Apply for an Adult Education course here

Title
Surname*
First Name(s)*
Previous Surname(s)
Gender
Date of Birth*
Current Age*
Address*
Street Address City County Post Code
Email address*
Telephone No*
Please provide at least one contact number.
Mobile No
Emergency Contact
Emergency Contact Name*
First Last
Relationship to Applicant*
Please describe your emergency contact's relationship to you.
Emergency Contact No.*
This will only be used in an emergency situation. It is your responsibility to advise us if it changes.
Employment Status
Employment Status*
- Unemployed
- Employed
Length of Unemployment*
Unemployment Benefit Claimed*
Other state benefit - please provide details*
Employed*
Please select your employment status:
How many hours per week do you work?*
Household Situation*
Please indicate which of the following apply
- Household all unemployed
- Only adult (18+) in household
- Dependent children in household (0-17 or 18-24 if full time student or inactive)
- None of these statements apply
- I confirm I wish to withhold this information
Have you been permanently resident in the UK or an EU country for the last three years?*
- Yes
- No
National Insurance Number*
Unique Learner Number (if known - if you do not have a Unique Learner Number you will need to attach ID below)
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.
Identification*
Accepted file types: jpg, gif, png, pdf.
Course applied for
Please indicate if you are a new applicant or an existing student progressing to a new course:*
Please select the course you wish to study:*

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.
*
Qualification Type (e.g. GCSE) Subject (e.g. Maths) Year of Entry Result (if known) Estimated Grade Date Expected
Alternatively, upload a CV here:
Further Information - Please state your reasons for applying for this course.
Please include your career aims, interests and relevant work experience. Please indicate your preferred course day and time, if known.
Nationality*
Your ethnic origin*
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?
Please give details
Due to the current COVID situation it may be necessary for some lessons to be delivered online. If you have access to any of the below resources, please select each one:
- Laptop or PC
- Web Camera
- Microphone
- None of the above
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.
How did you find out about the course? Please select all that apply*
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.
- I give consent to the processing of my data
- I would like to receive emails about further details of learning opportunities and associated events
Written Full Name and Surname*
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Download prospectus here

Download prospectus here

Download prospectus here

Download prospectus here

What are you looking for?

Apply for an Adult Education course here

Adult Application Form

Step 1 of 2

Emergency Contact

Employment Status

Course applied for

Qualifications

Additional support

Attendance

DBS check

Consent

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