FULL-TIME APPLICATION FORM

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1 Learner Number: FULL-TIME APPLICATION FORM St Peters Street Lowestoft Suffolk NR32 2NB Telephone: Fax: st choice course 2 nd choice course HAVE YOU ATTENDED THIS COLLEGE BEFORE? (Tick if Yes) PERSONAL DETAILS Surname Forenames Title Mr Mrs Miss Ms Other (Specify) Sex Male Female Date of Birth (essential) 1 9 National Insurance Number Unique Learner Number (ULN) Vehicle Registration Number HOME ADDRESS TERM TIME OR CONTACT ADDRESS (if different from Home Address) Postcode: DaytimeTelephone: Mobile Telephone: Evening Telephone: address: Emergency Contact Telephone/Name: Postcode: DaytimeTelephone: Mobile Telephone: Evening Telephone: If you have been a resident in the European Economic Area for the past three years, please complete the following England Scotland Wales N Ireland Other (specify) If you have NOT been a resident in the European Economic Area for the past three years, please complete the following Country of Residence Nationality Date of entry to EEA Reason for entry Do you, your spouse or parent/guardian have a restriction on your/their passport? YES NO If YES please tick one of the following: Seeking asylum Recently married to an EEA national Have exceptional leave to remain Other ETHNICITY (11) Asian or Asian British Bangladeshi (20) Mixed White & Black African (12) Asian or Asian British Indian (21) Mixed White & Black Caribbean (13) Asian or Asian British Pakistani (22) Mixed any other Mixed background (14) Asian or Asian British any other Asian background (23) White British (15) Black or Black British African (24) White Irish (16) Black or Black British Caribbean (25) White any other White background (17) Black or Black British any other Black background (98) Any other (18) Chinese (99) Not known/not provided (19) Mixed White & Asian If you would like this Application Form in larger print or alternative format, eg Braille or Audio tape, please contact Study Skills Support on It is the policy of this college that all people are entitled to equality of opportunity in education and training

2 EDUCATION Secondary school, college, etc attended DATES QUALIFICATIONS OBTAINED (or to be taken) RESULTS, GRADES * (please include anticipated grades) EMPLOYMENT/WORK EXPERIENCE (Company Name and Address) FULL OR PART-TIME JOB TITLE OR DUTIES APPROX DATES Please give details of personal interests, sports, hobbies, or personal achievements which you feel may support your application such as Duke of Edinburgh award scheme. LOWESTOFT COLLEGE WELCOMES DISABLED LEARNERS AND OFFERS APPROPRIATE SUPPORT Do you consider yourself to have a learning difficulty and/or disability and/ or health problem? Yes No If you have a disability are there any arrangements which we can make for you when you are called for interview? Yes No Prefer not to Say Prefer not to Say If YES, please specify, eg disabled, parking space, ground floor interview, interpreter, etc CONFIRMATION OF DETAILS I declare to the best of my knowledge and belief that the information I have given is correct. I understand that the information I have given is personal data and, therefore, subject to the Data Protection Act I give permission for my previous student information to be passed from the Local Education Authority to the College. I understand that this will help Lowestoft College provide the right support for me while completing my course. Signature of Applicant:... Date: Signature of Parent or Guardian:... If applicant is under 18 years of age Date: If you have any queries about any part of this form, please ring Student Services on Freephone or ADDRESS FOR RETURN OF THE COURSE APPLICATION FORM: Student Services, Lowestoft College, St Peters Street, Lowestoft, NR32 2NB

3 THE APPLICATION FORM INFORMATION FOR APPLICANTS Completing an application form is the first step in the process which will lead to an interview and the possible offer of a place. It is therefore most important that you complete ALL sections of the application form as clearly and fully as possible. These notes give some useful hints on how to complete it. PERSONAL DETAILS Please enter your personal details fully and clearly, so that we may contact you about your application. COURSE REQUIRED Please enter your first and second choice of course. EDUCATION/QUALIFICATION/TRAINING We are interested in any form of education you have followed including any courses which did not lead to an examination or qualification. We will take full note of any education or qualification gained overseas or as part of a Training Scheme. If you are taking qualifications before you come to College, please list them. WORK EXPERIENCE AND EMPLOYMENT Skills and knowledge you have gained at work can be useful in helping us make an offer of a place on an appropriate course. We are also interested in any other activities you may have been involved in, including voluntary and community work or leisure interests which are relevant to the course. INTERVIEW INFORMATION If you have a disability please complete this section so that we can make suitable arrangements when you are called for an interview. The College strongly welcomes applications from disabled people and endeavours to support disabled students on the learning programme of their choice. It is easier for the College to achieve this if it is aware of your disability. All such information is treated with confidence and does not affect your application. CONFIRMATION OF DETAILS Please make sure that you have SIGNED and DATED your application to confirm that your details are correct and complete. Send it to the College as soon as possible. REFERENCES You may be required to provide two referees for some courses. You will be notified of this when your application form is received. All applications are treated confidentially. THE INTERVIEW INTERVIEW INFORMATION The College will acknowledge receipt of your application form within ten working days. An interview will then be arranged in due course. The interview is important because it gives you an opportunity to see the College, meet some College staff and discuss any concern you might have about College life. You will be met by a Guidance and Information Officer who will give advice on fees, travel, childcare and details of courses you are interested in. You will be interviewed by a member of the teaching team and be given opportunities to ask any questions you may have. At the end of the interview you will be advised of the next stage of your application.

