Access to HE Application Form

Course Title

Start/End Date

Title

Name(Required)

First Name(s) Surname

Preferred pronouns

Address

Street Address Address Line 2 City County Postcode

Date of Birth(Required)

Tel/Mobile(Required)

National Insurance Number

Which country have you lived in for the last 3 years(Required)

Nationality(Required)

Email(Required)

Enter Email Confirm Email

Name of Emergency Contact(Required)

First Name Surname

Relationship to you(Required)

Address of Emergency Contact(Required)

Street Address Address Line 2 City County Postcode

Tel/Mobile(Required)

Email address if known

Do you have any qualifications? (already taken or due to be taken)(Required)

Do you have English Language GCSE grade C/4? (Already taken or due to be taken)(Required)

Do you have Maths GCSE grade C/4? (Already taken or due to be taken)(Required)

GCSEs

Please list below any GCSEs you have taken or are taking.

Subject

Year taken/to be taken

Grade/predicted grade

Functional Skills

Please list below any Functional Skills you have taken or are taking

Subject

Level

Year taken/to be taken

Grade/predicted grade

Other Exams

Please list below any other exams you have taken or are taking

Subject

Level

Year taken/to be taken

Grade/predicted grade

If you are not in full-time education you will need to provide a referee.

Name of referee(Required)

First Name Surname

Address

Street Address Address Line 2 City County Postcode

Are you studying or have you previously studied at Grantham College?(Required)

If yes, please state course(s)

Have you undertaken a full Level 3 course before? Please state whether you completed the course or briefly explain why you were unable to complete it.(Required)

E.g, two more more A-level passes, four or more AS-level passes, NVQ Level 3, Level 3 BTEC Extended Diploma

What are your plans regarding university, or a Higher Education course?(Required)

When are you planning to start university?(Required)

What are your career plans?(Required)

Are you planning to take out a Further Education loan? Information about this will be provided.(Required)

If you are unsure about the course you are applying for, please explain what other courses you might like to discuss.

Do you have an EHCP? (An EHCP is an Education, Health and Care Plan, which is a legal document outlining special educational needs)(Required)

Do you have any additional support needs? i.e Dyslexia, classroom support or exam support?(Required)

If yes, give details below, please note evidence will be required if support is needed:(Required)

Do you have any medical conditions or allergies?(Required)

If yes, please give details:(Required)

Do you have any mental health support needs or concerns that may affect you while you are at college?(Required)

If yes, please give details of your condition and support you have received in the past or are currently receiving:(Required)

Are you a carer for someone?(Required)

If yes, what are your caring responsibilities?

Are you currently in care or a care leaver?(Required)

If yes, please give details:

Do you have a social worker/early help worker or other external support in place?(Required)

If yes, please give details:

Are you the parent of a child under the age of 16?(Required)

If yes, please give details:

Do you have any criminal convictions? Are you subject to any ongoing police investigations? Are there any bail conditions we would need to be aware of? (if yes, this will be discussed, but it won't automatically exclude you from joining the college)*(Required)

How did you find out about the college?(Required)

Residency – have you been a UK resident for more than 3 years?(Required)

If no, do you have Settlement Status? Proof will be required in the form of an E-visa and Share Code.

Please provide nationality, date of entry to UK, do you need a student visa to study, is there a time limit for you to study in the UK?