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Adult Summer School Application Form

Personal Details

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Please let us know your first name.

Please let us know your surname.

Please let us know your date of birth.

Please let us know your email address.

Please enter your gender.

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Address Details

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

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

Please let us know the first half of your postcode.
Please let us know the second half of your postcode.
Please let us know your telephone number. If you do not have a home number, please put your mobile number in this field.

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Course Choice

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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.

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

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

Ethnicity

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How did you hear about us?

Please let us know how you heard about us.

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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.