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Personal Details

Home Address*

Previous Education

Course Details

Career Plans

Additional Support

Do you have:
  • A disability (eg visual impairment, hard of hearing, mental health difficulty, epilepsy)
  • A learning difficulty (eg dyslexia, dyscalculia)
  • A major health condition that may affect your course
You may be entitled to Student Bursary - Are you or your parents in receipt of:

Free school meals
Income support
Employment & Support Allowance
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 2016)

Supporting Statement

Equal Opportunities*

Riverside College and Cronton Sixth Form is committed to equal opportunities. We would like you to provide the following information to help us monitor our policy.

Verification and Data Protection:

I have checked these details are correct. I understand and agree to the College using this and other data to create and maintain records on me and for statistical purposes in accordance with the Data Protection Act 1998. I agree that this information will be kept for the duration of the application process and for a period of time thereafter.

Please ensure you have filled in your email address. Please do not apply more than once as this will delay your application.
If you have previously submitted an application but would like to change your details, please contact us.

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