Application - Darlington College

Title * First Name *

This field is required.

Surname *

This field is required.

Legal sex * The sex that you were assigned at birth. Gender * Date Of Birth * This field must be in the format dd/mm/yyyy, e.g. 22/02/1983.

This field is required.

Address Line One *

This field is required.

Address Line Two Town / City *

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Postcode *

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Ethnic Origin * Main Contact Number * Please ensure this number has NO spaces

This field is required.

Mobile Number Email *

Email field is required.

Verify Email *

Email field is required.

Parent/Guardian name *

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Parent/Guardian Contact Number * Please ensure this number has NO spaces

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Offering

Your Grades

Please enter your qualifications you have that are most appropriate to the course you are applying for.

Add new grade

Subject Qualification Type Grade Year Achieved This field must be a Year.

Do you require any support or special arrangements at interview? * Yes No

Do you need any support with your learning? * Yes No

Do you need any support with anything else eg: personal issues, health, settling into college or any other pastoral needs? * Yes No

Details of the support you require

Are you looked after by anyone other than your parents? * Yes No

Would you like further information on financial support available? * Yes No

Your Application

Information provided on this form will be shared with the relevant staff members at Darlington College at the appropriate time in order for us to put the required support into place.

This may include our Additional Learning Support Team, tutors and relevant support staff.

Confirmation

Yes, I understand that my information will be shared with the relevant staff at Darlington College.

To be able to process your form we need you to accept this.

Student Information

Your Grades