Luton Sixth Form

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Subject Choices

Subject Choice 1


Subject Choice 2


Subject Choice 3


Personal Details



Denotes a mandatory field :



Title
First Name
Middle Name(s)
Surname
Date Of Birth

Sex (as stated on Birth Certificate)

Ethnic Origin


Next of kin / emergency contact

I consent to the College sharing information about my education and progression with this person. If you do not consent to share information, the contact details below will be used in emergencies only.

Contact name (full name)
Relationship to contact

Contact phone number (Please enter with no spaces)

Contact email address
Are you living with this person?
Is Living With Contact1

House No./Name and street (Address Line 1)

Contact Address Line 2

Town / City

County

Postcode

Next of Kin additional

I consent to the College sharing information about my education and progression with this person. If you do not consent to share information, the contact details below will be used in emergencies only.

Contact name (full name)

Relationship to contact

Contact phone number (Please enter with no spaces)

Contact email address
Are you living with this person?
Is Living With Contact2

Contact Address

House No./Name and street (Address Line 1)

Contact Address Line 2

Town / City

County

Postcode

Your Contact Details


Please enter your postcode or partial address below:

Search:


Search Results - Double click the correct address

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

Postcode

Contact Number (Main Number)
Mobile
Personal Email Address
Personal Email Address (enter again)
     

Please supply your personal email address. This is the address we will send you information about your application





Your Status

Are you a UK or Irish citizen and been an ordinary resident in the UK or Ireland for the last 3 years?
Is Home Fees

Because you have not lived in the UK for last 3 years or more, we need to collect more information to determine your eligilbity for funding, please answer the questions below

Date of entry into UK

Please select your country of National Identity

We collect information relating to special educational needs, disabilities and additional support so our SEND team can work with you to ensure that you receive the appropriate help and advice to achieve your full potential

Do you have any disabilities or learning difficulties?

Main Disability/Learning Difficulty

Please identify any additional Disabilities / Learning Difficulties


Did you receive additional support at school?

Has Special Education Needs


Did you receive special exam provisions at school?

ALS Requested

Did you have an Education, Health and Care Plan (EHCP)?

Has Education Health Care Plan

Additional requirements

Please provide any extra information that can help us to help you, like if you need assistance in an emergency, help with your exams or interview support

Notes

255 characters left



Application Support

Are you currently in care?

Looked after

School

Previous/Current School
Date from
Date to

If you know your Unique Learner Number (ULN) please enter it below

ULN

If you know your UCI number, please enter it here

UCI

Are you in receipt of free school meals?

FSM



References

Please enter the details of your referees, who we may contact in the event that you are enrolled at the college.



Surname
Forename
Tel
Email
Relationship
Job Title



Upload your grades (certificates / results slips)

Type of Evidence Notes Upload File


Type of Evidence Notes Attachment Remove
No attachments uploaded yet



Review & Submit

Luton Sixth Form College is committed to protecting the rights of individuals in line with Data Protection legislation. In ticking the box below, I am consenting to my data being processed in accordance with the Luton Sixth Form College privacy notice. (https://www.lutonsfc.ac.uk/privacy-notice/).

Please confirm the data processing consent

Please ensure you are happy with the information you have entered, then tick the box below to confirm your application data is accurate. By ticking this box you understand that the college has a duty of care to our community and in taking appropriate steps to protect students, staff and visitors

I confirm my details are correct and that I have read the above statement