FULL-TIME COURSES APPLICATION FORM • Please read the guidance notes before completing the application form • Applicants should complete this form themselves • Print/write clearly using black ink and BLOCK CAPITALS or type
COURSE TITLE COURSE CODE First choice Second choice
YOUR DETAILS Last name First name
Address Telephone number Mobile
Date of birth (e.g. 25/10/91) Gender Postcode D D / M M / Y Y M F Nationality Date of entry into UK (Non-EU students only) D D / M M / Y Y Have you lived in the UK or an EEA country for the 3 years preceding the start of your course? Yes No – Please state country
NEXT OF KIN CONTACT DETAILS Contact name Relationship to you Contact number Email
EDUCATIONAL REFEREE: Details must be completed by all applicants. (Mature Applicants: Employer or someone who knows you well but not a family member. School or college students: Form Tutor, Headteacher or senior member of staff.) Name of school/college/other (if you are an existing WHC student please state)
Address Referee name
Position
Dates attended Postcode from D D / M M / Y Y to D D / M M / Y Y
ACADEMIC QUALIFICATIONS: Please list (in date order) any exams that you are taking and any results you have already achieved. Exam/Award Body Level Predicted Result Month/year (e.g. BTEC) (e.g. L1 Diploma) Subject result (if known) of result
HOW DID YOU HEAR ABOUT THIS COURSE? Newspaper Magazine Cinema WHC website Other website Radio Bus or bus stop Live locally Friend/family Connexions School careers Social networking Careers fair College open event Community event Past or current student Other (please state) For more information or to apply call us now on 01923 812345 | 135 The college welcomes applications from students with disabilities and learning difficulties. If you consider that you have a disability or learning difficulty, please tick any of the boxes so that we may discuss your needs in confidence and help wherever possible.
I have a disability and will need support English is not my first language and I would like help I am dyslexic and would like support I would like support/have particular requirements for my interview
WHY DO YOU WANT TO DO THIS COURSE?
EMPLOYMENT EXPERIENCE (full time/part time/work experience/voluntary work)
TO HELP US MAKE SURE THE COLLEGE IS SERVING THE WHOLE COMMUNITY, PLEASE INDICATE YOUR ETHNIC ORIGIN, BY TICKING ONE OF THE BOXES BELOW White Asian/Asian British Other ethnic group 31 English/Welsh/Scottish/ 39 Indian 47 Arab Northern Irish/British 40 Pakistani 98 Any other ethnic group – 32 Irish 41 Bangladeshi please state 33 Gypsy or Irish Traveller 42 Chinese 34 Any other white background 43 Any other Asian background 99 Not known Mixed/Multiple ethnic groups Black/African/Caribbean/Black British 35 White and Black Caribbean 44 African 36 White and Black African 45 Caribbean 37 White and Asian 46 Any other Black/African/ 38 Any other Mixed/Multiple Caribbean background ethnic background PLEASE ENSURE THAT YOU HAVE COMPLETED ALL THE RELEVANT SECTIONS TO AVOID UNNECESSARY DELAYS IN PROCESSING THIS APPLICATION Signature Date
The College or its partners may wish to contact you from time to time about courses or learning opportunities. Please tick here if you are happy for us to contact you. Signature of parent/guardian (if applicant under 18) Email address of parent/guardian Date
NB: STUDENTS UNDER 16 YEARS OF AGE ON THE 31 AUGUST PRIOR TO THE START OF THE NEXT ACADEMIC YEAR WILL ONLY BE ELIGIBLE TO ATTEND WEST HERTS COLLEGE AT THE DISCRETION OF THE COLLEGE PRINCIPAL AND THE LOCAL EDUCATION AUTHORITY IF YOU WOULD LIKE ANY FURTHER HELP BEFORE MAKING YOUR APPLICATION PLEASE CONTACT US ON 01923 812345 TERMS AND CONDITIONS We ask all of our students to accept the College’s • All students agree to abide by the College’s Please return this terms and conditions and can give you full details rules and regulations, including the Student form to: on request. The main ones for applicants are: Code of Conduct. Admissions Team • We will do our best to run the courses as advertised • Our contract will be made with you as the applicant in the prospectus. We can only do so if we have and not any third party. If you are under 18, we will West Herts College enough students to make the class viable. If we communicate with your parents or guardian for any Watford campus have to change or cancel a course in exceptional matters which legally require their involvement. Freepost WDB 858 circumstances, we will do our best to offer a • We base our decisions on the information you give Hempstead Road suitable alternative. us and will normally ask for references. In addition Watford WD17 3WD • We do our best to give accurate information about to any published entry requirements, such as exam our courses and College facilities. These can change grades, we look for suitability for the course, including Tel: 01923 812345 at short notice and the College does not accept interest in and commitment to your studies. Giving Fax: 01923 812556 responsibility for errors and omissions. We reserve false information may lead to the cancellation or [email protected] the right to make changes without prior notice. withdrawal of an offer of a place. 136 For more136 information or to apply call us now on 01923 812345