Scribd
Upload
29 views

1314 Application Form

If YOU ARE UNDER 19 years of age please bring a record of achievement, a recent school report or a reference to your interview, if available. Do you have any access requirements for interview? NO YES if yes, please indicate if you wish the Learner Support Team to make the following access arrangements for you.

Uploaded by

Ernest Thompson
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
29 views

1314 Application Form

If YOU ARE UNDER 19 years of age please bring a record of achievement, a recent school report or a reference to your interview, if available. Do you have any access requirements for interview? NO YES if yes, please indicate if you wish the Learner Support Team to make the following access arrangements for you.

Uploaded by

Ernest Thompson
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

OFFICE USE ONLY (Student I.D.

application form
2013-2014
1
Title First name Home Address (UK) Postcode Mobile
e.g. 31/08/1996

Please complete this form in black ink using BLOCK CAPITALS


Family name / Surname Middle name(s)

Telephone other
d d m m y y y y

Date of birth

Age on 31 August 2013

Gender M/F

Email

Which course are you interested in?


If you do not know what you would like to study write 'AI' and we will invite you for an Advice Interview

Campus Location: Preferred start date:


Month Year

Course Code:

IF YOU ARE UNDER 19 YEARS OF AGE PLEASE GIVE THE FOLLOWING INFORMATION: 3
Name and address of the Secondary School or College you last attended From To Title & type of course (full-time/part-time)

Please bring a record of achievement, a recent school report or a reference to your interview, if available.

Please list qualifications you have or are studying for and if possible give dates when you achieved/expect to achieve them
Subject Level eg. GCSE, NVQ 2 Date taken / To be taken Grade Expected grade if not taken yet

Tell us briefly why you are applying for this course and what your future plans are. Include details of any work experience.

Please continue on a separate sheet of paper if necessary

Support for Your Success: access requirements for interview


Do you have any access requirements for interview? NO YES

If yes, please indicate if you wish the Learner Support Team to make the following access arrangements for you:

Communicator support for the deaf Advocacy support for mental health issues Other (Please state requirements)

Hearing loop Orientation for sight difculties

This information will only be passed on to staff to organise support at interview. If you would like to discuss this support in advance, please contact the Learner Support Liaison Officer voice 020 8918 7486 or text phone 020 8918 7394.

The following is required for monitoring equal opportunities policies. Please indicate the ethnic group to which you see yourself belonging by ticking the appropriate box: White
31

Mixed Ethnic Groups


35 36 37 38

Asian/Asian British
39 40 41 42 42

Black/Black British
44

Other Ethnic Group


47

English/Scottish/Welsh /Northern Irish/British Irish Gypsy or Irish Traveller Other White

White & Black Carribean White & Black African White & Asian Other mixed/multiple group

Indian Pakistani Bangladeshi Chinese Other Asian

African Caribbean Other black/African/ Caribbean group

Arab Other ethnic group

45 46

98

32 33 34

Fee Status Are you a national of a European Union (EU) country (the United Kingdom, Austria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden) and have you lived in the EU or in Iceland, Lichtenstein, Norway or Switzerland for the past 3 years? How did you rst hear about the College?
Advertisement School Brochure through door Floodlight/Hot Courses Live / Work locally Library Friend/relative

YES

NO

Job centre / Advice centre

Website

Other please specify

10

To be completed by all applicants: I certify that the information given in this form is correct in all respects.
Applicant's signature Date

Now return this form to: Admissions Team, South Thames College, Merton Campus, FREEPOST CN2701, London Road, Morden, Surrey, SM4 5QX

HOW WE USE YOUR PERSONAL INFORMATION:


The personal information you provide is passed to the Chief Executive of Skills Funding (the Agency) and, when needed, the Young Peoples Learning Agency for England (the YPLA) to meet legal duties under the Apprenticeships, Skills, Children and Learning Act 2009, and for the Agencys Learning Records Service (LRS) to create and maintain a unique learner number (ULN). The information you provide may be shared with other partner organisations for purposes relating to education or training.

Further information about use of and access to your personal data, and details of partner organisations are available at: http://skillsfundingagency.bis.gov.uk/privacy.htm, http://www.ypla.gov.uk/privacy.htm and http://www.learningrecordsservice.org.uk/privacy-copyright.htm Tick any of the following boxes if you do not wish to be contacted: About courses or learning opportunities 03 For surveys and research
04

SW11-047 (rev.061011)

You might also like