Course Application form

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Instructions for completing the online application form below

1. Please log out before completing this form.  If it takes more than 30 minutes to complete the form you might be automatically logged out and you will loose your information.
2. Fields marked with  *  must be completed.
3. Download the Reference request form »
   • If you are under 18, please download and print this reference request form and ask your most recent school / college to complete it in full and return it to us.
   • For adults (18+ learners), please download and print this reference request form and ask your current or most recent employer to complete it and return it to us.
4. Before completing this form please read carefully the information on our How to Apply page.

Please note: By completing this form you agree to the following:

The information you provide will be shared with other departments in the College, where required, to enable us to provide the best service for learners.  Learning Support Information will be dealt with confidentially by our specialist Additional Support team.  The College's data protection registration states that the police are able to access learners' records on request.

Please Note: Applications for ESOL Courses will not be accepted until Friday 1st June 2012.

Section 1 - About You - This section must be completed in full

Please use your official name - that is the name used on your passport, bank account or birth certificate.

Title: * - Select -MrMissMrsMs

Surname / Family Name: *

First Name: *

Gender: * - Select -MaleFemale

Date of Birth: *

please use format dd/mm/yyyy

Age on 31 August:

Permanent Home Address (this is the address we will use to write to you): *

Postcode: *

Tel no. Home: *

Tel no. Mobile:

Email: *

National Insurance Number:

Borough:

Unique Learner Number (if Known):

Section 2 - What Course(s) are you interested in studying?

You may list more than one course, e.g. A-Levels, ESOL, BTEC First Business. Please list in order of choice: *

Preferred study mode: *

Full time

Part time

No preference

Would you like to apply for Childcare Support whilst studying (ie help with looking after dependent children):

yes

no

If we are unable to provide childcare support would you still be able to study?:

yes

no

Section 3 - Education and Qualifications

Your Qualifications and Grades: *

Please list any qualifications with grades, that you have, or expect to get, before you start at Tower Hamlets College. For each qualification please mention the subject, the level and  type of qualification (eg GCSE), grade and whether it is achieved or predicted.

Name and address of the school / college where you are studying / last studied: *

Section 4 - Interests and Career Plans

Interests and Career Plans: *

Please tell us about your achievement and skills, your interests and spare time activities, the reasons for your choice of courses and what you plan to do after you finish your course.

Section 5 - Employment History (if over 18 years of age only)

Please list your current and previous employment (paid and voluntary) during the last 5 years.:

This information is necessary for some of our courses, for example Teacher Training, to ensure we put you on the right course.

Section 6 Additional Information

Were you born in the UK: * - Select -YesNo

Click here if you were NOT born in the UK

Please complete the details below only if you were NOT born in the UK

Where were you born:

When did you arrive in the uk:

Please give the full date.  Please use format dd/mm/yyyy

Are you in the UK on a Student Visa: - None -YesNo

Country of domicile (Where you live now):

Are you employed: *

yes

no

If not, for how long:

Do you receive state benefits: *

yes

no

Have you studied at or applied to study at this college before: *

yes

no

If yes please state course and year:

Section 7 - Learning Support

Please give details below if you have a disability or learning difficulty (eg dyslexia, physical or sensory impairment):

Will you need any support with your learning: - None -YesNo

If yes, please tell us what support you might need...:

What is your ethnic group:

11. Asian or Asian British – Bangladeshi

12. Asian or Asian British – Indian

13. Asian or Asian British – Pakistani

14. Asian or Asian British – any other Asian background

15. Black or Black British – African

16. Black or Black British – Caribbean

17. Black or Black British – any other Black background

18. Chinese

19. Mixed – White and Asian

20. Mixed – White and Black African

21. Mixed – White and Black Caribbean

22. Mixed – any other mixed background

23. White – British

24. White – Irish

25. White – any other White background

98. Any other – please specify below

Other Ethnic Group:

Please give details of your Ethnic Group if it is not listed above.

Section 8 - How did you hear about the course / College

How did you hear about our College: *

An Event or Exhibition

Connexions/Job Centre/Idea Store

Hot Courses/Similar Listings

Leaflets

Billboard/Poster/Bus/DLR/other outdoor media

Radio

I've studied at THC before

School

Social Networking Twitter/Facebook/Digg etc

THC Website

Word of Mouth

Newspaper

Other

If you heard about our College in a Newspaper which one was it:

If you heard about the College another way, please give details:

Your email, address and mobile number may be used to keep you informed about our future courses and events: *

I am happy to receive occasional relevant information about courses or events from THC

I do not want to receive any information about courses or events from THC

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