Higher Education Part Time Application

Form for all higher education part-time courses at Barnsley College.

Name of previous school/college or training provider you attended
Date Started
Date Finished
Qualifications*
Please list all the relevant qualifications you have achieved or are currently working towards, including grades.
How will your tuition fees be paid?
- Student Loans Company
- Employer
- Paying your own fees
Employer name and address*
Street Address Address Line 2 Town/City Post Code
Contact person
Email
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 University Campus Barnsley.
- 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 1 - Name*
First Last
Position*
Organisation name and address*
Street Address Address Line 2 Town/City Post Code
Email
Telephone number
Referee 2 - Name
First Last
Position
Organisation name and address
Street Address Address Line 2 Town/City Post Code
Email
Telephone number
Phone
This field is for validation purposes and should be left unchanged.

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