How to Apply

You are here:

Sun Sep 5 2010

Part 1 - Personal Information

Title * Forenames * Surname * Address * Address 2 * Address 3 Postcode *

Date of birth * Country of birth * Date of UK entry First language * Tel No. * Mobile No.

Email Address *

If you are currently in Year 11, we may contact your school directly for a reference

Last School/College attended with dates *

Equal Opportunities

Please select your ethnic origin as appropriate. This information will help ensure that college provision does not discriminate against people on any grounds. It will not be used to identify you personally.

Ethnic Origin*

We offer a range of learning support to our students. If you require help with any of the following, check the appropriate box/boxes.

Learning Support Requirements Learning support for a specific learning difficulty Language Support (if English is not your 1st language)

To help us provide you with any additional support you may need, please tick as appropriate any disabilities, special needs or medical conditions you may require support with:

Other (enter details here) *

Part II - Qualifications acheived / Examinations to be taken

Qualifications achieved/Examinations to be taken
Exam Level eg. GCSE, AS, A2	Subject	Grade Achieved if already completed	Estimated Grade if still to be taken	Year (to be) taken

Part III - Tell us about yourself

Please give us some additional information about yourself. For example this could include any responsibilities you have inside or outside school, work experience, team activities, leisure interests and hobbies.

Additional information about you *

Other

Provisional choice of course, with level of study where appropriate
Level (GCSE, BTEC, AS, A2, HNC)	Course-Subjects

Parent/Carer

Name *

Phone no. *

Relationship to applicant *

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New College Telford