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Salford City College - Application Form

* Fields must be completed

The College offers help and guidance if you are unsure which course or career to choose. If you want this help, tick this box 

Personal Details
Title: *   
Forename:  *  
Surname: *
 
Gender: *   
Date of Birth:  *  
Address:  *
 
Town/City:  *
 
County:
Country:
Post Code:
Telephone: *
 
Mobile No:
Email:

If you have a special need or disability which we may be able to help you with, please tick this box.  

(A declaration here will only be passed on to Student Services who will contact you to discuss your needs.)
Have you been resident in the UK for the past 3 years?
*    
 

Age  
     

Previous School

  If you are under 19, please give the details of the school that you have previously      attended. If you are over 19, you may leave this section blank

The name of your school/the school that you most recently attended:  
Date of leaving:
The name of your parent/guardian:

Course Details
Name of the course for which you are applying.
 *  

If you do not have a specific course in mind, please enter the area of learning that you are interested in.

If you have attended a College, please give the name of the College
College Name:
Attended From:
Attended To:

Please select which college centre you would most like to attend:
Preference 1:
Preference 2:
Preference 3:

How did you find out about the College? (Please tick all appropriate boxes)






Other (please specify):

Examinations obtained, awaiting results, or to be taken.
Subject Level Result Year


Further information

Please give any further information which you feel will support your application. You might like to include any voluntary work, spare time hobbies, interests, sports or work experience.



Equal Opportunities

Salford City College is working towards equal opportunities and to help the College monitor the effectiveness of its equal opportunities policy, we would be grateful if you would answer the questions listed.

Ethnic Origin
















 *