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Full-Time Course Application Form

Course of Interest
Academic year
Select a campus
1st choice course
2nd choice course
Select a level
Personal Details
Title
Forename
Surname
Gender
Date of birth
Ethnicity
Postal Address
Address
Address 2
Town/City
County
Postcode
Contact Details
Telephone
Mobile
Home email
School email
Residency
Nationality (as on passport)
Have you had permanent lawful residency in the UK/European Economic Area for the whole of the past 3 years?
YesNo
Are you a UK or EEA National?
YesNo

*EEA countries include Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech-Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungry, Iceland, Ireland, Italy, Latvia, Lichtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden

Support
Do you consider yourself to have a learning difficulty and/or disability and/or health problem?
YesNo
Are you happy to give further details at this stage? This will allow us to offer better support during your interview.
YesNo, I would prefer to discuss in person
If yes, please select applicable needs from the list
Visual ImpairmentHearing ImpairmentDisability Affecting MobilityProfound Complex DisabilitiesSocial and Emotional DifficultiesMental Health DifficultiesModerate Learning DifficultySevere Learning DifficultyDyslexiaDyscalculiaAutism Spectrum DisorderAsperger's SyndromeTemporary DisabilitySpeech, Language & Communication needsOther Physical DisabilityOther Specific Learning Difficulty (eg. Dyspraxia)Other Medical Condition (eg. epilepsy, asthma, diabetes)
Do you need extra support whilst you are at College because of your learning difficulty or disability?
YesNo
Are you part of a Pathway Care plan?
YesNo
Have you left Care to live independently in the last 8 years?
YesNo
Are you under 24 and the sole carer for a member of your family?
YesNo
Education

If your school is not shown, scroll to the bottom and select "My school does not appear in this list" at the bottom of the list.

School
Marketing Information

We would like to send you information aboute the College group and our courses that we think you will find useful. This will include information on courses, events, competitions, surveys and latest news.

Yes, please contact me via
EmailPhonePostText
Please tell us how you heard about the course you are applying for?