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Higher Education Application Form

Higher Education Application Form

Personal Details


Which course are you applying for?

(*)
Please ensure you complete all required fields!

Please state below why you are interested in applying for this course, providing more information about relevant skills and interests (200 words max.)

(*)
Please ensure you complete all required fields!

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
Contact 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, please state date of entry to the UK
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What is the country of your birth?

(*)
Please enter country of birth

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
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Postcode
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Please include details of any qualifications obtained or examinations taken or being taken.

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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
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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
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Address Line 2
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Town / City
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County
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Postcode
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