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Leeds College of Building application Form (Study Programme 16-18)

Course summary


Your chosen course:




If you are interested in any other courses, please select from the lists below:

Subject 1
Subject 2
Subject 3
Leeds College of Building is your…






Personal Details


Title
First Name
Surname (family name)

Date of birth

Email address

Please use a personal email address, not a school email address, so we can contact you when you leave school

Mobile
Home telephone

Address

Number and Street Name
District
Town/city
County

Postcode

Additional information


Why do we need to collect this?


We collect this information to identify what additional support you may need whilst studying with us and prevent or reduce any barriers to learning.


Do you have any disabilities or learning difficulties?
Primary Disability/Learning Difficulty
Secondary Disability/Learning Difficulty



Please confirm if you consent to information about your learning difficulty or disability being disclosed to staff and if necessary 3rd parties, for example work placement providers?
Do you have an Education Health & Care Plan?
Has Education Health Care Plan

Medical conditions


Do you consider yourself to have any medical conditions?


Please tell us which condtions(s) you have:




Equal opportunities


We recognise that there are certain groups of people who may face particular educational and vocational disadvantages. The College promotes positive actions and attitudes towards and between all members of staff and students. We seek not only to eliminate discrimination, but also to create a learning environment based on positive relations between members of different groups. By answering the questions below, it helps us to gain an understanding of which groups could be under represented and whether all groups' needs are met.


Ethnic group
Sexual orientation
Religion

Personal Statement and Qualifications


Please provide a statement on why you are applying for this course


What are your plans after completing the course you are applying for?




Add your qualifications


We need your expected or achieved qualifications to make sure you are applying for the right course. Please include any qualifications you have for maths, science and English. Please include information on all qualifications studied i.e. GCSE, BTEC diplomas, A-levels, NVQs. If you haven’t yet taken your exams, please provide your predicted grades.


If you have no qualifications, then please press ‘No prior qualifications’. Use ‘Add row’ to save and add multiple qualifications.




Subject
Grade
Date
Level
Predicted Grade




School attended currently or recently

School Name

References and contacts


Please enter details of someone, ideally from your current school or college, who can provide a reference for you. We may contact your referee if you’re enrolled at the college.



Referee surname
Referee first name
Tel
Email
School/company
Referee job title



Emergency contact (Next of kin)


Please provide details of someone we should contact on your behalf in case of an emergency.

Emergency contact name
Emergency contact relationship to you
Emergency contact phone number
Emergency contact email address
House no & street name
District
Town/city
County

Contact postcode

Safeguarding & consents


Supporting the rehabilitation of offenders – helping you to achieve.


If you are applying for a course at the College, you are required to indicate if you have unspent criminal convictions or if you are currently being investigated by the Police. The College has lots of ways to support students who have criminal convictions and having a conviction would not necessarily stop you from studying with the College. The information you provide will firstly help us to identify any support needs that you may have and secondly to ensure that both you and others can be safeguarded at the College. By disclosing your unspent criminal conviction, you are giving consent to the College to make enquiries with the Youth Justice Service, National Probation Services or the Police. The College’s Safeguarding Unit will contact you to discuss this. The information you provide will be strictly private and confidential and will only be processed by the Colleges Safeguarding Unit and will have the highest level of information security. Under the Rehabilitation of Offenders Act (1974), certain convictions may become spent after an appropriate period. If your offence is now spent, you are not required to give us any further information. More information about the rules relating to this can be found: here


Do you have any convictions, cautions, reprimands, final warnings or pending court cases which are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)?

If you are applying for a course at the College, you are required to indicate if you have unspent criminal convictions or if you are currently being investigated by the Police. The College has lots of ways to support students who have criminal convictions and having a conviction would not necessarily stop you from studying with the College. The information you provide will firstly help us to identify any support needs that you may have and secondly to ensure that both you and others can be safeguarded at the College. By disclosing your unspent criminal conviction, you are giving consent to the College to make enquiries with the Youth Justice Service, National Probation Services or the Police. The College’s Safeguarding Unit will contact you to discuss this. The information you provide will be strictly private and confidential and will only be processed by the Colleges Safeguarding Unit and will have the highest level of information security. Under the Rehabilitation of Offenders Act (1974), certain convictions may become spent after an appropriate period. If your offence is now spent, you are not required to give us any further information. More information about the rules relating to this can be found at: Disclosing criminal records when applying to college | Nacro


School

To provide you with the support that you need, the College may need to contact your school or other education providers to obtain information about your disability and or learning difficulty, please confirm below if you give permission for us to do this:

Please confirm if you consent to us contacting your school?



Please confirm if you are happy to be contacted by email about course information, open events and any marketing related information regarding enrolment on a course at Leeds College of Buildling.


Declaration

When you complete and submit this application form, you are expressly giving your permission for the College to process your data, including sensitive and personal information. The information you supply will be used to enable us to meet the statutory and mandatory responsibilities outlined by the Government, including creating a unique learner number (ULN). When necessary, the information will be shared with the Education and Skills Funding Agency and the Department for Business, Innovation and Skills (BIS).
You can read more about this in the Student Privacy Notice: here