APPLICATION FORM

The information that you are submitting in this form will be held in compliance with the provisions of The Data Protection Act. Privacy Statement

Please Note: Form imput fields marked with an asterisk * are required fields and therefore must have an entry before submitting the form.

First time applicants must complete all sections but returning students may omit sections 4, 9 and 10.

If you would prefer to make an application by post please complete the printable application form.

If you are applying for an apprenticeship, please use the online Apprenticeship Application Form

If you are applying for a course at Ludlow College, please use the Ludlow College Online Application Form

Section 1
   
   
   
   
   
   
   
   
   
       
Section 2
*Have you been resident in the UK, EU or EEA for the past 3 years?
years
If you are not ordinarily resident in the UK, EU or EEA, please state if any of the conditions shown below apply to you:

Section 3
If you are applying for an apprenticeship, please use the Apprenticeship Application Form
Please list the courses that you are interested in applying for (refer to prospectus for correct course title). Don't worry if you are unsure about which course you would like to take. To discuss the options available to you please call our Careers Advisor on 01432 365312.
  Course Title (in order of priority)  
 
 
 
     
 
Undecided about what to do at College?   
Would you like an informal chat with one of our Careers Advisors?       
     
My Future Plans    
 
 
 
Section 4
Please give details of your current/last school or college attended
Name & address of School or College    
   
Section 5
Do you have any of the following qualifications prior to starting the course?
(Please tick the appropriate box)
  LEVEL QUALIFICATION
0: Word Power / Number Power
1: GCSE D-G or less than 5 GCSE at A-C,
1 AS Level
BTEC EDEXCEL 1st Certificate,
GNVQ Foundation
NVQ Level 1 C&G Operative Award  
2: 5 or more GCSE at A-C,
2 or 3 AS Level or 1 A Level
BTEC EDEXCEL 1st Diploma,
GNVQ Intermediate
NVQ Level 2 C&G High Operative/Craft RSA/OCR Diploma,
Pitman Intermediate Level 2
3: 4 or more AS Level, 2 or more A Level BTEC EDEXCEL Nat Cert/Dip,
GNVQ Advanced
NVQ Level 3 C & G Advanced Craft
Access to HE
RSA/OCR Stage 3 Adv Dip,
ESOL Advances Award
4: First Degree BTEC EDEXCEL HNC/HND
Other Higher Cert or Diploma
NVQ Level 4 Teaching Qualification including PGCE RSA/OCR Advanced Certificate,
RSA/OCR Higher Diploma
5: Higher Degree DMS, MBA NVQ Level 5 Other professional qualification  
 
All Full Time applicants, please state all previous qualifications showing grades expected or achieved.
 
Subject Title Awarding Body Grade Expected Grade Actual
Section 6
Name & Address of Employer Date employed from
 
 
 
 
 
Section 7
If you are applying for any of the courses listed below, please attach a supporting statement (minimum 250 words) describing why you are interested in the course and what you hope to achieve if you successfully complete it. This should be either a 'Word' document (.doc or .docx) or Rich Text Format (.rtf) or a plain text file (.txt)
  • Level 3 Diploma in Counselling
  • Foundation Degree Counselling
  • Access to HE
 
   
Section 8
Please provide the name and full addresses of two character referees.
Reference 1.      
   
   
   
   
   
       
Reference 2.      
   
   
   
   
   
Section 9
Disability is defined as any physical or mental impairment which has a substantial and long term (over 12 months) adverse effect on your ability to carry out day to day activities.

Do you consider yourself to be disabled?
Do you have a disability or learning difficulty?

Please identify your support needs from the list below:




Do you require information about additional learning suppport?



Criminal Convictions - before answering this section please read the -Criminal Convictions information
*Do you have any criminal convictions?
Safeguarding - before answering this section please read the -Safeguarding information
Are you a 'Looked After' Child/Vulnerable Young Adult?
Section 10
Please help us monitor our Equality and Diversity policy.

Please tick the box which you feel best describes your ethnic origin.

       
           
           
Section 11
How did you hear about Herefordshire & Ludlow College and the course(s) for which you are applying?
(Please tick one box only)
 
           
Would you like to receive our free e-newsletter?   (requires email address)   
Once you are satisfied with your application details, please click on the 'Submit' button below: