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University Course (Part-time) Application Form

Title(*)
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Surname(*)
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First name(*)
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Other names
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Sex(*)
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Date of birth

Date
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Month
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Year
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Please enter the course you wish to apply for:

Course(*)
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Which school, college or university did you last attend?(*)
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What year did you leave?
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Level
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Level
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Level
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Phone (daytime)
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Phone (evening)
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Mobile number
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Email
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Address
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Town
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City
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County
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Postcode
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Ethnic origin
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Learning difficulties
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Disabilities
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How did you hear about the college?
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Young carer
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Please give details of any work, paid or unpaid, which you have done (including work experience, home management etc)

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Please tell us why you are applying for the course. Include additional information about yourself, your interests, hobbies, positions of responsibility and future career ideas to support your application.

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Please state the most suitable date/time for you to attend an informal guidance interview here at the college.
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