Higher education course on-line application


Site (please consult the course page on this website or the relevant course guide to find out at which site your course is available): *

Your details

Title (please tick one):









Gender









Have you been ordinarily resident in the UK/EU or other EEA country during the last three years? *


Have you ever been convicted of a criminal offence of a violent or sexual nature or involving the supply or use of illegal substances? *

If you answered Yes, you are required to complete a criminal convictions form, unless you have already provided details. If applying for a course leading to work with children (under 18) or vulnerable adults please provide information on any spent convictions or cautions.

Education


Examinations taken or to be taken



Current employment, full or part-time


Previous employment, full or part-time


Personal statement



Have you any disability or health problems?

Are you registered disabled?

Do you have any other support requirements?


DATA PROTECTION STATEMENT

By submitting this Application Form you are indicating your consent to the collection and use of your personal data as set out in our Privacy Notice for applicants. 

Any changes to the privacy notice will be published on Moodle (for current students) and the website (for applicants) as soon as they become available.  Please check for updates.

 

Learning support

We will pass on information about learners’ disabilities and additional needs only to those who need to know so that they can provide support. The client services manager, the special educational needs co-ordinator or the course tutor will decide who needs to know, in consultation with you, the learner. If you are not prepared to sign this, please ask to see one of these people so that you can discuss any support needs confidentially. We recognise that you have the right to confidentiality now and throughout your course, but this may conflict with our commitment to providing you with all the support you need.


Asian, Asian British, Asian English, Asian Scottish or Asian Welsh



Black, black British, black English, black Scottish or black Welsh


Chinese, Chinese British, Chinese English, Chinese Scottish or Chinese Welsh

Mixed



White





If you need help with filling in this form, please call 0845 120 0037 and ask for learner services.

By submitting this form, you declare that all the information you have given is correct to the best of your knowledge.