Application Form 2011/2012

The Application Form below is set out into four brief sections. Please be sure to complete ALL sections before submitting.

Your completed application will be sent directly to the Student Services department, who will contact you shortly.

If you have problems completing your application please call Student Services on 01934 411 431 or 01934 411 420.

Section 1: Personal Details

Forename: *

Surname: *

Address: *

Postcode: *

Gender: *

Date of Birth: *

Nationality: *

Home Phone Number: *

Mobile Number:

Email Address:

Section 2: Course(s) You Would Like To Study

If you're unsure which course to study, don't worry, just call Student Services on 01934 411 411 to discuss your options, or check the box below.

Choice 1: *

Put your chosen course/A Level/Apprenticeship title here (Please refer to the Prospectus 2009/2010 for correct course title)

Choice 2:

If you are considering two different courses, place your second course in here.

Undecided about what to do at College?:

Please tick here for an informal chat with our Course Information Advisors.

Your Career Aim:

(What do you want to be?)

You have chosen this course at Weston College because:

Were you recommended by someone?:

(Please state why)

Section 3: Education

If you are attending or have recently left school, please insert the name of the school and the approximate date you are leaving/left in this space.

Name of School Attended:

Date of Leaving School:

Current or Previous Place of Study:

Date of Leaving Place of Study:

Ethnicity:

Qualifications:

(List all subjects and grades)

Awaiting Results:

(If awaiting results, please list all subjects and predicted grades)

Have you ever received any additional support whilst at school?:

(Please give details)

Further Comments:

(ie Achievements, awards, work experience undertaken, etc)

Parents' / Carers' Comments:

(If you would like your parents / carers to comment, please use this area)

Section 4: Declaration

Data Protection Act 1998:

"I give my consent to Weston College recording and processing the personal information on this form, for any purposes of the College associated with the provision of advice and guidance to potential students on the range of courses available to them, College facilities and any other associated information. In accordance with the Data Protection Act 1998, the information will be used only for the above mentioned purposes. If I am under 19, I give my consent to sharing details on my programme of study, subsequent achievements and destination on leaving college, for marketing purposes. I also give my consent to sharing details on issues regarding attendance, punctuality, academic progress and achievements with my parents / carers. Students who do not wish parents / carers to be informed of these matters should contact the Head of Student Services in writing. I understand that this information will be used only for the purposes set out in the statement above and my consent is conditional upon the College complying with its obligations and duties under the Data Protection Act 1998."

Please select: *

I agree

I do not wish for any further information to be sent to me about Weston College.