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COLEG GWENT
APPLICATION FORM

Time needed to complete: 10 minutes

PLEASE NOTE: At Coleg Gwent, we’ll only process one form per applicant, so please make sure you apply for your preferred course. Don’t worry if your choice is unavailable or you’re unsure about which course to choose – we’ll discuss your options with you at the Information, Advice and Guidance stage.

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About you

Title* (Required)

First Name* (Required)

Last Name* (Required)

Email address* (Required)

Confirm Email address* (Required)

Date of Birth* (Required)

Last name at 16 if different from above

More about you

Gender

Last school you attended - please select from the drop down list* (Required)

If your last school is not in the list above, please state here

Are you a UK resident?* (Required)

Were you born in the UK?* (Required)

If you are under 21, who do you live with?

Do you have an unspent criminal convictions or prosecution pending?* (Required)

If yes, have you previously declared this to the college?

Do you have any difficulties, disabilities or conditions that could affect your learning at college?* (Required)

If yes, please provide details

Did you receive support during your last two years of school or college, for example had someone to support you in class or extra lessons with a support teacher?* (Required)

If yes, please provide details

Coleg Gwent will consider applications from all applicants who declare a disability and/or an impairment and/or condition on the same criteria as all other applicants. However, when considering your application we may need to take into account any overriding health and safety concerns, barriers relating to professional requirements and the College’s ability to make reasonable adjustments. If you have ticked yes to any of the last two questions, you will be invited to attend a meeting to sensitively and constructively discuss any additional requirements or concerns that you may have.

Contact preferences

Telephone number, preferably your mobile* (Required)

Emergency contact name

Emergency contact number

First line of address* (Required)

Town or city

Locality or district

Postcode* (Required)

Data collected on this form is used for funding, statistical and administrative purposes connected with your application. You have various rights to your data and further details and our full privacy notice can be found at www.coleggwent.ac.uk/privacy

MARKETING PREFERENCES:

We’d like to keep you informed about new courses, events and offers from the Coleg Gwent group.
Please select how you’d like to hear from us:

Post

Text

Phone

Which language would you prefer to receive future communications in?

English

Welsh

You can change your mind and opt out at any time via our Privacy Policy.

Qualifications

GCSE predicted/achieved Grade

If you're unsure on your grades, please include the grades you're hoping to achieve.

English Language*

Is this grade predicted or achieved?

Welsh First Language*

Is this grade predicted or achieved?

Maths*

Is this grade predicted or achieved?

Numeracy*

Is this grade predicted or achieved?

Other qualifications*

Please include all qualifications achieved or pending results in this format:
Qualification, subject, grade (e.g. GCSE History grade C).
If you do not have any previous or pending qualifications, please write ‘not applicable’.

How did you hear about this course?

To complete your application, click finish below. If you want to change any details, please click the back button to edit the form.

Individual learner

First Name* (Required)

Last Name* (Required)

Postcode Lookup Find Address

Your postcode is invalid

Address

Town or city

Locality or district

Postcode

Email address* (Required)

Confirm Email address* (Required)

Telephone* (Required)

Date of Birth* (Required)

Gender* (Required)

MARKETING PREFERENCES:

We'd like to keep you informed about new courses, events and offers from the Coleg Gwent group. Please select how you'd like to hear from us:

Post

Text

Phone

Which language would you prefer to receive future communications in?

English

Welsh

You can change your mind and opt out at any time via our Privacy Policy.

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We need some extra information from you

You may be eligible for a discount on tuition fees! To proceed with your booking, we just need a few extra pieces of information from you.

Please provide correct and full information on all questions. Failure to do so would invalidate your Course Booking and result in your booking being removed from our system. For more information please read our Fee Policy.

Are you an asylum seeker or have you been living in the UK for less than 3 years?

No Yes

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COLEG GWENT
APPLICATION FORM

Course you are applying for

About you

More about you

Contact preferences

MARKETING PREFERENCES:

Qualifications

APPLICATION SENT

Thank you for your application

Course you are applying for

Individual learner

MARKETING PREFERENCES:

TOTAL COSTS

Course summary

PAYMENT OPTIONS

CANCELLATION POLICY

PRIVACY POLICY

Summary

Your Details

Course

BOOKING SUBMITTED

Thank you for your booking request

Employer/Individual booking for others

MARKETING PREFERENCES:

LEARNER DETAILS

TOTAL COSTS

Course summary

Payment Options

BILLING DETAILS

CANCELLATION POLICY

PRIVACY POLICY

SUMMARY

Your Details

Course

BOOKING SUBMITTED

Thank you for your booking request

COLEG GWENT APPLICATION FORM

Course you are applying for

About you

More about you

Contact preferences

MARKETING PREFERENCES:

Qualifications

APPLICATION SENT

Thank you for your application

Course you are applying for

Individual learner

MARKETING PREFERENCES:

TOTAL COSTS

Course summary

PAYMENT OPTIONS

CANCELLATION POLICY

PRIVACY POLICY

Summary

Your Details

Course

BOOKING SUBMITTED

Thank you for your booking request

Employer/Individual booking for others

MARKETING PREFERENCES:

LEARNER DETAILS

TOTAL COSTS

Course summary

Payment Options

BILLING DETAILS

CANCELLATION POLICY

PRIVACY POLICY

SUMMARY

Your Details

Course

BOOKING SUBMITTED

Thank you for your booking request

COLEG GWENT
APPLICATION FORM