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Adult Courses Application Form

Adult Courses Application Form

To apply for your course, please complete and submit the following form.


Your Course


Please write your course here(*)
Please complete all required fields!


Your Details


Title(*)
Please enter title

First Name(*)
Please enter your first name

Last Name(*)
Please enter your surname

Gender(*)
Please select your gender

Date of Birth(*)
Please enter your date of birth

Address Line 1(*)
Please complete the first line of your address

Address Line 2
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Town / City(*)
Please enter town /city

County
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Postcode(*)
Please enter your postcode

Telephone Number(*)
Please enter contact telephone number

Mobile Number
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Emergency Number
This field is required if applicant is under 19.

Email Address(*)
Please enter a valid email address

Parent's Email Address (if under 19)

Have you been living in the UK/EU since 1 September 2010?

(*)
Please select either yes or no

If 'No', when did you enter the UK?
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What is the country of your birth?

(*)
Please enter country of birth

Are you disabled?

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Education


Have you attended Richmond upon Thames College previously?

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If 'Yes', please give dates attended
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Please provide details of your most recent school or college.

Name of School(*)
Please enter name of school

Address Line 1(*)
Please enter the first line of address

Address Line 2

Town / City(*)
Please enter town / city

County
Invalid Input

Postcode
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Please tell us your qualifications and any assessment or exams you are currently doing.

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Additional Support Needs


Richmond upon Thames College is committed to ensuring that all our students are treated fairly and that additional learning support (ALS) is provided where required.

In order to anticipate your support needs it would be helpful if you would tick the relevant box with reference to your condition/difficulties also giving any further details you feel might be relevant.

Please select all that apply
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If 'Other', please specify
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More details (if required)
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If you have received support/are receiving support please tick the appropriate box.

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If 'Other', please specify
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More details (if required)
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Do you give your permission for the Disability Officer to inform your tutor, course teachers and relevant support staff at Richmond upon Thames College the nature of your disability/learning difficulty?

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References


As part of the application process we will need you to provide contact details for one referee. This must be from your current school or college, or an employer if you are in full-time employment. We will not contact your referee until after your interview.

Title(*)
Please enter title

Contact Name(*)
Please enter contact name

School/Employer Name
Invalid Input

Address Line 1(*)
Please enter the first line of your address

Address Line 2
Invalid Input

Town / City(*)
Please enter town / city

County
Invalid Input

Postcode
Please enter the postcode

Contact Telephone Number(*)
Please enter contact telephone number

Email


Equal Opportunities


The college has a policy to promote equal opportunities in respect of race, sex and disability in all aspects of its responsibilities and work. The use of ethnic background information is important in helping ensure that the policy works. For this reason could you please indicate the ethnic group to which you belong by selecting the appropriate box. (NB The ethnic grouping has been devised by the Department for Education: The information given is confidential and will not be used in any way which is linked to your name).

Please specify
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If admitted to the college I agree to familiarise myself with the college regulations and to abide by them.


Use of information collected


Your personal information is used for operational purposes, for example, setting interviews with college staff, planning teaching and resources, and to correspond with you about your application to the College.

Sharing of information


We may share your personal information with third party service providers for the purpose of surveys/market research in relation to applicants to this college. These service providers may not use your personal information for any other purpose. They will also be required to use your personal information strictly in accordance with data protection laws, including maintaining adequate security measures to protect such personal information. We may also share your personal information with legal or regulatory authorities where we are lawfully requested or required to do so, or voluntarily to the Police and similar law enforcement agencies (including fraud prevention and detection), other government agencies and third parties.


Parent/guardian information


If you are under 19, please give the name and address of the parent/guardian to which correspondence (eg reports) should be sent.

Title
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Name
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Address Line 1
Invalid Input

Address Line 2
Invalid Input

Town / City
Invalid Input

County
Invalid Input

Postcode
Invalid Input

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