Higher Education Part Time Application

Course Title*
Course Title
You can apply for one additional course from the list below.
Do you want to apply for another course?
- Yes
Name*
First Last
Date of birth*
Address*
Number and Street Address Line 2 Town/City County Post Code
Your email address*
Daytime telephone number:*
Mobile telephone number:
Country of birth*
This is the country you were born in
Nationality*
This is the country for which you are entitled to hold a passport
Have you lived in the UK for more than 3 years?*
- Yes
- No
Date that you came to live in the UK
DD slash MM slash YYYY
Residential Status*
- British Citizen
- EU Citizen
- Asylum Seeker
- Refugee
Gender*
What gender do you identify with?
Your ethnicity -
This information is strictly confidential and will not be used to identify you personally.

Name of previous school/college or training provider you attended
Date Started
Date Finished
Qualifications - Maths*

Please provide the qualification type (i.e. GCSE, Functional Skill, Adult Numeracy) and the grade (i.e. C, 4, Level 2 Pass)
Qualifications - English*

Please provide the qualification type (i.e. GCSE, Functional Skill, Adult Literacy) and the grade (i.e. C, 4, Level 2 Pass)
Qualifications - Other*
Please list all other relevant qualifications you have achieved or are currently working towards, including qualification type and grade.
How will your tuition fees be paid?
- Student Loans Company
- Employer (please select if your course choice is related to your employment)
- Paying your own fees
Employer name and address*
Street Address Town/City Post Code
Contact Person*
Contact Email
Contact Telephone Number*
Learner support*
Do you consider yourself to have a learning difficulty and/or disability including access need and/or health problem? We will work with you to ensure you have all the individual help you need to do well at Barnsley College Higher Education.
- Yes
- No

PERSONAL STATEMENT*
Please explain why you have chosen this course, how your previous education and experience have prepared you for the course and your future career plans.
Referee - Name*
First Last
Position*
Organisation name and address*
Street Address Address Line 2 Town/City Post Code
Telephone number*
Email
In accordance with the general data protection regulation 2018 (GDPR), I agree to Barnsley College processing my personal and sensitive data for any purpose connected to my application and for informing me of educational opportunities, eg course information, interview and open day invitations. I understand that the information I supply will be stored on a computer and accessed by Barnsley College staff and may be shared with partner organisations such as Local Authorities, prospective employers and my school/education provider.

If I apply for an apprenticeship or related course I give permission for my CV to be provided to employers and carry out DBS checks if necessary.

I agree to be contacted about my application and related college information.

Further information about use of and access to your personal data, details of organisations with whom we regularly share data, information about how long we retain your data, and how to change your consent to being contacted, please visit www.gov.uk/government/publications/esfa-privacy-notice or www.barnsley.ac.uk/privacy-policy
Applicant Declaration
I confirm that the information I have provided is correct to the best of my knowledge and will notify the College should any details change

Higher Education Part Time Application

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