Application Form 2025-26

PERSONAL DETAILS

LIVING ARRANGEMENTS

Do you live in the parental home?

Yes
No

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Home Telephone Number

You must inform the college if your personal information changes.

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ETHNICITY

White

31 English/Welsh/Scottish/Northern Irish/ British
33 Gypsy or Irish Traveller
32 Irish
34 Any Other White Background

Mixed/Multiple Ethnic Groups

35 White and Black Caribbean
37 White and Asian
36 White and Black African
38 Any Other Mixed/Multiple Ethnic Background

Black/African/Caribbean/ Black British

44 African
46 Any other Black/African/Caribbean Background
45 Caribbean

Any Other Ethnic Group

47 Arab
98 Any Other Ethnic Group
Prefer not to say

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Learning Difficulty/Disability/Health Information

Do you consider yourself to have a learning difficulty or disability?

Yes
No

Disability Details

Do you have an EHCP?

Yes
No

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Criminal Convictions

Do you have any criminal convictions?

Yes
No

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EMERGENCY CONTACTS

Should an emergency occur at college, it may be necessary to contact someone urgently. Please supply some emergency contacts (e.g. parent's / relative's work telephone number).

EMERGENCY CONTACT 1

Emergency Contact 1 Name

First

Last

Relationship to Student

Mobile Phone Number

Home Phone Number

Email

Confirm Email

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

EMERGENCY CONTACT 2

Emergency Contact 2 Name

First

Last

Relationship to Student

Mobile Phone Number

Home Phone Number

Email

Confirm Email

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

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ID NUMBERS

National Insurance Number

Unique Learner Number

Student ID

Last School / College DETAILS

School Name

Date of Leaving

School Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Eligibility for Study/Funding (Fee Remission)

Have you been a resident in the UK for the past three years (i.e since August 2022)? If you have answered NO to the above question we will request additional documentation from you.

Yes
No

Date of Entry to UK (dd/mm/yyyy)

Nationality

Is English your second language?

Yes
No

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Examinations Taken or to be Taken

Subject 1

Level e.g. GCSE, BTEC (Subject 1)

mm/yy Taken/To Be Taken (Subject 1)

Mock/Forecast Result (Subject 1)

Actual Result Where Known (Subject 1)

Subject 2

Level e.g. GCSE, BTEC (Subject 2)

mm/yy Taken/To Be Taken (Subject 2)

Mock/Forecast Result (Subject 2)

Actual Result Where Known (Subject 2)

Subject 3

Level e.g. GCSE, BTEC (Subject 3)

mm/yy Taken/To Be Taken (Subject 3)

Mock/Forecast Result (Subject 3)

Actual Result Where Known (Subject 3)

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Why do you want to come to Bexhill College?

List below your interests and activities

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Tell us which careers interest you

Current part-time or full-time employment

Please list any relevant work experience

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STUDY SUBJECTS

Please list the Examination Courses (subjects and levels) you are interested in taking at College (to be discussed at advisory interview)

Type of Course

Type of Course 2

Type of Course 3

Type of Course 4

Type of Course 5

Type of Course 6

Subject 1

Subject 2

Subject 3

Subject 4

Subject 5

Subject 6

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DATA PROTECTION ACT - GDPR

Bexhill College and the Education and Skills Funding Agency (ESFA) comply with the Data Protection Act 1998 and the General Data Protection Regulation 2018. By providing the information you have on this application form, you consent to Bexhill College holding and processing the information in accordance with data protection legislation. The information on this form will be passed to the ESFA to meet our legal responsibilities under the Apprenticeships, Skills, Children and Learning Act 2009 and for the Agency's Learning records service to create or verify your Unique Learner Number (ULN).

Information Declaration

I declare that, to the best of my knowledge, the information I have given is a true and correct record and I give my consent to Bexhill College processing and use of such data for any purpose connected with my studies, my health and safety or other legitimate reason.

Policy Notice

I have read and understood the I have read and understood the Student Privacy Notice and General Privacy Notice on the website.

Read the Student Privacy Policy and General Privacy Notice here.

Before clicking the submit button below, please check that you have included all your details and that they are correct, any errors may cause a delay in the application procedure.

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Application Form for September 2025

PERSONAL DETAILS

LIVING ARRANGEMENTS

ETHNICITY

Learning Difficulty/Disability/Health Information

Criminal Convictions

EMERGENCY CONTACTS

EMERGENCY CONTACT 1

EMERGENCY CONTACT 2

ID NUMBERS

Last School / College DETAILS

Eligibility for Study/Funding (Fee Remission)

Examinations Taken or to be Taken

STUDY SUBJECTS

DATA PROTECTION ACT - GDPR

BEXHILL 6TH FORM COLLEGE

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