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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

Please enter details about your EHCP (Such as the local authority which issued it, and which condition(s) it covers)

Disability Notes

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

Are you currently in care (e.g in foster care, under a supervision order or in residence at a children's home)?

Looked After

Please tick if you are in care (16-18), an unaccompanied asylum seeker or previously care experienced(e.g. in foster care, supported lodgings, residential care, special guardianship, in receipt of leaving care services or adopted)


Are you a care leaver?

Care Leaver

Please tick if you are a Recent Care Leaver (18-25), an unaccompanied asylum seeker or previously care experienced(e.g. in foster care, supported lodgings, residential care, special guardianship, in receipt of leaving care services or adopted)

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.






Qualification
Subject
Grade
Date
Level
Predicted Grade
Qualification
Subject
Grade
Date
Level
Predicted Grade
Qualification
Subject
Grade
Date
Level
Predicted Grade
Qualification
Subject
Grade
Date
Level
Predicted Grade



References and contacts

Please enter details of someone, ideally from your current school or college, who can provide a reference for you.

Referee first name
Referee Surname
Referee email
Referee telephone

Are you under 18?

Emergency contact (Next of kin) - for students under 18


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

Emergency contact name

Emergency contact relationship

Emergency contact telephone

Emergency contact email

Are You Living with this Person?

School

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?

Safeguarding & consents

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)?

By completing and submitting this application, you explicitly consent to Leeds College of Building processing your personal data, including special category data related to criminal convictions and offences, for the purposes of safeguarding and compliance with our legal duties to keep you and others safe at the College. This may involve sharing relevant information with:

  • Local authorities
  • The Police & Law enforcement agencies
  • Probation and youth justice services
We will process this data in accordance with our Privacy Notice, which details your rights regarding your personal data, including the right to withdraw consent (though this may impact the College's ability to consider your application).

Please provide additional information including details of the probation worker, Youth Justice Worker details, or if you haven’t been assigned on yet please add “still under investigation



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