BTEC Foundation Diploma in Art, Application for entry to Queen Elizabeth Sixth Form College in Darlington - 2021/22

Student's Personal Details
Forename(s)*
Surname*
Preferred Name*
Do not include surname
Please enter your surname/forenames exactly as they are stated on official documents, such as your birth certificate or passport.
Gender*
Date of Birth*

DD
MM
YYYY

(dd/mm/yyyy)
Present/Most Recent School*
School (if other)*
Student Mobile
Student Email
Have you lived in the UK for the past 3 years?*
- Yes
- No
Is English your first language?*
- Yes
- No
You have selected 'other' as your language, please enter your language here*

Home Address*
City/Town*
County
County (if other chosen)
Postcode*
Parent / Carer Title*
Parent / Carer Surname*
(including title - for correspondence, e.g. Mr Smith)
Home Telephone Number
This should be a house phone
Parent /Carer's Mobile Number*
Please enter 000 if you don't have a parental mobile number
Parent / Carer's Email Address

Examination Results eg: GCSEs, A Levels, AS Levels, BTEC, OCR National, NVQ
Subject Level Grade Date
Posts held in full or part time employment, or relevant work experience:
Please give names and addresses - with telephone numbers, if possible - of two referees we may contact:

One reference should be from your current or most recent school or college.
Referee 1:
Referee 2:

Please give additional information in support of your application e.g. why you wish to continue your Art & Design education, what interests or hobbies you pursue, what posts of responsibility you have held and which career you hope to follow in the future.

Almost finished...Please read the statement below and don't forget to hit Send

How We Use Your Personal Information This privacy notice is issued by the Education and Skills Funding Agency (ESFA), on behalf of the Secretary of State for the Department of Education (DfE). It is to inform learners how their personal information will be used by the DfE, the ESFA (an executive agency of the DfE) and any successor bodies to these organisations. For the purposes of relevant data protection legislation, the DfE is the data controller for personal data processed by the ESFA. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well-being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation.
Tick these boxes if you DO NOT wish to be contacted:
- About courses or learning opportunities
- For surveys and research
Tick any of these boxes if you DO NOT wish to be contacted:
- By post
- By phone
- By email
Further information about use of and access to your personal data, and details of organisations with whom we regularly share data are available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/611954/Appendix_F_ILR_2017__to_2018_v1_Published_28April17.pdf All organisations that will have access to the information you provide are registered under the Data Protection Act 1998. At no time will your personal information be passed to organisations for marketing or sales purposes. I understand that my data will be disclosed to appropriate government organisations and that I may be contacted by the College or by these organisations.

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Staff

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BTEC Foundation Diploma in Art, Application for entry to Queen Elizabeth Sixth Form College in Darlington – 2021/22

Step 1 of 6

Student's Personal Details

Almost finished...Please read the statement below and don't forget to hit Send

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Year 2 and GCSE/Level 2 lessons end

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