Accrington Rossendale College Prospectus 2019-20

School Leavers’ Application Form For full-time courses starting in the academic year 2019/2020 only.

Applying For Your Course - Here's How to Apply

How to apply: Return this completed form to your Careers or Year 11 Tutor if applicable otherwise return to:

Central Admissions, Accrington and Rossendale College, Broad Oak Road, Accrington, Lancashire. BB5 2AW. When the college receives your completed application, you will be offered an interview where you can discuss your options with college staff. When you have been accepted and gained the necessary entrance qualifications, the next stage is enrolment which usually takes place at the end of August. Please use BLOCK CAPITALS. Personal details Gender: .............................................Title:....................................... National Insurance Number:....................................................................... Surname:.......................................................................................... First name: ................................................................................................. Middle name(s): .................................................................................................................................................................................................... Nationality:....................................................................................................................................... Date of birth:................................................ Contact details Address line 1: ...................................................................................................................................................................................................... ...........................................................................................................Town: ......................................................................................................... County:..............................................................................................Postcode:................................... Time at this address: ............................. Email address: ...................................................................................................................................................................................................... Telephone number:........................................................................... Mobile number: ......................................................................................... Have you been a resident in this country or the EU for the last three years? Yes No Emergency contact / Next of kin Name:.................................................................................................................................................................................................................... Emergency contact number: ............................................................Relationship: ..............................................................................................

Five easy steps to starting your course at Accrington and Rossendale College

5 4 3 2 1

Find your course Enquire and visit Apply for your course

Interview for your course Enrol and start your course

Ethnicity White

Bangladeshi

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Black - Caribbean

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Other (please state) ..............................................................................................................................................................................................

School Most recent school/college attended: .................................................................................................................................................................. How did you hear about the college? College Prospectus Young People’s Service Job Centre College Leaflet Word of Mouth Open Evening School Liaison Team Social Media Newspaper

www.accross.ac.uk

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