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Change of Entry Consultation
Sixth Form Application 2018/19
Home
Sixth Form Application 2018/19
Section 1: Personal details
First name
*
Surname
*
Email
*
Gender
*
Female
Male
Other
Age
*
Date of birth (DD/MM/YYYY)
*
Home address
*
Postcode
*
Contact phone number
*
Section 2: Your course choice
Which course are you applying for?
*
Engineering
Information Technology
Vehicle Technology
Environmental Sustainability
Pre-Apprenticeship
Would like advice and guidance
Please select one course
Section 3: Your previous education
List
*
Subject and Level (e.g. GCSE)
Year
Predicted Result
Actual Result (if applicable)
Section 4: Your future plans
Please outline your reasons for wanting to attend UTC Plymouth and your career aspirations:
*
Section 5: Extra support for you
We provide a range of support for learners with learning difficulties, medical and language support needs.
If you would like a confidential interview, please tick this box
Section 6: Where did you find out about us?
Please select all that applies
*
The Herald Newspaper
Western Morning Newspaper
Sunday Independent
WOINPlymouth
The Herald Online
Search Engine
Social Media
Local Authority Letter
Email
Family/Friend
Other Letter/Postcard
Event
Careers or Connexions Adviser
Website
Royal Navy
Other
Please state
Section 7: Emergency contact details
Emergency contact name
*
Relationship to you
*
Contact address
*
Contact number
*
Contact email
*
Information given on this form is personal data and is therefore subject to Data Protection Act 1998. Information you provide on this form may be passed to relevant educational agencies. Further information about data confidentiality is available on request.
If you do not wish to receive such information, please select this box
To submit your application please check the box and click submit
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