Our Next Open Event is on Thursday 1st February 5pm – 8pm
Course applied for
Early Years Foundation Degree Teaching & Learning Support Leadership & Management Foundation Degree BA Hons Working with Children in Early Years & Education
Date of birth
Have you lived in the UK or an EU Country for the past 3 years?
If 'No' then please state where
Please state all of your qualification details to date, starting with your most recent.
The College is committed to meeting the needs of students with learning difficulties, disabilities and medical
conditions. To help us support you please complete the following
Do you have a
Please outline any relevant information below
Employers Name and Address
Please enter here any information you may wish to offer in support of your application. We are particularly
interested in your reasons for choosing the course, how you became aware of the course, your career aspirations,
and what attributes you possess that make you a suitable candidate.
Please provide the details of an academic referee, unrelated to you, who is prepared to recommend you for this
course. If you are unable to provide an academic referee please provide details of your employer.
The college is committed to equality of opportunity to all ethnic groups within the community. To help us
achieve this please tick the relevant boxes.
Is English your first language?
How would you describe your ethnic background?
31. English/Welsh/Scottish/N.Irish/British 32. Irish 33. Gypsy or Irish Traveller 34. Any other White Background
44. African 45. Caribbean 46. Black British/Black other
Mixed/Multiple ethnic group
35. White and Black Caribbean 36. White and Black African 37. White and Asian 38. Any other mixed/multiple ethnic background
Other ethnic group
47. Arab 98. Any other ethnic group
39. Indian 40. Pakistani 41. Bangladeshi 42. Chinese 43. Any other Asian Background
Please select the payment method for your course
Employer/Sponsor Tuition Fee Loan Self - Funding
HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENCE?
(You do not need to disclose speeding tickets).
If you have answered Yes please give brief details and dates of any offences below
Please note this information will be kept confidential
I declare that the information on this form is correct and accurate to the best of my knowledge.
I understand that any offer of a place is subject to my acceptance of the College's terms and conditions.
I agree that the College may record and process the information contained in this form for statistical and
administrative reasons in accordance with the Data Protection Act 1998.
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