does not apply to them. But some parts will, including the attendance policy, so it is worth getting to know the parts that do apply.

College Handbooks, Policies and Regulations

Each college at LKH will have its own procedures, policies and requirements covering such matters as grievances and involvement in your context. Again, it is important you familiarize yourself with the documents that are relevant to the college of which you are a member.

NOTE: Those attending individual modules for personal interest only will not normally be a member of a college.

Offer Letter

This is issued to those who are studying on one of the Academic Programmes, and forms part of the Terms and Conditions.

Payments and Fees

Attached is set out the policy in respect of the payment of fees and this forms part of the Terms and Conditions.

Withdrawal or Cancellation

PLEASE NOTE: All students are required to notify their College Principal and the Registrar immediately in writing if they withdraw from a Programme, deregister from a module they are taking towards a degree, or cancel involvement in a module they are taking on a not-for-credit basis.

IN ADDITION: It may be helpful for you to know that the Library has its own separate regulations that you will be made aware of when you join.

Please see the Registrar if you have any concerns or questions.

PAYMENTS AND FEES

STUDENTS REGISTERED ON AN ACADEMIC PROGRAMME OF STUDY

Educational Fees

Tuition fees are set on an annual basis. All invoicing of tuition fees for students registered for degree programmes will be done by the Finance team based on the prices agreed by the Finance and Monitoring Committee.

a)Colleges

Where payment is a College responsibility, invoices will be raised to the Colleges in early October for their respective registered students. 75% of the total invoice is payable immediately and the balance due by the end of February.

b)Sponsored Students

Where a student is being sponsored, all the correct paperwork should be provided before or at registration. In the event that a sponsor defaults on payment, the student will become responsible for the debt.

c)Self-funding Students

Where a student is responsible for payment of their fees, one of the following methods of payment must be agreed with the Finance Office at the beginning of their period of study:

Payment in full at registration
Payment Plan Agreement completed at registration (e.g. standing order)
Payment by the Student Loans Company or other recognised funders (Registry to inform Finance of eligible students).

Students will not be allowed to re-register for the next year or to graduate until all debts to the Trust are paid. This includes tuition fees, any accommodation costs, and library debts. In exceptional circumstances, the President may permit a student who owes money to the Trust from a previous year to re-register if there are justifiable reasons for doing so.

Refunding Tuition Fees

For the purpose of calculating refunds, tuition fees are charged on a daily basis up to and including the last date of attendance on a programme of study.

If a student withdraws from a programme, the college of which the student is a member and the student themselves must notify the Registrar and Finance Officer in writing on or before the official last day of attendance. Any refunds will be processed to the original payee by the original method it was paid. If there is any outstanding debt to LKH, this will need to be paid before any refund is made.

a)Undergraduate students

The Finance Officer will calculate the amount due to be refunded based on fees being charged for the current academic year defined as beginning on the first day of induction week and ending with the final submission date.

If the student is receiving funding from the Student Loans Company and they withdraw before the 1 December the Student Loans Company will not make any contribution towards the tuition fees and the student will become liable for the monies due up to the date of withdrawal. However, if the student withdraws after the 1 December the Student Loans Company will contribute towards the tuition fees. LKH will re-calculate the tuition fees due on a daily basis and inform the Student Loans Company of the new amount that is due to be paid.

b)Postgraduate students

Tuition fee refunds on account of withdrawal from the programme are calculated according to the number of days in attendance on a programme of study. This will be based on a study period of 45 weeks in any one year, calculated from the date of registration. Refunds are not permitted for early completion.

Repeating Levels

Where a student has failed to gain the credits required to progress from one level of study to the next, the University of Manchester Examination Board may permit the student to repeat that level of study. If such permission is granted, fees are payable for the year that is repeated without approved and mitigating circumstances.

Any request for fees to be reduced or waived must be submitted to the Finance and Monitoring Committee by the college of which the student is a member with full reasons given. A decision will be made by this Committee. Evidence will be required that the student is able and willing to continue their programme of study.

Auditing Modules

Students registered on an academic programme of study are entitled to audit any available module up to their current level of study on payment of the audit fee set annually. This does not apply to biblical languages, which can be audited without payment.

In addition, all students registered on an academic programme are able to attend no more than two teaching sessions without payment before choosing whether to continue to study that module for credit. At this point a fee becomes payable. This may be varied with the agreement of the Module Tutor and Programme Leader.

STUDENTS ATTENDING MODULES FOR PERSONAL INTEREST, ON A NOT-FOR-CREDIT BASIS

LKH offers a variety of modules and educational opportunities open to all, including those not registered for formal academic programmes. The fees for these are set in advance and payment is required in full in advance, or through an agreed payment plan.

If a student withdraws from a course, to obtain a refund they must notify the Registrar and Finance Officer immediately in writing. For the purpose of calculating refunds, fees are based on the number of teaching hours involved. Any refunds will be processed to the original payee by the original method it was paid. If there is any outstanding debt to LKH, this will need to be paid before any refund is made.

July 2014

GRS