1Personal Details

2Further Details

3Residency & Address Details

4Parent / Guardian

5Nearly There

6Support Needs

7Qualifications on Entry

8Keeping In Touch

Personal Details

Thank-you for choosing to study with us, simply fill in this form to start your journey.

Title(Required)

Forename(Required)

Middle names

Surname(Required)

How do you prefer to be known?

What is your Preferred Pronoun?(Required)

You will always have the opportunity to discuss different ideas and options before you start your course.

Further Details

Date of Birth(Required)

YYYY

Legal Sex(Required)

Male

Female

Gender/Identifies as:

Male

Female

Other

Gender same as birth:

Yes

Prefer not to say

Identifies as Trans:

Yes

Prefer not to say

AgeRefDate

Day

Month

Year

AgeAtStart

What is your chosen career path (if known) and the reasons for your choice of course(s)

Career Path(Required)

What is the country of your nationality?(Required)

Passport Number:(Required)

The Equality Act 2010 The College is required to collect specific Equality & Diversity monitoring information about all its learners. This helps the College to make sure that courses are accessible to everyone with a variety of needs and characteristics.

Please select the option that is closest to your ethnic background(Required)

Asian/Asian British

Black/Black British

Mixed

White

Other

Prefer not to say

Please select the option that is closest to your ethnic background(Required)

Bangladeshi

Chinese

Pakistani

Indian

Asian Other

Please select the option that is closest to your ethnic background(Required)

Black African

Black Caribbean

Black Other

Please select the option that is closest to your ethnic background(Required)

Mixed White/Asian

Mixed White/Black African

Mixed White/Black Caribbean

Mixed Other

Please select the option that is closest to your ethnic background(Required)

White English / Welsh / Scottish / Northern Irish / British

White Irish

White Gypsy/Traveller

White Other

Please select the option that is closest to your ethnic background(Required)

Arab

Any Other

RESIDENCY & ADDRESS DETAILS

Have you been resident in the UK for the last 3 years prior to the intended start of your course?(Required)

Yes

1st Line of your Address(Required)

2nd Line of your Address

Town / City(Required)

County

Postcode(Required)

Mobile phone number(Required)

Home phone number (if you have one)

Email Address(Required)

Enter Email Confirm Email

CONTACT WITH PARENT(S), GUARDIANS AND CARERS

The college will maintain contact with your parent, guardian or carer, please provide their details below.

Title(Required)

Forename(Required)

Surname(Required)

What relationship is this person to you?(Required)

Mobile phone number(Required)

Home phone number (if you have one)

Email Address(Required)

Enter Email Confirm Email

Do you live at the same address as this person?(Required)

Yes

1st Line of your Address(Required)

2nd Line of your Address

Town / City(Required)

County

Postcode(Required)

Would you like to provide a secondary emergency contact?

Yes

Title

Surname

Forename

Mobile phone number

Email Address

Enter Email Confirm Email

50% Complete

That’s all of your personal information complete; you’ve already completed 50% of your application!

Remember, though, don’t close this browser session, or you will lose everything you have achieved so far. Instead, click the Save & Continue link at the bottom of any section to save your progress, and you will be emailed a link to pick up where you left off at a later date.

SUPPORT NEEDS

Learner Services will support you to succeed and help you get the most from your chosen course by removing learning barriers. Any information disclosed will help us to provide the support you require.

Do you have a learning difficulty or disability?(Required)

Yes

Please indicate your learning difficulty or disability below (you may select more than one)

Asperger's syndrome

Autism spectrum disorder

Disability affecting mobility

Dyscalculia

Dyslexia

Hearing impairment

Mental health difficulty

Moderate learning difficulty

Other disability

Other learning difficulty

Other medical condition (for example epilepsy, asthma, diabetes)

Other physical disability

Other specific learning difficulty (e.g. Dyspraxia)

Prefer not to say

Profound complex disabilities

Severe learning difficulty

Social and emotional difficulties

Speech, Language and Communication Needs

Temporary disability after illness (for example post-viral) or accident

Vision impairment

Have you got a support or health need, if so what is your main support need?

