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About the College
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Please complete this form as fully as possible to allow accurate processing.

If applying for a full time Higher Education course please apply directly through the UCAS website rather than completing this form.

All fields marked with an asterisk (*) are required.

About you
Title
First Name:  *
Surname:  *
Date of birth:  *
Address:
  *
Post Code:  *
Daytime Telephone:  *
Evening Telephone:
Email:  *
Gender:
Next of Kin:
Next of Kin Relationship:
Next of Kin Address:
Next of Kin Telephone:
 
Residency, nationality and ethnicity
 

These questions serve to assess the extent of representation of ethnic groups in relation to our equal opportunities policy.

How would you describe your ethnic background?

Your Nationality:

 *
Have you been resident in the UK/European Union for the last 3 years?  *

Important: If you answered No, please specify the date you came to live in the UK/European Union.

 
Information and advice
 
If you are uncertain about the course options available, cannot make up your mind, or require guidance on other issues relating to your choice of course, our Client Advisers are able to offer clear unbiased advice.
Please tick this box if you wish to speak to a Client Adviser.
 
Your course choice
 

If you are not sure about your course choice yet, don't worry. The information you give here is intended to help us process your application.

If you have already made a firm decision, please indicate your chosen course here.

If you are applying for A Levels, please indicate the 4 Subject choices you wish to apply for in the boxes below. Return to the A Level course list.

Subject Choice / As Subject 1:  *
As Subject 2:  *
As Subject 3:  *
As Subject 4:  *
Course Code:  *
If applying for A Levels, please use course code 1316
Campus:  *
Part time or full time study:
Expected start date:  *
If you haven't made a firm course choice yet, please state your career aims below
 
Employment
 

Your most recent work or learning experience. Please complete this section if your recent experience is in employment.
Current/most recent Job Title:
Present or Most Recent Employer (Company Name):
Company Address:
Company Post code:
Dates of Employment:
 
Please Note: Your employer may be asked to provide a reference before you enrol.
If you do not wish your employer to be approached at this time for a reference, please tick here:
 
Your school/college history
 
Please provide details of any schools or colleges attended in the past three years, with dates.
Schools or Colleges attended in the past three years:
School/College name:
Dates attended:
Please give details of your academic achievements and/or predicted grades (Subjects and Grades): *
AchievementGrade
Equal Opportunities
 

This College is committed to ensuring equality for all current and potential students irrespective of their age, race, gender, special educational needs, religion or marital status.

Do you have any disabilities or learning difficulties?

 *

If you answered 'Yes' to the question above please provide further details in the box below.

This information is confidential and will only be used to provide appropriate support for you during your time at the College.

Open Evening

Did you attend an open evening event at the College?

  *



 
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