How to apply

Application Form for a full time course

If you are applying for ACCESS, Diploma for Progession or CELTA please complete the relevant application form available elsewhere on this Website using the links below or by contacting the Student Advice Centre on 01225 312191.

Online Forms....

Otherwise, please complete the form below - fields marked ** are required - and click the Send Application button to apply online.

1. Personal Details

Title:

Male Female **

Surname:	**
Forename(s):	**
Date of Birth:	dd/mm/yyyy **

Address:

**
**



	Postcode: **
Telephone:	Mobile:
Email: **

Have you been part of an Aim Higher Programme at your previous school? **

2. Nationality

What is your Nationality? **

Have you been resident in the UK or any other country in the EU for the last three years? **

Yes No - If no, what was your date of entry into the EU?

3. Ethnic Origin

What is your ethnic origin? **

4. Courses

An interview for your alternative course can be requested, if necessary, at the interview for your first choice.

First Choice: **

Alternative:

If you would like careers advice before taking your decision, please call (01225) 312191

5. References - Please provide just one

If your 18 or under - Please give the name and address of your present or most recent School or College

Select a name and address of local school or college

Enter a name and address of school or college not listed above

Tutor's Name:
Year of Leaving: e.g. 2011

If you're over 18 - Please give the name and address of a personal referee (not a relative or friend)

Name of personal referee
Address of personal referee

How do you know the referee?

If you have any qualifications or are studying for qualifications, please list them here:

Subject

Level
(e.g. GCSE, A-level, GNVQ, etc.)

Year Completed or expected to be completed(e.g. 2011)

Predicted
Results

Results
(if known)

Home educated? ** Please give brief explanation

6. Additional Support:

Please tick any relevant boxes.
A member of the Learning Skills team will contact you to discuss you support needs.

Do you consider yourself to have a learning disability(L15)? Yes No

Visual impairment and will need extra help

Hearing impairment and will need extra help

Disability affecting mobility

Other physical disability and will need extra help

Emotional/behavioural difficulties

Mental health difficulty

Temporary disability after illness (e.g. post-viral or accident)

Asperger's Syndrome

Asthma

Other medical condition which could affect my studies or exam arrangements (e.g. epilepsy, M.E., diabetes)

Please state:

Do you consider yourself to have a learning difficulty(L16)? Yes No

Moderate learning difficulty

Severe learning difficulty

Dyslexia

Other specific learning difficulty (e.g. ADHD, dyspraxia).

Please state:

Data Protection Act

City of Bath College needs to process personal information about applicants in order to make admissions decisions to provide advice, guidance, education and training. In assessing applications information may be released to relevant government departments/agencies and Local Authorities.

Where an Application is not converted into an enrolment, paper records held on an applicant will be destroyed within 30 days of the stated date(s) of the course(s) to which this application relates. Data may be retained in an electronic format for analysis and future advice and guidance provision. Further details of the College's data protection arrangement are available on request.

I understand that the City of Bath College will need to process personal information in order to take admission decisions in accordance with the details set out above: **

A successful submission of this form will result in a thank you message and a copy of the completed form will be sent to the email address that you provided.

If you do not receive the thank you message, please refer to the list of fields that need to be completed. This will appear, in red, at the top of the form.

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City of Bath College, Avon Street, Bath BA1 1UP www.citybathcoll.ac.uk
Tel: +44 (0)1225 312191 Fax: +44 (0)1225 444213 Email: enquiries@citybathcoll.ac.uk

raising your skills; improving life chances

How to apply

Application Form for a full time course

Online Forms....

CELTA Course Application

Access application

News and events

BA1 Records to hold charity concert

College's innovative IT project gets off to a great start

Events >>

More News >>

Subject	Level (e.g. GCSE, A-level, GNVQ, etc.)	Year Completed or expected to be completed(e.g. 2011)	Predicted Results	Results (if known)

Do you consider yourself to have a learning disability(L15)?	Yes No
Visual impairment and will need extra help
Hearing impairment and will need extra help
Disability affecting mobility
Other physical disability and will need extra help
Emotional/behavioural difficulties
Mental health difficulty
Temporary disability after illness (e.g. post-viral or accident)
Asperger's Syndrome
Asthma
Other medical condition which could affect my studies or exam arrangements (e.g. epilepsy, M.E., diabetes)
Please state:
Do you consider yourself to have a learning difficulty(L16)?	Yes No
Moderate learning difficulty
Severe learning difficulty
Dyslexia
Other specific learning difficulty (e.g. ADHD, dyspraxia).
Please state: