Adult 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 :
*Have you attended Skelmersdale & Ormskirk College previously? :
If Yes, which course? :
Course(s)
What course(s) would you like to study at the college? (if you do not know write UNSURE)
*1st Choice :
*2nd Choice :
Qualifications

What qualifications, if any, do you have or are you studying for? Please list the highest qualification or qualifications relevant to your course. If GCSEs, Please provide the predicted grades.

Please list all subjects with level, grade and date awarded.

English Language,GCSE, C, June 07
Geography,GCSE, C, June 07
Maths, GCSE, C, June 07

*Qualifcations : One subject per line
Work Experience
List any life or work experience :
Support Required
Skelmersdale & Ormskirk College wishes to support you to succeed on your course. Providing us with information about your learning needs will help us to provide the support you require?
*Do you have a disability or learning difficulty which you would like us to know about? :
If Yes :















Give Details :
You will be offered the opportunity for a member of the Access to Learning Team to be present at your interview to discuss your support needs so that these can be put in place as soon as possible. Please let us know if you require any further interview support, eg. Signer, Accessible Room
Give Details :
How you heard about Skelmersdale & Ormskirk College
*How did you hear about the college? :
Reference Request
*School or Company name :
*Address :
*Postcode :
*Name :
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.