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About You
Name*
First Last
Date of Birth*
Gender*
Address*
Street Address Address Line 2 City County Postcode
Tel No.
Mobile No.*
Email*
Current school/college
Name of parent if under 18
Address if different from above
Your ethnic origin*
- Asian or Asian British - Bangladeshi
- Asian or Asian British - Indian
- Asian or Asian British - Pakistani
- Asian or Asian British - any other Asian Background
- Black or Black British - African
- Black or Black British - Caribbean
- Black or Black British - any other Black background
- Chinese
- Mixed - White and Asian
- Mixed - White and Black African
- Mixed - White and Black Caribbean
- Mixed - White and any other Mixed background
- White - British
- White - Irish
- White - any other White background
- Other
Have you lived in the UK, or Europe for the past 3 years?*
Please state where*
National Insurance No.(leave blank if you haven't received this yet)

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Your choice of Apprenticeship
First choice*
Second choice*
Do you have a current CV?*
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Do you have a job*
Details of company/role
Please tell us why your interested in an Apprenticeship in this area?*

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About your education
Have you studied at Nelson and Colne College before?*
Please give details
Do uou already attend Nelson and Colne College on a school links course?*
What examination/assessments are you taking and/or what qualifications do you have?(please include GCSE and any other qualifications)
Qualification(e.g GCSE/BTEC) Subject Results(if Known) Target Grades

Please complete for all GCSE subjects by clicking the + button
Parent/Guardian Contact Details*
Phone Number
Email Address*
Support Details
Please complete this section so that we can ensure the appropriate support is in place whilst you are at college:
Do you have a disability, medical condition or learning difficulty?*
Please give details
Do you have an Education, Health and Care Plan from your Local Authority?*
Have you ever been in foster care, care of the Local Authority or supported by the Leaving Care Team*
Are you a young Carer?*
Do you have any criminal convictions or are you currently under investigation by the police?*
We ask all students to declare if they have any criminal convictions. If you answer YES, we will contact you for further information before your interview. This will not automatically affect your application, but will allow College to carry out an assessment and provide support as appropriate
Date*
Date Format: MM slash DD slash YYYY
Signature*
The College Group would like to contact you about other relevant courses and events. Please select if you are happy to receive this information by:
You have the right to withdraw your consent at any time. To do this please email marketing@nelson.ac.uk
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Enquiry
Name
First Last
Date of Birth
Date Format: MM slash DD slash YYYY
Area of Interest*
Email*
Phone*
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Qualification(e.g GCSE/BTEC)	Subject	Results(if Known)	Target Grades

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