Reaseheath College FE Full-Time Application Form Where do you wish to study? * Reaseheath College Burrows Lane Equestrian Centre Croft End Equestrian Centre
Subject area applying for (please select) * Adventure Sports Agricultural Engineering Agriculture Animal Management Aquatic Ecosystems and Fisheries Management Bakery Patisserie and Confectionery Business and Events Management Conservation and Wildlife Management Construction - Brickwork Construction - Joinery Construction - Plastering Construction - Floor and Wall Tiling Construction - Painting and Decorating Equine Floristry Food Technology Foundation - Entry Level Foundation - Agriculture Foundation - Animal Care Foundation - Employability Skills Foundation - Engineering Foundation - Health and Fitness Foundation - Horticulture Forestry and Arboriculture Game and Wildlife Management Horticulture Motor Vehicle Public Services Sport Veterinary Nursing Access to Higher Education (age 19+)
Level of course (please select) * Apprenticeship Entry Level Foundation Level 1 Level 2 Level 3 Technical Baccalaureate Access to Higher Education (age 19+)
Title (please select) * Mr Mrs Mss Miss
First Name *
Middle Name(s)
Surname *
Gender (please select) * Male Female Prefer not to say
Date of Birth (DD/MM/YYYY) *
Address (in full) *
Postcode *
How many years have you lived at your current address? (YY/MM) *
Mobile number *
Alternative number
Email Address *
Are you a British citizen? (please select) * Yes No
Nationality (please select) * English Afghan Albanian Algerian American Andorran Angolan Anguillan Citizen of Antigua and Barbuda Argentine Armenian Australian Austrian Azerbaijani Bahamian Bahraini Bangladeshi Barbadian Belarusian Belgian Belizean Beninese Bermudian Bhutanese Bolivian Citizen of Bosnia and Herzegovina Botswanan Brazilian British British Virgin Islander Bruneian Bulgarian Burkinan Burmese Burundian Cambodian Cameroonian Canadian Cape Verdean Cayman Islander Central African Chadian Chilean Chinese Colombian Comoran Congolese (Congo) Congolese (DRC) Cook Islander Costa Rican Croatian Cuban Cymraes Cymro Cypriot Czech Danish Djiboutian Dominican Citizen of the Dominican Republic Dutch East Timorese Ecuadorean Egyptian Emirati English Equatorial Guinean Eritrean Estonian Ethiopian Faroese Fijian Filipino Finnish French Gabonese Gambian Georgian German Ghanaian Gibraltarian Greek Greenlandic Grenadian Guamanian Guatemalan Citizen of Guinea-Bissau Guinean Guyanese Haitian Honduran Hong Konger Hungarian Icelandic Indian Indonesian Iranian Iraqi Irish Israeli Italian Ivorian Jamaican Japanese Jordanian Kazakh Kenyan Kittitian Citizen of Kiribati Kosovan Kuwaiti Kyrgyz Lao Latvian Lebanese Liberian Libyan Liechtenstein citizen Lithuanian Luxembourger Macanese Macedonian Malagasy Malawian Malaysian Maldivian Malian Maltese Marshallese Martiniquais Mauritanian Mauritian Mexican Micronesian Moldovan Monegasque Mongolian Montenegrin Montserratian Moroccan Mosotho Mozambican Namibian Nauruan Nepalese New Zealander Nicaraguan Nigerian Nigerien Niuean North Korean Northern Irish Norwegian Omani Pakistani Palauan Palestinian Panamanian Papua New Guinean Paraguayan Peruvian Pitcairn Islander Polish Portuguese Prydeinig Puerto Rican Qatari Romanian Russian Rwandan Salvadorean Sammarinese Samoan Sao Tomean Saudi Arabian Scottish Senegalese Serbian Citizen of Seychelles Sierra Leonean Singaporean Slovak Slovenian Solomon Islander Somali South African South Korean South Sudanese Spanish Sri Lankan St Helenian St Lucian Stateless Sudanese Surinamese Swazi Swedish Swiss Syrian Taiwanese Tajik Tanzanian Thai Togolese Tongan Trinidadian Tristanian Tunisian Turkish Turkmen Turks and Caicos Islander Tuvaluan Ugandan Ukrainian Uruguayan Uzbek Vatican citizen Citizen of Vanuatu Venezuelan Vietnamese Vincentian Wallisian Welsh Yemeni Zambian Zimbabwean
Have you been a resident in the UK/EU in the past 3 years (please select) * Yes No
Current or previous School/College or home educated *
From (MM/YYYY) *
To (MM/YYYY) *
Current year group at school (if applicable) Year 11 Year 12 Year 13 At college Not applicable
Do you have any learning difficulties or disabilities? * No Yes
Do you have an Education, Health and Care Plan (EHC Plan)? * No Yes
Have you previously had exam access arrangements? * No Yes
Do you have any formal qualifications predicted or achieved? * Yes No
If you have stated yes, please provide further details below –
Qualification Maths
Level GCSE Functional Skills O Level CSE Other
Grade
Predicted or achieved Predicted Achieved
Qualification (please select) English Language English Literature
Level GCSE Functional Skills O Level CSE Other
Grade
Predicted or achieved Predicted Achieved
Qualification (please select) Science - Biology Science - Chemistry Science - Physics Science - Combined Science - Triple
Level GCSE Functional Skills O Level CSE Other
Grade
Predicted or achieved Predicted Achieved
If you are applying for a Level 3 course you need at least 4 GCSE’s at grade 4/C or above, please enter another GCSE subject below
Level GCSE Functional Skills O Level CSE Other
Grade
Predicted or achieved Predicted Achieved
If you are applying for a Technical Baccalaureate you need at least 5 GCSE’s at grade 5/B or above, please enter another GCSE subject below
Level GCSE Functional Skills O Level CSE Other
Grade
Predicted or achieved Predicted Achieved
Have you previously or currently attended/attending 6th form or college? * Yes No
If you have stated yes, please provide further details:
Name of 6th form/college
Course title
Level Diploma AS Level A Level BTEC Other
Grade
Predicted or achieved Predicted Achieved
Reaseheath College will store the information on this form and other information relating to you whilst attending college subject to the provisions of the General Data Protection Regulation (EU) 2016/679 (GDPR ) and the Data Protection Act 2018. Read our privacy notice to find out more about how we use your personal information.
I agree *
I can confirm I am either over the age of 18 or under the age of 18 and have parental consent to apply for a course at Reaseheath College
I agree *
I have read and accept the terms and conditions *
2 + 2 = ? Please prove that you are human by solving the equation *
