Higher education course on-line application

Are you applying for full time or part time? *


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):









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.

Gender










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


Education


Examinations taken or to be taken



Current employment, full or part-time


Previous employment, full or part-time


Personal statement



To proceed, please read and accept the College Applicant Privacy notice: http://bit.ly/ERCPN

*

Have you any disability or health problems?

Are you registered disabled?

Do you have any other support requirements?

Do you have an Education, Health and Care Plan


Learning support

We will pass on information about learners’ disabilities and additional needs 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 share 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.

Equal opportunities

Equal opportunities monitoring - East Riding College has an equality and diversity policy that warmly welcomes people from all backgrounds regardless of race, ethnic origin, gender, disability, religion, sexuality or age. Please help us to monitor the effectiveness of our policy by answering the following questions.


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 0345 120 0044 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.