Full Time Course Application

LAST NAME (*)

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FIRST NAME(S) (*)

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DATE OF BIRTH (dd/mm/yyyy) (*)

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AGE

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TITLE (*)

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GENDER (*)
MaleFemale
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POSTCODE (*)

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ADDRESS (house number / street / town (*)

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HOME TEL NO

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MOBILE TEL NO

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EMAIL ADDRESS (*)

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HOW DID YOU HEAR ABOUT THE COLLEGE?

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CHOICE OF COURSE (*)

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MODE OF STUDY (*)
Full-time
Part-time day
Evening

Select mode of study Mode of study options
EQUAL OPPORTUNITIES - RACE (*)
Scottish
English
Welsh
Irish
Black African
Black Caribbean
Black Other
Pakistani
Bangladeshi
Indian
Chinese
Asian Other
Mixed

Invalid Input We wish to ensure that every applicant is treated equally and fairly. Any complaint on the grounds of race discrimination should be sent in confidence to the Depute Principal.
NATIONALITY IF NOT BRITISH

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HAVE YOU BEEN RESIDENT IN SCOTLAND FOR THE PAST 3 YEARS? (*)
YesNo
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DO YOU HAVE A DISABILITY OR SUPPORT NEED? (*)
YesNo
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ARE YOU REGISTERED DISABLED?
No
Yes - Not registered
Yes - Registered

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DISABILITY REGISTRATION NUMBER

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PLEASE INDICATE TYPE OF DISABILITY
Not known
Dyslexia
Blind/partially sighted
Deaf/hearing impaired
Wheelchair user/mobility difficulty
Personal care support
Mental health issues
Unseen disability
Multiple disabilities
Disability not listed

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SUPPORT WITH ENGLISH OR MATHS REQUIRED

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QUALIFICATION / YEAR / LEVEL / GRADE (*)

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SCHOOLS ATTENDED: FROM - TO

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HAVE YOU ATTENDED COLLEGE BEFORE? (*)
YesNo
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IF SO, WHEN?

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WHICH COLLEGE?

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FOR WHICH COURSE?

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HAVE YOU RECEIVED A BURSARY BEFORE?
YesNo
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WHEN?

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FROM WHICH SOURCE?

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SLC student number

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OTHER INFORMATION RELEVANT TO YOUR APPLICATION

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UNCONDITIONAL OFFER

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UNSUCCESSFUL

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WAITING LIST

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CONDITIONAL OFFER

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CO Qualifications

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CO Reference

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CO PVG

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CO Essay

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CO Test

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CO Other

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