If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Section 1: Applicant Details COURSE TITLE * COURSE LEVEL COURSE PATHWAY Pathway 1: Core Programme Pathway 2: Independent Option Pathway 3: Winter Leavers Pathway 4: Foundation Apprenticeship Programme TITLE (Mr, Miss etc) * FIRST NAME * LAST NAME * PREVIOUS NAME (IF APPLICABLE) DATE OF BIRTH (DD/MM/YYYY) * AGE * ADDRESS * POSTCODE * HOME TEL NO MOBILE TEL NO EMAIL * NATIONALITY * Scotland England Ireland Northern Ireland Wales ------------ Afghanistan Albania Algeria American Samoa Andorra Angola Antigua & Barbuda Azerbaijan Argentina Australia Austria Bahamas Bahrain Bangladesh Armenia Barbados Belgium Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil Belize British Indian Ocean Territory Solomon Islands British Virgin Islands Brunei Darussalam Bulgaria Myanmar Burundi Belarus Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Sri Lanka Chad Chile China Taiwan Christmas Island Cocos Islands Columbia Comoros Mayotte Congo P.R. Congo D.R. Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Benin Denmark Dominica Dominican Republic Ecuador El Salvador Equatorial Guinea Ethiopia Eritrea Estonia Faeroe Islands Falkland Islands South Georgia Fiji Finland France French Guiana French Polynesia French Southern Territories Djibouti Gabon Georgia Gambia Palestine Germany Ghana Gibraltar Kiribati Greece Greenland Grenada Guadaloupe Guam Guatemala Guinea Guyana Haiti Heard & McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Israel Italy Cote D'Ivoire Jamaica Japan Kazakhstan Jordan Kenya North Korea South Korea Kuwait Kyrgyz Republic Lao Lebanon Lesotho Latvia Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Monaco Mongolia Moldova Montserrat Morocco Mozambique Oman Namibia Nauru Nepal Netherlands Netherlands Antilles Aruba New Caledonia Vanuatu New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Northern Mariana Islands US Minor Outlying Islands Micronesia Marshall Islands Palau Pakistan Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Guinea-Bissau Timor-Leste Puerto Rico Qatar Reunion Romania Russia Rwanda St. Helena St. Kitts & Nevis Anguilla St. Lucia St. Pierre and Miquelon St. Vincent & the Grenadines San Marino Sao Tome Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Viet Nam Slovenia Somalia South Africa Zimbabwe Spain Western Sahara Sudan Suriname Svalbard & Jan Mayen Islands Swaziland Sweden Switzerland Syria Tajikistan Thailand Togo Tokelau Tonga Trinidad & Tobago United Arab Emirates Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine Macedonia Egypt Tanzania United States of America US Virgin Islands Burkina Faso Uruguay Uzbekistan Venezuela Wallis & Futuna Islands Samoa Yemen Serbia & Montenegro Zambia HAVE YOU BEEN RESIDENT IN SCOTLAND FOR THE LAST 3 YEARS? * YesNo NI NUMBER Section 2: Applicant Educational Details & Previous Study SCHOOLS ATTENDED (FROM-TO) * ARE YOU STILL ATTENDING SCHOOL? * YesNo ARE YOU A CURRENT STUDENT OR ATTENDED SOUTH LANARKSHIRE COLLEGE BEFORE? * YesNo IF YES, WHICH COURSE? * WHERE DID YOU HEAR ABOUT THE COLLEGE? PLEASE SELECT FROM LIST * Via the internet Word of Mouth Poster Campaign Radio Campaign School or Education Billboard Other QUALIFICATIONS ACHIEVED/PENDING SUBJECT / LEVEL / GRADE / DATE ACHIEVED To continue with this application you must inform your Pupil Support or Pastoral Care Teacher. Please tick the box below to confirm. I confirm that I have advised my pupil support/pastoral care teacher that I am applying for this course on the South Lanarkshire College Senior Phase Pathway Programme * NAME OF PUPIL SUPPORT TEACHER/PASTORAL CARE TEACHER * E-MAIL OF PUPIL SUPPORT TEACHER/PASTORAL CARE TEACHER * PERSONAL STATEMENT * Your personal statement is very important and will be taken into account during the interview process. We recommend that you prepare your statement in advance to ensure it includes everything you want to tell us about yourself. It should include your skills, personal qualities, your interest in your chosen course, career goals, previous employment, voluntary work, relevant experience, hobbies and special interests. I confirm that all information in this form is true and correct and complete to the best of my knowledge. * For information about how we process your data please see our student privacy notice. Please wait while we process your application. This can take a few minutes in busy periods - do not re-submit or leave this page until you receive a confirmation message that your application was submitted.