Yeovil College | Application Form

Application Form

Surname: *

First Name: *

Previous Surname:

Title: *

Date of Birth: *

Nationality *

NI Number

Home Address: *

Postcode: *

Email Address: *

Telephone: *

Mobile:

Name of Parents/Guardian: (if under 19)

Tel No of Parents/Guardians:

Alternative address for correspondence (if different from home):

Postcode:

Telephone:

Have you been continually resident in the UK for the last 3 years? *

If no, please state country of residence:

Please indicate the areas or courses you are most interested in below:

Course Title:

Full Time

Part Time:

What career would you like to do with your qualifications?

For Apprenticeships, please confirm the name of your employer:

Please confirm if you would like to study at Yeovil College @ North Dorset (Shaftesbury)?

Please state your most recent School or College:

Full name of School/College:
*

Date From:
*

Date To:
*

Do you have a medical condition, learning difficulty or disability that may affect your studies? If so, what do you require extra help with?
*

Yeovil College welcomes the Disability Act (part 4) and we want to help you get the very best experience from your course. We will offer opportunities prior to enrolment for you to disclose and discuss (in private) your individual support needs. (If you fail to disclose information at this stage it may delay provision or relevant on-course support)

Do you have any criminal convictions or any prosecutions pending?
*

Have you been a student previously at Yeovil College?

If yes, please add your Unique Learner Number (If known):

How did you hear about Yeovil College?

Is English your first language?

Autumn Term begins the first week of September 2017. Please state the dates of any holidays during August/September:

* indicates a required field

Remember

Please call Student Customer Support on 01935 423921 between Monday - Thursday from 8:30am till 5pm and 4:30pm Fridays, or complete our downloadable form, once completed, email to enrol@yeovil.ac.uk

Downloadable Application Form