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Apply to study at Leek College

Leek College values diversity and welcomes applicants regardless of race, disability, gender, age or sexual orientation. Leek College works to promote equality of opportunity for all members of the community. The College has a policy for the protection of children and vulnerable adults.

Name:

Address:

Post Code:

Telephone:

Email Address:

Date of Birth:

Courses you are interested in (in order of preference):

Do you wish to attend: full time , part time , evening

Please give the name of your school or college (if presently attending):

Present year of school or college:

List the exams you will be taking, and the grades that you expect to receive:

Please give details of any qualifications you hold at the moment, and the year in which you took them

Please give details of any current and past employment, paid or unpaid, including work experience.

To help us fully meet your needs, please tell us of any health problems or other condition.

If you can, please explain your main reasons for choosing your programme of study and tell us of any career goals you may have:

All applicants are invited to a formal interview with the relevant tutors. Are there any days or times when it would be difficult for you to come for an interview?

Data Protection Statement

Data Protection Act 1998

Leek College of Further Education is the Data Controller for all data provided on this enrolment form. By submitting this form, you agree to Leek College transferring the information provided to authorised third parties as detailed below.

The information you provide will be passed to the Learning and Skills Council (the LSC). The LSC is responsible for funding, planning and encouraging education and training for young people and adults in England, and is registered under the Data Protection Act 1998. The information you provide will be shared with other organisations for the purpose of administration, careers and other guidance, and statistical and research purposes. Other organisations with which we will share information include, the Department for Education and Skills, Connexions, Higher Education Statistics Agency, Higher Education Funding Council for England, educational institutions and organisations performing research and statistical work on behalf of the LSC or its partners. the LSC is also a co-financing organisation and uses European Social Funds from the European Union to directly or indirectly part-finance learning activities, helping develop employment by promoting employability, business spirit, and equal opportunities, and investing in human resources. Further information about partner organisations ans what they do, may be found on the LSC website.

At no time will your personal data be passed to organisations for marketing or sales purposes. From time to time students are approached to take part in surveys by mail and phone, which are aimed at enabling the LSC and its partners to monitor performance, improve quality and plan future provision.

Tick this box if you do not wish to be contacted by the LSC or its partners in respect of surveys and research. The LSC values your views on the education or training which you receive, and will use these to help bring about improvements for learners in England:

The LSC or its partners may wish to contact you from time to time about courses, or learning opportunities relevant to you. Please tick here if you do not wish to be contacted about courses or learning opportunities by post:

If you are enrolling on a recreational course, the information you supply on this form will be passed on to the Local Education Authority (LEA) for administration, careers and other guidance, and statistical and research purposes

At no time will your personal information be passed to organisations for marketing or sales purposes.

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