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Personal Details

Title
First Name

This must be your legal first name as it appears on your birth certificate

Middle Name(s)

This must be your legal middle name as it appears on your birth certificate

Surname

This must be your legal surname as it appears on your birth certificate

Preferred name
Legal Sex
Preferred pronoun
Date Of Birth
You must be over 14 and under 19 on application

Your contact details

Home telephone
Mobile Tel
Email
Email (enter again)
     

Address

Please enter your postcode or partial address below:

Search:


Search Results - Select correct address and click on 'Fetch Selected Address'

House No./Name and street (Address Line 1)
Address Line 2
Town / City
County

Postcode

How many years have you lived at this address
What school do you attend

Parent/Carer & Emergency Contacts

Please provide details of at least one parent/carer who would be your emergency contact and a 2nd emergency contact (who should also be a parent / carer where appropriate). The first contact will automatically be updated about your progress, attendance, and will be invited to parent evenings


Parent / Carer and Emergency Contact 1

Contact 1 Name (Full Name)
Contact 1 Relationship
Contact 1 Mobile number
Contact 1 Email Address
Contact 1 home telephone
Are you living with this person?
Is Living With Contact1

Contact Address Line 1

Contact Address Line 2

Contact Address Line 3

Contact Address Line 4

Postcode

Parent / Carer and Emergency Contact 2

Contact 2 Name (Full Name)
Contact 2 Relationship
Contact 2 Mobile number
Contact 2 home telephone number
Contact 2 Email Address
Are you living with this person?
Is Living With Contact2

Emergency Contact Address

Contact Address Line 1

Contact Address Line 2

Contact Address Line 3

Contact Address Line 4

Postcode

Qualifications

We need your expected or achieved qualifications to make sure you are applying for the right course. Please include information on all qualifications studied i.e. GCSE, BTEC diplomas, A-levels, NVQs. If you haven’t yet taken your exams, please provide your predicted grades.

Entering Maths & English Qualifications is mandatory


Ensure you have given us your grades for GCSE English Language, English Literature and Maths if you have achieved these qualifications. You should also provide the grade for your GCSE English Language, Speaking and Listening if known.

Date Awarded - Don't worry if you don't know the exact Date Awarded - please use 1st July of the year that it was in.

If you have no qualifications, then please press ‘No prior qualifications’. Use ‘Add row’ to save and add multiple qualifications.

To remove items, please press ‘No prior qualifications’ then press ‘Add Qualifications’

In the subject box - please include the type of Qualification (GCSE, A-Level etc.) and the Awarding body (EDEXCEL, OCR etc.)




Subject
Subject (if Other not listed)
Date
Predicted Grade


Support and Help with Learning

Do you have a physical health need, disability, mental health, medical condition, individual learning need or special exam arrangements?
Click Yes if you have / are any of the below:
  • Have a physical health need,
  • Have a disability,
  • Have a mental health need,
  • Have a medical condition,
  • Have an individual learning need,
  • Have special exam arrangements,
  • Are a care leaver or young carer
  • Previously received Free School Meals ?
Primary Disability/Learning Difficulty
Support need 1
Support need 2

If yes – please supply brief further details of support needed.

If you have any medical conditions please list them below :

Medical condition 1
Medical condition 2

Please give brief additional details if relevant (we will contact you about this) then remove that sentence underneath.

Please give brief additional details (we will contact you about this)

Did you receive Exam Access Arrangements at school (We will contact your school to ask for any relevant details to be sent through)

If yes - please give details

Do you have an educational health care plan?

Has Education Health Care Plan

Do you have a statement of special educational needs?

Has Additional Learning Needs

Are you a registered Young Carer?

You're a young carer if you help to look after a relative with a disability, illness, mental health condition, or drug or alcohol problem

Young Carer

Are you in Care?

Looked After

Were you previously entitled to free school meals?

FSM


Would you like the College to contact you to discuss any action they can take to help you with your learning?

FSM

Diversity

Ethnicity
Will you have lived continuously in the UK for more than 3 years on the first day of your course?
Is Home Fees

What country were you resident in before you became resident in the UK ?

What is your first language?
Religion

Privacy statement

The information gathered through this process is used to progress your application to attend St Brendan’s Sixth Form college and to ease transition. This may involve passing data to other systems used to support this process and liaising with your current school. Full details of our privacy statement can be found here https://www.stbrn.ac.uk/upload/DataProtectionPolicy6.pdf

We will share your records with the Learning Records Service for the purpose of obtaining a Unique Learner Number. Their privacy statement can be found here: https://www.gov.uk/government/publications/lrs-privacy-notices/lrs-privacy-notice

By submitting your application - you are agreeing to your data being processed for these reasons.

Review and Submit

How did you hear about us?
Are you applying to other schools or colleges?

Is St Brendan’s your first, second or third choice?