Adults (aged 19+) Application Form

Please use this form to apply for an adult course,
including Access to HE, Distance Learning and Business and Professional.

Personal Details

Title(*)

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First Name(s)(*)

Please let us know your first name.

Surname(*)

Please let us know your surname.

Date of Birth(*) (DD/MM/YYYY)

Day01020304050607080910111213141516171819202122232425262728293031 Month010203040506070809101112 Year20162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901 Please let us know your date of birth.

Email

Please let us know your email address.(*)

Gender(*)

Male

Female

Please enter your gender.

Nationality(*)

Please select from... England Northern Ireland Scotland Wales Afghanistan Africa Not Otherwise Specified Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antarctica And Oceania Not Otherwise Specified Antigua And Barbuda Argentina Armenia Aruba Asia (except Middle East) Not Otherwise Specified Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Burma Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Caribbean Not Otherwise Specified Cayman Islands Central African Republic Central America Not Otherwise Specified Chad Channel Islands Channel Islands Not Otherwise Specified Chile China China (taiwan) Christmas Island Cocos (keeling) Islands Colombia Comoros Congo Congo (democratic Republic) Cook Islands Costa Rica Croatia Cuba Cyprus Cyprus (european Union) Cyprus (non-European Union) Cyprus Not Otherwise Specified Czech Republic Czechoslovakia Not Otherwise Specified Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europe Not Otherwise Specified Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-bissau Guyana Haiti Heard Island And Mcdonald Islands Honduras Hong Kong (special Administrative Region Of China) Hungary Iceland India Indonesia Iran Iraq Ireland Isle Of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea (north) Korea (south) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao (special Administrative Region Of Chiina) Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Middle East Not Otherwise Specified Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North America Not Otherwise Specified Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn, Henderson, Ducie And Oeno Islands Poland Portugal Puerto Rico Qatar R?nion Romania Russia Rwanda Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia And Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South America Not Otherwise Specified South Georgia And The South Sandwich Islands Spain Spain (except Canary Islands) Spain Not Otherwise Specified Sri Lanka St Helena St Kitts And Nevis St Lucia St Pierre And Miquelon St Vincent And The Grenadines Sudan Surinam Svalbard And Jan Mayen Swaziland Sweden Switzerland Syria Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine Union Of Soviet Socialist Republics Not Otherwise Specified United Arab Emirates United Kingdom United Kingdom Not Otherwise Specified United States United States Minor Outlying Islands United States Virgin Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis And Futuna West Bank (including East Jerusalem) And Gaza Strip Western Sahara Yemen Yugoslavia Not Otherwise Specified Zimbabwe Not Known Invalid Input

Address Details

House Number/Name and Road Name(*)

Please let us know your house number/name and road name.

Address Line 2

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Town/City(*)

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County(*)
Please select from...

Please select from...AvonBedfordshireBerkshireBordersBuckinghamshireCambridgeshireCentralCheshireClevelandClwydCornwallCounty AntrimCounty ArmaghCounty DownCounty FermanaghCounty LondonderryCounty TyroneCumbriaDerbyshireDevonDorsetDumfries and GallowayDurhamDyfedEast SussexEssexFifeGloucestershireGrampianGreater ManchesterGwentGwynedd CountyHampshireHerefordshireHertfordshireHighlands and IslandsHumbersideIsle of WightKentLancashireLeicestershireLincolnshireLothianMerseysideMid GlamorganNorfolkNorth YorkshireNorthamptonshireNorthumberlandNottinghamshireOxfordshirePowysRutlandShropshireSomersetSouth GlamorganSouth YorkshireStaffordshireStrathclydeSuffolkSurreyTaysideTyne and WearWarwickshireWest GlamorganWest MidlandsWest SussexWest YorkshireWiltshireWorcestershire Invalid Input

Please input the first half of your postcode into the first box, and the second half of your postcode into the second half.

Postcode(*)

Please let us know the first half of your postcode.

(*)

Please let us know the second half of your postcode.

Telephone Number(*)

Please let us know your telephone number. If you do not have a home number, please put your mobile number in this field.

Mobile Number

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Course Choice

Please select the curriculum area you are interested in studying:

An Adult Course

An Access to HE Course

A Distance Learning Course

Please select the curriculum area you are interested in studying.

Adults Adult courses have start dates throughout the year. They're ideal if you want to learn new skills, develop existing ones, change career, boost your confidence, gain qualifications or simply learn for fun. Use this option if you would like to apply for BTEC's, NVQ's, Certificates, Business and Professional Courses and short leisure courses.

