Application Form Foundation Degree in Business 2 years Full-Time (Part-Time attendance)

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1 Application Form Foundation Degree in Business 2 years Full-Time (Part-Time attendance) Please read the online course leaflet page for details of the entry requirements. Personal Details Surname First Name Date of Birth / / Title Mr Miss Ms Mrs Sex M F National Insurance No. Personal Address Address Home Address Tel Home Mobile Employment Details Employers Name Employer Address Tel Home Mobile Nature of employer s business Residency in the United kingdom Please provide your Nationality Which Passport do you hold? Please state which country you normally reside in What residency status/permission do you have in order to live in the UK? Have you been a permanent resident in the UK for the last 3 years? Yes No If NO, please indicate which country/countries you have been living infor the last 3 years and your date of entry into the UK Country Date / /

2 Academic Records 1. Results of all secondary school examinations, with grades. School Subject Level Grade Date Taken 2. Please list all colleges and universities attended, giving dates of course, title and subject of degree or qualification and exact classificiation of award. Please include both undergrauate and postgraduate degrees. College / University Course Title Grade Date Taken Employment Name of Organisation Location Position Held Dates of Employment

3 Work Experience Indicate the skills, knowledge, interests or understanding which you think your work experience has helped to develop and which may be relevant to this application. Professional Training Please give details of professional training qualifications, courses attended (including brief work-related training courses) or any other activities or experience that you consider relevant, eg trade union experience.

4 General Please write in your own words why you would like to study the Foundation Degree in Business

5 Mentor Support As a student on the Foundation Degree in Business you will study various aspects of your own workplace, business, or profession. This means you will need the support of your manager, supervisor, or personnel manager throughout your studies. This support should include, for example: helping you to gain access to non-confidential company documents discussing your studies with you possibly giving you time off work to study/attend seminars. Please give the contact details below of the person who has agreed to give you this kind of support. We will contact them as soon as you have enrolled on the course. Name Address Correspondence Address Tel Mobile If you have been unable to find someone who can give you this kind of support, please tick the (we will contact you to discuss alternatives) box. Learner Support Kingston College is commited to meeting the requirements of all our learners and offers services to support learners with additional needs, learning differences and medical conditions. These may include: Physical disability or reduced mobility Hearing or visual impairment Learning differences such as dyslexia, dypsraxia, semantic pragmatic disorder Mental health difficulties ADHD Autistic spectrum disorders including Asperger s syndrome Emotional, social and behaviour differences Do you consider yourself to have a disability and/or medical condition? Yes No If yes, please tick which most describes your difference/difficulty? Visual impairment Hearing impairment Disability affecting mobility Other physical disability Other medical condition (for example epilepsy) Emotional/behavioural difficulties Mental ill health Temporary disability after illness or accident Profound complex disabilities Aspergers syndrome Multiple disabilities Other

6 Do you consider yourself to have a learning difference/difficulty Yes No If yes, please tick which most describes your difference/difficulty? Dyslexia Dyscalculia Disability affecting mobility Autism Other specific learning difficulties (ADHD, speech or language disorders) Moderate learning difficulties Severe learning difficulties Multiple learning difficulties Other Criminal Conviction Disclosure Kingston College is an inclusive college and we are keen for all learners to be well cared for. We therefore ask all learners to declare if they have any criminal convictions. If you answer yes, you will be asked to provide further details. This does not automatically affect your admission, but allows the College to undertake a risk assesment and provide support as appropriate. Do you have any criminal convictions? Yes No Equal Opportunities - This information is for monitoring purposes only What do you consider your gender to be? Kingston College is committed to supporting equality of opportunity for our students and staff. We ask these questions to assist us with equalities monitoring. Any information provided will be treated. Male Female Transgender Prefer not to say What do you consider your ethnic origin to be? English / Welsh / Scottish / Northern Irish / British Irish Gypsy or Irish Traveller Any Other White background White and Black Caribbean White and Black African White and Asian Any Other Mixed / Multiple ethnic background Indian Bangladeshi Chinese Any other Asian background African Caribbean Any other Black / African / Caribbean background Arab Any other ethnic group Not Provided Pakistani What do you consider your sexual orientation to be? Bisexual Gay man Gay woman/lesbian Heterosexual (attracted to the opposite gender) Other (please specify) Prefer not to say

7 What do you consider your faith/religion to be? Buddhist Christian Hindu No religion Other Prefer not to say Jewish Muslim Sikh Reference All applicants are required to supply a reference (using the reference form provided) in support of their application. Please indicate your referee in the space below: Referee Name Position Address Address Tel Mobile Declaration I confirm that the information that I have provided is accurate. Signature of Applicant Date / / If you have any queries about this form or admission process please contact HE Admissions on or HE@kingston-college.ac.uk. Please return the completed form in either of the following ways: By HE@kingston-college.ac.uk By Post HE Admissions Kingston College Kingston Hall Road Kingston-upon-Thames Surrey KT1 2AQ

8 Reference Form Please write in CAPITALS To the Candidate: You should supply a reference, ideally from an employer or an academic institution. Please insert your name and the course for which you are applying at the top of the form and send it to the referee, requesting that it is completed and forwarded directly to: Applicant Details Candidate s name: Course: Foundation Degree in Business To the Referee: The person named above is applying to Kingston College for admission to a course and it would help us in considering his/her application if you would kindly complete this reference. Any information you give will be considered strictly confidential. 1. How, and for how long, have you known the candidate? 2. How do you rate his/her academic ability? If he/she is about to take any further examinations what results do you think he/she will achieve? 3. Taking an overall view, what do you consider to be his/her major talents and most significant weaknesses? In what ways might he/she profit from this course?

9 4. Please comment on the applicant s ability to sustain his/her motivation to study for the duration of the course 5. Please feel free, either in the following space or in a separate letter, to make any further comments which you feel will be helpful. Thank you for this information which will remain confidential to Kingston College. Name Position Date / / Address Contact Number Signature of Referee Thank you for completing this reference form. It can be returned to the College in the following ways: T: By Sent the completed form to HE@kingston-college.ac.uk from the recognised account of the referee. Please note that references received from personal accounts may not be accepted. By Post Send the completed from to: HE Admissions Kingston College Kingston Hall Road Kingston Upon Thames KT1 2AQ

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