Application Form 2024-2025 - Bexhill 6th Form College

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Application Form 2024-2025fizzyappleltd2024-04-17T10:01:13+01:00

Application Form for Student Intake 2024-2025

Please enable JavaScript in your browser to complete this form.

- Step 1 of 11

PERSONAL DETAILS

Layout

Title *

Mr
Mrs
Ms
Miss
Other

Family Name *

Given Name(s) *

Preferred Name(s)

Legal Gender *

Male
Female
Prefer not to Say

Mobile Phone Number

Email *

Date of Birth (dd/mm/yyyy) *

Age on 1st September 2024 *

Gender Identity

Male
Female
Non-Binary
Prefer not to Say

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.

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

Asian/Asian British

39 Indian
42 Chinese
40 Pakistani
43 Any other Asian Background
41 Bangladeshi

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

'Other' Ethnicity Details

Learning Difficulty/Disability/Health Information

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

Yes
No

If yes, please check

4 Visual impairment
15 Asperger’s syndrome
5 Hearing impairment
16 Temporary disability after illness or accident
6 Disability affecting mobility
17 Speech Language and Communication needs
7 Profound complex disabilities
93 Other physical disability
8 Social and emotional difficulties
94 Other specific learning difficulty
9 Mental health difficulty
95 Other medical condition
10 Moderate learning difficulty
96 Other learning difficulty
11 Severe learning difficulty
97 Other disability
12 Dyslexia
Prefer not to say
13 Dyscalculia
Other
14 Autism spectrum disorder

Disability Details

Do you have an EHCP? *

Yes
No

Criminal Convictions

Do you have any criminal convictions? *

Yes
No

Criminal Conviction Details

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 Title *

Mr
Mrs
Ms
Miss
Other

Emergency Contact 1 Name *

First

Last

Layout

Relationship to Student *

Mobile Phone Number *

Home Phone Number

Email *

Email

Confirm Email

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

EMERGENCY CONTACT 2

Emergency Contact 2 Title

Mr
Mrs
Ms
Miss
Other

Emergency Contact 2 Name

First

Last

Layout

Relationship to Student

Mobile Phone Number

Home Phone Number

Email

Email

Confirm Email

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

ID NUMBERS

Layout

National Insurance Number

Unique Learner Number

Student ID

Last School / College DETAILS

Layout

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 2021)? If you have answered NO to the above question we will request additional documentation from you. *

Yes
No

Layout

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

Nationality *

Is English your second language?

Yes
No

Examinations Taken or to be Taken

Subject 1

Subject 1 Results

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

Subject 2 results

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

Subject 3 Results

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)

Subject 4

Subject 4 Results

Level e.g. GCSE, BTEC (Subject 4)

mm/yy Taken/To Be Taken (Subject 4)

Mock/Forecast Result (Subject 4)

Actual Result Where Known (Subject 4)

Subject 5

Subject 5 Results

Level e.g. GCSE, BTEC (Subject 5)

mm/yy Taken/To Be Taken (Subject 5)

Mock/Forecast Result (Subject 5)

Actual Result Where Known (Subject 5)

Subject 6

Subject 8 Results

Level e.g. GCSE, BTEC (Subject 6) *

mm/yy Taken/To Be Taken (Subject 6) *

Mock/Forecast Result (Subject 6) *

Actual Result Where Known (Subject 6)

Subject 7

Subject 7 Results

Level e.g. GCSE, BTEC (Subject 7) *

mm/yy Taken/To Be Taken (Subject 7) *

Mock/Forecast Result (Subject 7) *

Actual Result Where Known (Subject 7)

Subject 8

Subject 8 Results

Level e.g. GCSE, BTEC (Subject 8)

mm/yy Taken/To Be Taken (Subject 8)

Mock/Forecast Result (Subject 8)

Actual Result Where Known (Subject 8)

Subject 9

Subject 9 Results

Level e.g. GCSE, BTEC (Subject 9)

mm/yy Taken/To Be Taken (Subject 9)

Mock/Forecast Result 9 (Subject 9)

Actual Result Where Known (Subject 9)

Subject 10

Subject 10 Results

Level e.g. GCSE, BTEC (Subject 10)

mm/yy Taken/To Be Taken (Subject 10)

Mock/Forecast Result (Subject 10)

Actual Result Where Known (Subject 10)

Why do you want to come to Bexhill College?

List below your interests and activities

Tell us which careers interest you

Current part-time or full-time employment

Please list any relevant work experience

STUDY SUBJECTS

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

Layout

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

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.

Custom Captcha *

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BEXHILL 6TH FORM COLLEGE

Penland Road
Bexhill-on-Sea
East Sussex TN40 2JG
Tel: 01424 214545
International:
+44 (0)1424 214545
General Enquiries
enquiries@bexhillcollege.ac.uk
Monday – Friday: 8:00 AM – 5:00 PM

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