4 FOR OFFICE USE ONLY Acknowledgement Interview arranged Interview Check List Did Not Attend Completed OUTCOMES Definite Place Provisional Place Alternative Place Refused GIO NOTES TUTOR NOTES Version (2009/2010)

5 Learner Number: PART-TIME APPLICATION FORM St Peters Street Lowestoft Suffolk NR32 2NB Telephone: Fax: st choice course 2 nd choice course HAVE YOU ATTENDED THIS COLLEGE BEFORE? (Tick if Yes) PERSONAL DETAILS Surname Forenames Title Mr Mrs Miss Ms Other (Specify) Sex Male Female Date of Birth (essential) 1 9 National Insurance Number Unique Learner Number (ULN) Vehicle Registration Number HOME ADDRESS TERM TIME OR CONTACT ADDRESS (if different from Home Address) Postcode: DaytimeTelephone: Mobile Telephone: Evening Telephone: address: Emergency Contact Telephone/Name: Postcode: DaytimeTelephone: Mobile Telephone: Evening Telephone: If you have been a resident in the European Economic Area for the past three years, please complete the following England Scotland Wales N Ireland Other (specify) If you have NOT been a resident in the European Economic Area for the past three years, please complete the following Country of Residence Nationality Date of entry to EEA Reason for entry Do you, your spouse or parent/guardian have a restriction on your/their passport? YES NO If YES please tick one of the following: Seeking asylum Recently married to an EEA national Have exceptional leave to remain Other ETHNICITY (11) Asian or Asian British Bangladeshi (20) Mixed White & Black African (12) Asian or Asian British Indian (21) Mixed White & Black Caribbean (13) Asian or Asian British Pakistani (22) Mixed any other Mixed background (14) Asian or Asian British any other Asian background (23) White British (15) Black or Black British African (24) White Irish (16) Black or Black British Caribbean (25) White any other White background (17) Black or Black British any other Black background (98) Any other (18) Chinese (99) Not known/not provided (19) Mixed White & Asian If you would like this Application Form in larger print or alternative format, eg Braille or Audio tape, please contact Study Skills Support on It is the policy of this college that all people are entitled to equality of opportunity in education and training

6 EDUCATION Secondary school, college, etc attended DATES QUALIFICATIONS OBTAINED (or to be taken) RESULTS, GRADES * (please include anticipated grades) EMPLOYMENT/WORK EXPERIENCE (Company Name and Address) FULL OR PART-TIME JOB TITLE OR DUTIES APPROX DATES Please give details of personal interests, sports, hobbies, or personal achievements which you feel may support your application such as Duke of Edinburgh award scheme. LOWESTOFT COLLEGE WELCOMES DISABLED LEARNERS AND OFFERS APPROPRIATE SUPPORT Do you consider yourself to have a learning difficulty and/or disability and/ or health problem? Yes No If you have a disability are there any arrangements which we can make for you when you are called for interview? Yes No Prefer not to Say Prefer not to Say If YES, please specify, eg disabled, parking space, ground floor interview, interpreter, etc CONFIRMATION OF DETAILS I declare to the best of my knowledge and belief that the information I have given is correct. I understand that the information I have given is personal data and, therefore, subject to the Data Protection Act I give permission for my previous student information to be passed from the Local Education Authority to the College. I understand that this will help Lowestoft College provide the right support for me while completing my course. Signature of Applicant:... Date: Signature of Parent or Guardian:... If applicant is under 18 years of age Date: If you have any queries about any part of this form, please ring Student Services on Freephone or ADDRESS FOR RETURN OF THE COURSE APPLICATION FORM: Student Services, Lowestoft College, St Peters Street, Lowestoft, NR32 2NB

7 THE APPLICATION FORM INFORMATION FOR APPLICANTS Completing an application form is the first step in the process which will lead to an interview and the possible offer of a place. It is therefore most important that you complete ALL sections of the application form as clearly and fully as possible. These notes give some useful hints on how to complete it. PERSONAL DETAILS Please enter your personal details fully and clearly, so that we may contact you about your application. COURSE REQUIRED Please enter your first and second choice of course. EDUCATION/QUALIFICATION/TRAINING We are interested in any form of education you have followed including any courses which did not lead to an examination or qualification. We will take full note of any education or qualification gained overseas or as part of a Training Scheme. If you are taking qualifications before you come to College, please list them. WORK EXPERIENCE AND EMPLOYMENT Skills and knowledge you have gained at work can be useful in helping us make an offer of a place on an appropriate course. We are also interested in any other activities you may have been involved in, including voluntary and community work or leisure interests which are relevant to the course. INTERVIEW INFORMATION If you have a disability please complete this section so that we can make suitable arrangements when you are called for an interview. The College strongly welcomes applications from disabled people and endeavours to support disabled students on the learning programme of their choice. It is easier for the College to achieve this if it is aware of your disability. All such information is treated with confidence and does not affect your application. CONFIRMATION OF DETAILS Please make sure that you have SIGNED and DATED your application to confirm that your details are correct and complete. Send it to the College as soon as possible. REFERENCES You may be required to provide two referees for some courses. You will be notified of this when your application form is received. All applications are treated confidentially. THE INTERVIEW INTERVIEW INFORMATION The College will acknowledge receipt of your application form within ten working days. An interview will then be arranged in due course. The interview is important because it gives you an opportunity to see the College, meet some College staff and discuss any concern you might have about College life. You will be met by a Guidance and Information Officer who will give advice on fees, travel, childcare and details of courses you are interested in. You will be interviewed by a member of the teaching team and be given opportunities to ask any questions you may have. At the end of the interview you will be advised of the next stage of your application.

8 FOR OFFICE USE ONLY Acknowledgement Interview arranged Interview Check List Did Not Attend Completed OUTCOMES Definite Place Provisional Place Alternative Place Refused GIO NOTES TUTOR NOTES Version (2009/2010)

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