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

About you
 
Title
First Name:
Other Name:
Surname:
Date of birth:
Address:
Post Code:
Daytime Telephone:
Evening Telephone:
Email:
Gender:
 
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 Student Support Advisers are able to offer clear unbiased advice.
Please tick this box if you wish to speak to a Student Support 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 when we interview you.

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

Course name:
Course Code:
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 (Subjects and Grades):
If you attended more than one school/college within the past 3 years please complete the details below:
School/College name:
Dates attended:
Please give details of your academic achievements (Subjects and Grades):
 
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.

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:

Residency
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.

 



 
 
 
 
 
 
 
 
 
 
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