16-19 full time application form - Cronton and Riverside College

Personal Details

Surname*

First name(s)*

Email address*

Date of Birth*

Age on 31st August 2019
Please enter only 2 digits (e.g 16)

Home Address*

Address*

Postcode*

Your home telephone number

Your mobile number

Gender

Parent / Carer Name*:

Parent / Carer Email:

Have you been a resident in the UK for the last 3 years?

Select your country of origin

Previous Education

Name of school you attended in Year 11

Did you attend any other schools between years 7-11?

Have you ever studied at Cronton or Riverside College before?

School or college not mentioned above? Please type the name here:

If yes, please provide details:

If so who was your Personal Tutor?

Course Details

What course/subjects would you like to study?

Course Type

Where would you like to study?*

Career Plans

If you know what career you are interested in, please provide details:

Additional Support

So that we can support you, please tell us if you have:

An EHCP (Education, Health and Care Plan)

A learning difficulty

A disability

A major health condition that may affect your course

If yes, please provide details:

Have you had Exam Access Arrangements?

You may be entitled to Student Bursary - Are you or your parents in receipt of:

Free school meals

Income support

A major health condition that may affect your course

Disability Living Allowance

We will contact you to discuss your support requirements. Any information that you provide will be kept private and will not be passed to anyone without your consent.

Qualifications

Please list the qualifications you have, or are currently studying below:

Subject	Qualification (eg GCSE/BTEC)	Predicted Grade	Actual Grade	Year Taken (eg 2019)

Supporting Statement

Please include any further information about yourself to support your college application. (eg work experience, voluntary work, prefect, sports club, musical talents)

Consent to Process your Application:

Please tick the following box to agree to the College contacting you to process your application and inform you of suitable learning opportunities in the future in accordance with the College’s Privacy Statement, which you can read by clicking here Privacy Statement.
If you do not tick this box your application will not submit as under data protection legislation we would not be able to process your application.

I have read and agree to the College processing my data under the terms of the Privacy Statement linked above.

If you are having trouble with your enquiry form - please contact admissions on 0151 257 2022 or email courses@cronton.ac.uk.