Please give us further information about any support for health needs that effect your learning.

Have you previously had access arrangement for exams?(Required)

Yes

Do you have an Education Health Care Plan (EHCP)?(Required)

Yes

Are you (please tick any that apply to you, or leave un-checked)

In Local Authority Care?

Pregnant or in the early stages of caring for a recently born child?

A care leaver?

A young or young adult carer?

CRIMINAL CONVINCTIONS

Do you have any current (unspent*) criminal convictions(Required)

Yes

* An 'unspent' criminal conviction is a criminal conviction that is still on your record and legally needs to be disclosed as it has not yet completed its rehabilitation period based on the Rehabilitation of Offenders Act 1974. Once the rehabilitation period is over, the conviction becomes 'spent' and usually doesn't need to be disclosed depending on the conviction. Until then, they are considered unspent and must be disclosed when requested.

Do you have any relevant* criminal convictions?(Required)

Yes

Do you have any criminal charges awaiting trial or awaiting to go to court?(Required)

Yes

Are you or have you previously worked with the youth justice system?(Required)

Yes

If you declare that you have an unspent criminal conviction we will contact you for further information. Declaring a conviction will not necessarily bar you from being offered a place at College, however, failure to disclose something which we later become aware of could result in disciplinary action. Please note that some of our courses require you to undergo a disclosure & barring service check.

Do you have any relevant* criminal convictions?(Required)

Yes

* ’Relevant’ means offences against a person, whether of violent or sexual nature, and convictions involving unlawful supplying or possession of controlled drugs or substances

Do you have any criminal charges awaiting trial or awaiting to go to court?(Required)

Yes

Are you or have you previously worked with the youth justice system?(Required)

Yes

QUALIFICATIONS ON ENTRY

What was the last educational institution you attended(Required)

As you have answered other/not listed please type in the last education institution you attended here

Please enter details of your qualifications below. If you have not yet completed the qualification or received results, please enter your predicted grade and the date you expect to achieve this qualification.

Core Qualifications (GCSE)

Subject

Grade

Month

Year

Type

Please provide the results of your previous GCSE exam attainment for each subject you have taken so far in your education.

Subject

Grade

Month

Year

Type

Additional Qualifications

Add any additional qualification you have exam results for, add a new row by clicking the little ⊕ icon at the end of the first row.

Subject

Grade

Level

Month

Year

Type

Keeping In Touch

For you to stay up to date with your application we will get in touch with you from time to time by letter, e-mail and/or mobile (SMS) messages.

The College will contact you to provide important information about your application such as progression through the application process and invitations to enrolment events if you are successful. If you wish to be contacted by the College about new courses, services provided by the College and other news please confirm your preferred contact method below.

Yes please, I would like to receive communications by email

Yes please, I would like to receive communications by telephone

Yes please, I would like to receive communications by mobile (SMS)

Yes please, I would like to receive communications by post

How did you hear about us?

Data Protection – How the College Uses your Personal Information

"I have read and understand that Cheshire College South and West and Macclesfield College will need to process my personal data as set out in the Privacy Statement"

By ticking this box, I confirm that I have read and agree to the declaration above.(Required)

Application Form

Personal Details

Further Details

What is your chosen career path (if known) and the reasons for your choice of course(s)

RESIDENCY & ADDRESS DETAILS

CONTACT WITH PARENT(S), GUARDIANS AND CARERS

The college will maintain contact with your parent, guardian or carer, please provide their details below.

50% Complete

SUPPORT NEEDS

CRIMINAL CONVINCTIONS

QUALIFICATIONS ON ENTRY

Keeping In Touch

Data Protection – How the College Uses your Personal Information

Search our website