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Enrolment Form

Personal Details

Further Details

Terms



Personal Details


SurnameField is required

First Forename

Field is required
TitleField is required
Date Of BirthField is required
Legal GenderField is required
Telephone
MobileField is required
Personal EmailField is required
NationalityField is required
What is your EthnicityField is required
What is your country of ResidenceField is required
Have you legally lived in the UK or Ireland continuously for the last 3 years on the first day of your course?
 
Visa Type
Date of Entry into the UK (If non UK or EU resident)
What country did you arrive from?
Visa Expiry Date

Main Address

Please enter your postcode or partial address below & click the find button. Then select your address from the resulting list:

Search:

Address line 1Field is required
Address line 2
TownField is required
County
Postcode
Years at addressField is required

Parent/Guardian/Emergency Contact

Emergency Contact NameField is required
Emergency Contact RelationshipField is required
Emergency Contact Phone numberField is required
Emergency Contact Email AddressField is required

Learner Support

Do you have any disabilities or learning difficulties?
 

Are you any of the following?

In care?
Young carer?
Young parent?
Care leaver?
Do you have an Education Health & Care Plan?

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