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Adult Application Form

Adult Admissions, Runshaw College

Step 1 of 2

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  • Please provide at least one contact number.
  • Emergency Contact

  • Please describe your emergency contact's relationship to you.
  • This will only be used in an emergency situation. It is your responsibility to advise us if it changes.
  • Employment Status

  • Please select your employment status:
  • Please indicate which of the following apply
  • Please attach one of the following forms of ID under the 'Identification' box: Passport, Driving Licence, Birth or Marriage Certificate, Citizen Card or NI Number Card. If you do not have a Unique Learner Number you will need to attach ID below. Please contact us if you do not have any of these items.
  • Accepted file types: jpg, gif, png, pdf.
  • Course applied for

  • Qualifications

    Please state below any formal qualifications (GCSE, O Level, A Level, HNC/D, BTec, Degree) and/or examinations you are taking or are about to take. Please attach any supporting letter or CV. Please check the entry requirements for your course and add any required qualification/s below.
  • Subject (e.g. Maths)Year of EntryResult (if known)Estimated GradeDate Expected 
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  • Subject (e.g. Maths)Year of EntryResult (if known)Estimated GradeDate Expected 
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  • Subject (e.g. Maths)Year of EntryResult (if known)Estimated GradeDate Expected 
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  • Subject (e.g. Maths)Year of EntryResult (if known)Estimated GradeDate Expected 
    Add a new row Remove this row
  • Subject (e.g. Maths)Year of EntryResult (if known)Estimated GradeDate Expected 
    Add a new row Remove this row
  • Subject (e.g. Maths)Year of EntryResult (if known)Estimated GradeDate Expected 
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  • Please include your career aims, interests and relevant work experience. Please indicate your preferred course day and time, if known.
  • Additional support

    Do you have a disability (e.g. physical or sensory, health, mental health, mobility, etc) or learning difficulty (e.g. dyslexia, etc) that we need to be aware of or that you will need support for on your course?
  • Attendance

    Regular and punctual attendance is expected in order for you to achieve, progress and realise your full potential. Please provide details of any dates you will not be able to attend your course and the reason for the absence. You should include any planned holidays. Please note that students who do not attend for the first two weeks and make no contact with the college will automatically be withdrawn from their course.
  • DBS check

    Please be aware that if your long term goal is to work in an area with vulnerable adults or any person under the age of 18, it will be necessary to undergo a Disclosure and Barring Service (DBS) check at your place of employment. If you have a criminal conviction this may exclude you from working in some job roles.
  • Consent

    I give consent to the processing of my data by Runshaw College and any other organisation which has a statutory right to receive any of it in accordance of the Data Protection Act 2018.
16-18 Campus
Runshaw College
Langdale Road
Leyland
Lancashire
PR25 3DQ
Reception: 01772 622677
16-18 Course Enquiries: welcometorunshaw@ runshaw.ac.uk
Term time:
08:15 – 16:30 Monday to Friday

Out of term time:
08:30 – 16:30 Monday to Friday
Adult & Apprenticeship Campus
Runshaw College
Euxton Lane
Chorley
Lancashire
PR7 6AQ
Reception: 01772 643005
Adult College Course Enquiries: 01772 642040
justask@runshaw.ac.uk
Apprenticeship Enquiries: 01772 643008
apprenticeships@runshaw.ac.uk
Term time:
08:15 – 16:30 Monday to Friday

Out of term time:
08:30 – 16:30 Monday to Friday

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