Access to HE Access to Higher Education (HE) courses are designed to help individuals who left school without formal qualifications or for those who have significant life experience outside of formal education and are looking to gain a formal qualification in order to progress onto a degree course at University.

Distance Learning You will complete the course through an interactive online learning platform and will be assessed through a series of online assessments, with no formal exams.

Part-time degree course If you want to study a degree or HNC/D, but cannot attend university on a full-time basis, studying part-time is a great way to balance further study with other commitments such as work. You will need to complete our Part-time HE Application Form.

Distance Learning

Please select which distance learning course you are interested in studying using the link below:

Please select from...Level 2 Certificate in Awareness of Mental Health ProblemsLevel 2 Certificate in Cancer SupportLevel 2 Certificate in Care PlanningLevel 2 Certificate in Care and Management of DiabetesLevel 2 Certificate in Children and Young People's Mental HealthLevel 2 Certificate in Climate Change and Environmental AwarenessLevel 2 Certificate in Common Childhood Illnesses Level 2 Certificate in Common Health ConditionsLevel 2 Certificate in Counselling SkillsLevel 2 Certificate in Customer ServiceLevel 2 Certificate in Customer Service for Health and Social Care SettingsLevel 2 Certificate in Dementia CareLevel 2 Certificate in Dignity and Safeguarding in Adult Health and Social CareLevel 2 Certificate in End of Life CareLevel 2 Certificate in Equality and DiversityLevel 2 Certificate in Falls Prevention AwarenessLevel 2 Certificate in Information, Advice or GuidanceLevel 2 Certificate in Introducing Caring for Children and Young PeopleLevel 2 Certificate in Mental Health in the Early YearsLevel 2 Certificate in Mental Health First Aid and Mental Health Advocacy in the WorkplaceLevel 2 Certificate in Nutrition and HealthLevel 2 Certificate in Preparing to Work in Adult Social CareLevel 2 Certificate in the Prevention and Control of Infection in Health Care SettingsLevel 2 Certificate in Safeguarding and PreventLevel 2 Certificate in the Safe Handling of Medication in Health and Social CareLevel 2 Certificate in Team LeadingLevel 2 Certificate in Understanding AutismLevel 2 Certificate in Understanding Behaviour that ChallengesLevel 2 Certificate in Understanding Specific Learning DifficultiesLevel 2 Certificate in Working with Individuals with Learning DisabilitiesLevel 3 Certificate in Preparing to Work in Adult Social Care Invalid Input

Adults

Please enter your course choice using the box below:

Course Choice

Please select from...AccountingAnimal ManagementArt and DesignFoundation Diploma in Art, Design and Media PracticeBeauty, Nails and MakeupBusiness and ManagementCatering, Hospitality and Food SafetyColours Cookery SchoolComputing and IT ConstructionCounsellingDistance LearningEarly Years and Teaching Assistants (Employed or volunteering within the sector)Early Years and Teaching Assistants (Not employed or volunteering within the sector)Engineering Engineering - ElectricalEngineering - Fabrication and WeldingEngineering - Manufacturing Engineering - Mechanical EngineeringEngineering - Operations English and MathsFloristryHairdressing and BarberingHealth and Social CareHuman Resource ManagementMotor VehicleMOT Training and Professional AccreditationPrince’s TrustSport, Exercise, Health and FitnessTeaching (FE Settings), Assessment and Quality AssuranceWorkWorld Invalid Input

Do you know the name of the course you would like to study, if so please provide below:

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When would you like to start your course?(*)

Between Sept 2022 - July 2023 Between Sept 2023 - July 2024

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Please let us know your highest level of qualifications, including subject and any relevant work experience

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Access to HE

Please enter your first and second choices in the boxes below:

Course Choice

Please select from...Pre-Access Skills for Further StudyAccess to HE Diploma - Art and DesignAccess to HE Diploma - Humanities and Social Science (Teaching/Social Work)Access to HE Diploma - Health ProfessionalsAccess to HE Diploma - Psychology and Mental Health Invalid Input

Daytime Route:
Applicants must have achieved English and Maths GCSEs at grade A-C (or grade 9-4 or equivalent).

Evening Route:
Applicants must have achieved English, Maths and Science GCSEs at grade A-C (or grade 9-4 or equivalent).

