Application Form

What type of course are you applying for?

Full Time

Part Time

Apprenticeship

Are you a returning student?

Yes

No

Start Application

Personal Details

Title

First Name(s)*

Last Name*

Home Phone Number*

Mobile Phone Number

Email*

Gender

Date of Birth*

Academic Year

National Insurance Number

Home Address

Address*

Postcode*

Is your correspondence address different to your home address above?

Yes

No

Correspondence Address

Address*

Postcode*

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What is your nationality?*

Have you been resident in the UK, EU or EEA for the past 3 years?

Yes

No

In which country do you normally live?*

What date did you enter the UK?*

Which country did you live in before coming into the UK?*

How long have you lived there?*

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Please enter the course title(s) of the course(s) you would like to apply for.

	Course Title
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2
3
4
5
6

Undecided about what to study at college? (Please tick for an informal chat with our Careers Advisor)

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Please enter the name and address of present/last school or college attended.

School/College Name*

Start Date

Finish Date

Address*

Postcode*

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Do you have any of the following qualifications prior to starting the course? (Please tick the appropriate box)

Level 0	Word Power/ Number Power
Level 1	GCSE D-G (grades 3-1) or less than 5 GCSE at A-C (grades 9-4), 1 AS Level	BTEC/EDEXCEL 1st Certificate GNVQ Foundation	NVQ Level 1	C&G Operative Award
Level 2	5 or more GCSE at A-C (grades 9-4) 2 or 3 AS Level or 1 A Level	BTEC/EDEXCEL 1st Diploma GNVQ Intermediate	NVQ Level 2	C&G High Operative/Craft	RSA/OCR Diploma Pitman Intermediate Level 2
Level 3	4 or more AS Level 2 or more A Level	BTEC/EDEXCEL Nat Cert/Dip GNVQ Advanced	NVQ Level 3	C&G High Advanced/Craft Access to HE	RSA/OCR Stage 3 Adv Diploma ESOL Advances Award
Level 4	First Degree	BTEC/EdEXCEL HNC/HND Other Higher Cert or Diploma	NVQ Level 4	Teaching Qualification including PGCE	RSA/OCR Adv Certificate RSA/OCR Higher Diploma
Level 5	Higher Degree	DMS MBA	NVQ Level 5	Other Professional Qualification
Other (please specify)
No formal qualifications

Previous Subjects*

All full-time applicants including apprentices, please list all previous qualifications showing grades expected or achieved (please include any completed or uncompleted apprenticeships).

	Subject Title	Awarding Body	Grade Expected	Grade Actual
1
2
3
4
5
6
7
8
9

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Employer

Position Held

Date of Employment

Address

Postcode

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Please provide the Name and FULL ADDRESSES of two character referees

Reference 1

Name*

Address*

Postcode*

Reference 2

Name*

Address*

Postcode*

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Disability is defined as any physical or mental impairment which has a substantial and long term (over 12 months) adverse affect on your ability to carry out day to day activities.

Do you have an Education, Health & Care Plan (EHCP)? If yes, you will need to send us a copy of your plan.

Yes

No

Criminal Convictions

You must tick 'Yes' if you have a conviction unless it is:

a) A motoring offence that you received a fine or three penalty points for, OR
b) A spent sentence (as defined by the Rehabilitation of Offenders Act 1974)

Please be aware that for certain courses, particularly in teaching, health and social care, you must tell us about ANY criminal conviction(s), including spent sentences and cautions. If you are serving a prison sentence you must tick the ‘Yes’ box. If you are convicted of a criminal offence after you have enrolled, you MUST let us know immediately. If you are not sure whether to tell us about a previous conviction you should get more advice from your Citizens Advice Bureau. In line with the College safeguarding procedure if you declare a conviction we will need to complete a risk assessment form before we can process the application any further.

Do you have any criminal convictions?

Yes

No

Safeguarding - The College’s designated Safeguarding Officer is Debra Baldwin

Who do you live with?*

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Please help us monitor our Equality and Diversity policy by selecting the most appropriate option

I consider my ethnic origin to be:*

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Please select one:

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Upload File: (Max Size: 1 MB - Supported Types: PDF, DOC, DOCX, RTF, TXT)

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Parent 1

Title

Name

Email

Parent 2

Title

Name

Email

Please Note: If you do not wish us to contact them regarding your application, please discuss this at your interview.

Disclaimers

All applicants will be invited for interview. All courses are offered subject to adequate demand.

Under the Data Protection Act of 1998 we need your consent before we can process and store your information. By ticking this box you are consenting to the personal data you supply being used to: (1) Process your application (2) Investigate and provide the correct level of support that may be required by you.

You must agree to this disclaimer before submitting the form.

The information contained on this form will be used to process your application and to keep you informed of courses at Ludlow College. If you do not wish to receive future mailings from us please tick this box.

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Application Form

Personal Details

Home Address

Correspondence Address

Residency & Nationality - Information to assess your fee status

Title of Course(s)*

Previous Education

Level of Entry*

Previous Subjects*

Employment (including part time/voluntary)

References

Reference 1

Reference 2

Accessibility

Criminal Convictions

Safeguarding - The College’s designated Safeguarding Officer is Debra Baldwin

Equality and Diversity

How did you hear about Ludlow College and the course(s) for which you are applying?

Please upload your CV (if applicable)

For learners under 18, the College values the support of parents and guardians

Parent 1

Parent 2

Disclaimers