You Are Applying For:

Course Title:	Level 2 Motorsport Engineering
Location:	Chippenham Campus
Academic Year:	20/21
Course Code:	CHT2029F0

Your Personal Details:

Title: *

First name: *

Surname: *

Gender: *

MaleFemale

Are you under the care of Social Services? *

YesNo

If you tick Yes, a member of our support team will contact you to discuss
support services in the College including the bursary scheme.

House Number and Street: *

Home Address Line 2:

City / Town: *

County: *

Home Post Code: *

Home Phone Number: *

Student Mobile Number: *

Parent/Guardian Mobile Number
(for under 18 year olds)

Your Email: *

Date of birth *

Day	Month	Year

Your Nationality - this section must be completed:

What is your Nationality ?

What is your Country of Residence ?

Have you lived in the UK or EEA for more then 3 years ?

YesNo

Are there any immigration restrictions on how long you stay in the UK ?

YesNo

Your Ethnic Origin:

African
Any other Asian background
Any other Black / African / Caribbean background
Any other ethnic group
Any Other Mixed / multiple ethnic background
Any Other White background
Arab
Bangladeshi
Caribbean
Chinese
English / Welsh / Scottish / Northern Irish / British
Gypsy or Irish Traveller
Indian
Irish
Not provided
Pakistani
White and Asian
White and Black African
White and Black Caribbean

Support for your Course:

Please can you let us know if you have an Education Health Care Plan (EHC):

YesNo

Do you have a learning difficulty or disability:

YesNo

Criminal Convictions:

Applicants for courses which involve working with children or vulnerable adults are required to comply with the Disclosure and Barring procedures.

Do you have any unspent criminal convictions ?

YesNo

Your Education:

Are you currently on, or have you previously attended a full-time course at Wiltshire College?

YesNo

Enter the name of your current / last school or college:

Please let us know what qualifications you currently hold or hope to achieve by the time you start college.

It is important that if you are taking exams this year you tell us about your predicted grades. We will not be able to process your application without these.

	OR:
	I am not currently studying and do not hold any qualifications.

Data Protection:

Consent to process statement.

The General Data Protection Regulation (GDPR) requires us to gain your consent before we can process any information contained on this form. Please agree to the ‘Consent to process’ statement below. We regret that without agreeing we are unable to offer you a course place at this College, and may withdraw any offer already made.

Consent to process statement:
I confirm that the information I have provided in this form is accurate and agree to Wiltshire College processing personal data contained in this form for any purposes connected with my studies, with my health and safety whilst on College premises, or for any other legitimate purpose. The information you provide may be shared with other organisations for education, training and well being related purposes.

Finish:

I have read and understood the course information sheet for my chosen course/s and I confirm that it meets my needs and I have received free impartial information, advice and guidance from the College.

I have read and agreed our Terms and Conditions

If you wish to print your application click here print, before you submit your application.

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