School Leaver Application Form

Please note – this application form is not for international students.

Simply fill out the form below to apply for your course online. Please note fields marked with a * are mandatory.

 
Personal Information
*Title
*Gender
*Surname :
*First Name(s) :
*Email Address :
*Address :
*Postcode :
Mobile No. :
Tel No. :
Date of Birth :
What course(s) would you like to study at the college? (if you do not know write UNSURE)
*1st Choice :
*2nd Choice :
If you are at school, please state the name of your school
School Name :
Reference Request
This section must be completed by a teacher or equivalent.
*Applicant Name :
*Date of Birth :
*Course Applied For :
School Name :
Please check appropriate fields -
Excellent (Above 95%), Good (90-94%), Satisfactory (85-89%), Poor (Below 85%)
Attendance :
Punctuality :
Application to task in hand :
Ability to study independantly :
Relations with peer group :
Attitude to teaching staff :
Forecast of Examination Results

Please list all subjects with predicted grades.

English Language, A
Geography, B
Maths, D
*Subjects/Predicted Grades : One subject per line
*Teacher/Tutor Comments :
*Teacher/Tutor Name :
*Teacher/Tutor Position :
Activities and Feedback
Are you currently studying at Skelmersdale or Ormkirk College?
Please state your course and personal tutor :
What activities/subjects/hobbies do you enjoy? :
How did you hear about the college? :
What type of work or career would you like to do? :
Have you been a permanent resident in the European Union for at least 3 years?
*Please tick :
*Nationality :
Support and Advice
Would you like any of the following advice? Please tick
General Advice :
Course advice :
Financial advice (EMA, Grants etc) :
Extra support advice (e.g. dyslexia, mobility, reading e.t.c) :
Learning Support Environments
Do you have any of the following learning support environments? Please tick
Dyslexia Support :
Reading and Writing :
Special Equipment needs (please state below) :
Other (please state below) :
Other :
Experiences
List any life or work experiences (full-time, part-time or voluntary) which might help you with your studies.
*Short description of life/work experience :
Confirmation
*I declare that the information I give on this form is correct and I agree to it being stored on Skelmersdale & Ormskirk College's computerised database system in accordance with the Data Protection Act.