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Have you studied at this college before? * 

Yes  No

If yes, please supply your College ID Card Number (if known)

Course(s) and code(s) you would like to study * 

Type of student * 

home student  international student

Do you require a visa to study in the United Kingdom? * 

Yes  No

Which mode of study do you want? * 

Full time /16 hours per week Part-time Day Part-time Evening

Surname / Family name * 

First name(s) * 

Date of Birth * 

Enter in format DD/MM/YYYY

Gender * 

female  male

Present address * 

 

 

Postcode

Telephone * 

Borough

Mobile No. * 

Email address * 

Are you willing to accept email / SMS text messages from us in the future? * 

Yes  No

This information will help us to arrange assistance for you.

Would you like to apply for a 'nursery' place for your child? * 

Yes  No

Learning support needs

Mental health service user Wheelchair user Visually impaired Hearing impaired Epilepsy Dyslexia Other physical disability

Other details

How did you hear about the college?

Please provide a list of all qualifications already acheived:

Qualification (e.g GCSEs, GNVQ, BTEC, AVCE, AS)	Subject taken or to be taken	Grade already gained	Predicted grade	Date taken or to be taken (DD/MM/YYYY)

Name of address of present / most present school or college (if attended within the last two years):

School / College Name * 

School Address

 

 

School postcode

This section to be filled in by 16 - 19 year olds:

Attendance

Very Good  Good  Average  Poor

Punctuality

Very Good  Good  Average  Poor

Attitude to work

Very Good  Good  Average  Poor

Suitability of course

Very Good  Good  Average  Poor

Accuracy of predicted grades

Very Good  Good  Average  Poor

Please add any other comments

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