If you do not have these GCSEs, don't let this be a barrier to you realising your aspirations. We offer the Pre-Access Skills for Further Study programme as a stepping stone, where you can study GCSE English and maths, in preparation for progressing on to the Access to HE Diploma.

Personal Statement

Please provide further information to support your application for your chosen course. You should consider:

• Previous study.
• Paid or unpaid work experience.
• Relevant life experience.
• The personal abilities and qualities.
• Why you want to study the course and what you hope to do once you have completed the course.
• Any other relevant information that will help demonstrate your suitability for the course.

Please use this space for your Personal Statement

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Qualifications

Please list all the qualifications that you have previously achieved. Include those where the results are not yet known:

Qualification 1: Subject

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Qualification type (i.e. GCSE, GNVQ etc.)

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Date Achieved (DD/MM/YYYY)

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Grade

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Qualification 2: Subject

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Qualification type

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Date Achieved

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Grade

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Qualification 3: Subject

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Qualification type

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Date Achieved

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Grade

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Qualification 4: Subject

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Qualification type

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Date Achieved

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Grade

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Qualification 5: Subject

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Qualification type

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Date Achieved

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Grade

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Qualification 6: Subject

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Qualification type

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Date Achieved

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Grade

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Qualification 7: Subject

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Qualification type

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Date Achieved

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Grade

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Work Experience

Please provide details of any paid or voluntary work experience, starting with your current or latest job.

Date from (MM/YYYY)

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Date to (MM/YYYY)

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Job title

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Employer

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Main duties:

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Reasons for leaving

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Work Experience 2

Date from (MM/YYYY)

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Date to (MM/YYYY)

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Job title

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Employer

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Main duties:

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Reasons for leaving

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Health, Disability and Additional Learning Support

To help you succeed, it important that we are aware of any additional support that you may need. This will allow us to arrange any reasonable adjustments to support your needs.

Do you have a disability, medical condition, learning difficulty, dyslexia, dyspraxia, ADHD, mobility difficulties, autistic spectrum disorder mental health issues, any other health impairment or disability or, are you deaf, hard of hearing, blind or visually impaired? (*)

YesNo

Please let us know if you have a disability, medical condition, learning difficulty, dyslexia, dyspraxia, ADHD, mobility difficulties, autistic spectrum disorder mental health issues, any other health impairment or disability or, are you deaf, hard of hearing, blind or visually impaired

Do you have, or will you be receiving a Statement or EHC plan? (*)

YesNo

Please let us know if you have, or will you be receiving a Statement or EHC plan.

Ethnicity

Please indicate which category best describes your ethnic origin:(*)

White - BritishWhite - IrishWhite - Gypsy or Irish TravellerWhite - Any other White backgroundMixed/Multiple ethnic group - White and Black CaribbeanMixed/Multiple ethnic group - White and Black AfricanMixed/Multiple ethnic group - White and AsianMixed/Multiple ethnic group - OtherAsian/Asian British - IndianAsian/Asian British - PakistaniAsian/Asian British - BangladeshiAsian/Asian British - ChineseAsian/Asian British - Any other Asian backgroundBlack/Black British - AfricanBlack/Black British - CaribbeanBlack/Black British - Any other Black backgroundArabOtherNot Known/Provided Invalid Input

Other

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How did you hear about us?

How did you hear about us? (*)
Please select from...

Please select from... College Website Employer Family or Friends Internet Search Course Guide in the Post Newspaper/Magazine Outdoor Advertising (Billboard, Railing Banner) Radio Social Media (Facebook, Twitter, Instagram etc) Spotify Advert Studied Here Before Other Please let us know how you heard about us.

Other

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What we do with the information we gather

We require this information to understand your needs and provide you with a better service, in particular for the following reasons:

• We will use the contact details provided to invite you to attend information and enrolment events in relation to your course and to request further information from you, where required, to support the admissions and enrolment process and to keep in touch with you before starting your course.
• We may use the information provided to monitor and support your progress as a student.
• We may use the information to improve our products and services.
• We may periodically send promotional emails about new products/services or other information which we think you may find interesting, using the mail address which you have provided.
• From time to time, we may also use your information to contact you for market research purposes. We may contact you by email, phone or mail.

Your personal information
By completing this form you are giving your consent to us processing your personal information in this way. We will not sell, distribute or lease your personal information to third parties unless we have your permission or are required by law. You have the right to request details of personal information which we hold about you.

For further information about we use and store your personal data, please read our Privacy Policy.

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Once you have hit the "Submit Form" button, please wait a moment while you are directed to our application confirmation page.