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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1st Choice of Course (*)

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2nd Choice of Course

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3rd 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 learning need? (*)
YesNo
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How would you wish to let us know what you are likely to need?
By talking confidentially to a member of staff at interview
By talking confidentially to a member of staff by telephone
In writing
Through someone such as an advocate, parent or carer who will accompany you to your interview

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Are you registered disabled?
No
Yes - Not registered
Yes - Registered

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If registered, please give your disability registration number

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Please indicate the type of disability
Not known
Dyslexia
Blind/partially sighted
Deaf/hearing impaired
Wheelchair user/mobility difficulties
Personal care support
Mental health difficulties
Unseen disability
Multiple disability
Disability not listed

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Please give me information on support with English / Maths

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Qualifications (*)

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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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Have you received a bursary before?
YesNo
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Which Course?

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If so, when

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From which source?

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Other information relevant to your application

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