PLEASE NOTE: IF YOU ARE AGED 19 OR OVER
ON 31 AUGUST, YOU WILL NEED TO COMPLETE
AN ADULT LEARNERS’ APPLICATION FORM.
Do you play any of the following sports? (Please tick as appropriate)
Football
Cricket
Netball
Other (please specify)
Basketball
SECTION 9 CHILDCARE
A national scheme of support currently exists for 16-18 year old learners who require childcare while they study. Please ask for more details from the college or your Connexions advisor.
Please tick here if you need access to this provision to be able to study.
SIXTH FORM
APPLICATION FORM
Other (please specify)
EQUAL OPPORTUNITIES STATEMENT
SECTION 10 MARKETING
How did you hear about The Manchester College? (Please tick ONE only)
Advertisement (eg poster / newspaper / radio)
Direct mail (eg letter / e-mail / SMS text)
Event
Internet / website
SECTION 11 ETHNICITY
White
31
English/Welsh/
Scottish/Northern
Irish/British
32
33
Irish
G
ypsy or
Irish traveller
34
A
ny other White background Recommendation
(eg friend / school /
Connexions)
• promoting and supporting learning for each individual
• equality of opportunity
Please indicate which category best describes your ethnic origin.
Mixed/
Multiple ethnic group
Asian/
Asian British
35
White and Black
Caribbean
36
White and Black
African
39
40
Indian
Pakistani
41
42
Bangladeshi
Chinese
43
Any other Asian background 37
38
The Manchester College is committed to
White and Asian
Any other Mixed/
Multiple ethnic background Black/African/
Caribbean/
Black British
44
45
African Caribbean
46
Any other
Black/African/
Caribbean background • non-discriminatory practices
We welcome applications from students, regardless of gender, race, religion, age or disability. We aim to ensure that we meet the requirements of all disability legislation.
If you have a disability or medical condition, we will support you to achieve your goals.
Please tell us how we can best help you to succeed at The Manchester College when you enrol. We can send you this document in audio, Braille or large print formats.
Other ethnic group
47
98
Arab
Any other ethnic group
What is your main spoken language (if not English)?
PLEASE USE A BLACK PEN AND WRITE CLEARLY IN BLOCK CAPITALS.
SECTION 1 PERSONAL DETAILS
Surname
Unique Learner Number (if known)
Address
Forename(s)
SECTION 12 DECLARATION
I CERTIFY THAT THE DETAILS GIVEN IN THIS APPLICATION ARE CORRECT.
Postcode
Telephone
Name (print)
Signature
Date
Mobile
Date of birth
E-mail (home)
Male
Female
Age on 31 August
Nationality
E-mail (school)
National Insurance no.
Preferred contact method
EMERGENCY CONTACT INFORMATION
Name of parent / guardian
Telephone (day)
Relationship
Telephone (eve)
Please send completed form to: Student Applications, Student Records Department,
The Manchester College, FREEPOST MR9919, Openshaw, Manchester M11 9AL.
Please contact us if you need help completing this form.
OFFICE USE ONLY
(No stamp or other information is required)
Person code
We may occasionally wish to update you on new courses and opportunities at The Manchester College.
Please tick here if you do not wish to receive this information.
Site accepted
TMC SixthForm App v4.1 10/11
0800 068 8585 (OPTION 2)
enquiries@themanchestercollege.ac.uk
SECTION 2 RESIDENCY (to be completed by all applicants)
The Manchester College will need evidence of status to satisfy Government requirements. Failure to provide evidence may result in the college being unable to process your enrolment.
Nationality
Are you on a visa or is there any restriction on the length of time you can stay in