UK / EU Application Form - PART TIME HIGHER EDUCATION ONLY

How to complete your online application form

If you require help in completing this application form please contact Admissions. Telephone (0191) 200 4000 or email us at enquiries@ncl-coll.ac.uk.

This information is available in large print, braille, tape or disk, please contact us using the information above. We are happy to help.

All sections of this form must be completed

Please Note: This form is quite long and may take a while to complete. We recommend printing off a copy and drafting your answers to the longer questions before proceeding.

All fields marked with * are required

Personal Details:

Title: *   Mr Mrs Ms Miss Dr Other	If 'other' please specify :
First Name(s): *	Gender: *   male female
Surname: *
NI Number (If not a UK citizen, leave blank) :	Date of Birth: *
Home Address: *	Home Tel No:   Mobile Tel No: *
Postcode: *
Correspondence Address: (If different)	Correspondence Tel No:  Correspondence Postcode:
Email Address * :
Secondary Schools Attended:	Have you attended Newcastle College before? *   YesNo

Courses applied for:

Name of course(s) in order of preference. Please list the subjects that interest you: *

If you are uncertain about which course(s) you would like to study please contact out Student Services Department (0191) 200 4000 who will be happy to advise you.

Qualifications

What qualifications do you have (if known) or are you studying for? Please list the highest qualification or qualifications relevant to your course.

Subject/Unit Level Grade Date Awarded

Paid Employment

Please give details of any paid or unpaid employment you have had. Enter the most recent first

Employer Name and Address Nature of work Date Started Date Ended Is your employer likely to provide you with any of the following? (Please tick all that MAY apply and note that this is not a commitment on your employers’ behalf at this point). Help paying your fees Time off to study A mentor Help purchasing text books Access to materials or facilities within your workplace to help with your studies

Personal Statement

Please tell us why you want to attend Newcastle College and study for a Higher Education qualification: *

Support required - all applicants to complete:

Newcastle College welcomes diversity in its student population and is committed to equality of opportunity. We actively oppose discrimination, aim to remove all conditions that put people at a disadvantage and strive to improve access and to provide outstanding support. The information you share regarding your disability enables us to assess any support needs and offer you a fair chance to succeed.

Do you have a disability or learning difficulty which you would like us to know about? *   Yes No

If yes, please indicate which of the following:

Visual Impairment

Hearing Impairment

Disability affecting mobility

Other physical disability

Other medical conditions

Emotional/behavioural difficulties

Mental ill health

Temporary disability after illness or accident

Profound/complex disability

Multiple disabilities

Moderate learning difficulty

Severe learning difficulty

Dyslexia

Dyscalculia

Autism Spectrum Disorder

Other specific learning difficulties

Multiple learning difficulties

If 'other' please specify) :

Please Note: You are entitled to have either a member of our Learning Support Service to be present at your interview or someone else could attend with you. If you have answered 'YES' to the previous question, someone from our learning support team will contact you to discuss and requirements you may have.

Are you/have you been in care?    Yes No

Ethnicity:

This information is required to enable us to monitor the implementation of our Equal Opportunities Policy in accordance with the Race Relations Amendment Act using the Government classification of ethnicity.

Are you: * Please choose an option... White - British White – Irish White – Any other White background Asian or Asian British – Bangladeshi Asian or Asian British – Indian Asian or Asian British – Pakistani Asian or Asian British – other Asian background Black or Black British – African Black or Black British – Caribbean Black or Black British – Any other Black background Chinese Mixed – White and Asian Mixed – White and Black African Mixed – White and Black Caribbean Mixed – Any other Mixed background Other

Nationality:

Are you a UK national or citizen of a recognised EU country? * Yes No

If you are not a UK national or citizen of a recognised EU country, please provide... Passport Number? Passport Expiry Date? Is a Student Visa required? Yes No

What is your nationality? (If you are from outside the European Union please contact Student Services)

Have you been a full resident within the European Union throughout the last three years for purposes other than study?  Yes No

If no, please enter current residential status:

How you heard about us

How did you hear about Newcastle College? Please check all that apply

Connexions / Careers Service Website / Email Newspaper Radio / T.V. College visit / Open day Outdoor Advertising Other

If other please state

Referee

Please provide details of a referee. Note: Please ensure you have informed your referees, as we will be contacting them for a reference.

Relationship to Referee:

Company / college name (if applicable)

Referee Name:

Address:

Postcode:

Referee Telephone No:

Referee Email:

Word verification

Please Enter the letters as they are shown in the image below.

Apply: Send the form for processing...

Once we have received your application form, we will contact you to let you know what happens next. If you can or want to enrol directly to this course we will contact you to enable you to do this. If you have any queries, simply contact our Advice and Enquiry Centre on (0191) 200 4000 or email enquiries@ncl-coll.ac.uk

APEL Declaration Your past and present can count towards your future Our Accreditation of Prior Experiential Learning [AP(E)L] process enables you to gain credit towards your course for prior qualifications and/or learning. Decisions about the type and amount of credit may be based on certificates you have gained, which demonstrate that learning has been assessed. Or we may take into account learning from experience that is considered worthy of credit. In all cases, credit is awarded for learning that can be demonstrated, not for the experience itself. We can offer to help you by providing advice and support materials.

If you are interested in our AP(E)L process, please contact 0191 200 4000 for details.

Data Protection All records of the Newcastle College are maintained in compliance with the principles of the Data Protection Act 1998. The College is registered with the Information Commissioner’s Office as a provider of education and training. By applying to enrol on a course of study, you consent to the College processing personal data relating to you, including sensitive personal data, in accordance with the College's registration and LSC statutory requirements. Under the Data Protection Act 1998 you have a right to a copy of any data we hold about you. If you would like a copy of this data you should apply, in writing, to the MIS Quality Manager.