*Title

Select Mr Mrs Miss Ms Other

*First Name(s)

*Surname

 

*D.O.B.

 Gender

Male Female

*Address

*Postcode

 

Email

*Tel. No.

 

Mob

Is it OK if we text you with event dates and information?

Yes No

*Have you lived outside the UK (other than holidays) in the last 3 years?

Yes No

If yes, please state date of entry into the UK

National Insurance Number

Were you a student at Yorkshire Coast College last year?

Yes No

If yes, what did you study?

*1st Choice

 

2nd Choice

Reasons for your choice(s)...

Which type of study do you wish to consider?

Full time study Work based or Apprenticeship study or both

If you selected Work Based/Apprenticeship, do you have a potential employer?

Yes No

If yes, please state name of employer

If no, would you consider a full-time course?

Yes No

*Most recent school/college (including Yorkshire Coast College)

*Qualifications/Subjects studied

*Grade/Level (if known)

*or predicted grades

*Date Taken

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Employer/Organisation

Type of Work

Approx. Dates From - To(DD/MM/YY)

 

 

 

 

 

 

 

 

 

 

 

 

*Do you feel you may require any additional support at or have special requirements while at College?

Yes No

If yes, please give details

11 Bangladeshi

17 Black Other

23 White British

12 Indian

18 Chinese

24 White Irish

13 Pakistani

19 White and Asian

25 White Other

14 Asian Other

20 White and Black African

98 Other

15 Black African

99 Not known/provided

16 Black Caribbean

22 Mixed Other

References

*All applicants must supply the name and address of a referee who they have known recently and for a minimum of 2 years. They must not be a family member, and if they are your employer, please use your most recent employer. Please note if you are currently at school or college this MUST be your head teacher or course/form tutor.

*Name

 

*Tel. No.

*Address

*Relationship

*

Childcare Applicants

If you are applying for a Childcare course you must provide a second referee. This MUST be Childcare related, e.g. from your work experience. Babysitting jobs do not count. Please ask permission from the person you are nominating.

Name

 

Tel. No.

Address

Relationship

Emergency contact details

*Name

 

*Relation

*Tel. No.

 

*Mobile

*Address

Please advise when you are unavailable for interview, for example GCSE exams or holidays

From

 

To

*I confirm the information given on this form is true, complete and accurate.

*If you are applying for an Askham Bryan College Animal Care course, please check this box to say you have parent/guardian permission'

Data Protection Act 1998 – The information you provide on this form will be passed to the Learning and Skills Council (the LSC). The LSC is responsible for funding and planning education and training for young people and adults in England, and is registered under the Data Protection Act 1998. The information you provide will be shared with other organisations for the purpose of administration, careers and other guidance, and statistical and research purposes. Other organisations with which we share information include the Department of Education and Skills, Connexions, Higher Education Statistical Agency, Higher Education Funding Council for England, educational institutions and organisations performing research and statistical work on behalf of the LSC or its partners. The LSC is also a co-financing organisation and uses European Social Funds from the European Union to directly or indirectly part-finance learning activities, helping develop employment by promoting employability, business spirit and equal opportunities, and investing in human resources. Further information about partner organisations and what they do, may be found at www.lsc.gov.uk

Whilst every effort is made to ensure that all information included is correct at the time of printing, we cannot be held responsible for errors and omissions and change to circumstances beyond our control. Nothing herein constitutes an offer of service or implies a contractual agreement whatsoever. Entry requirements may vary from one course to another to ensure that applicants are offered the best chance to succeed in that subject. All applications and offers are subject to interview. We reserve the right to cancel courses in the event of insufficient enrolment, but will endeavour to offer alternative provision in such cases.