Part Time Application

If you need any help or advice on completing this form, please contact our Admissions Office on free phone 0500 551434.

This form is for further education part-time courses only. For part-time higher education courses please contact the Admissions Office on free phone 0500 551434 for the correct application form.

If you would like to have this form on a computer disc, audio tape, or Braille, please call the Admissions Office on free phone 0500 551434.

We celebrate equality and diversity and offer equal opportunities to all.

Fields marked * are mandatory

YOUR CHOICE OF COURSE(S)

Course name	Start date	Day/Eve	Fee

College Campus
Ashford - Godinton House and GardensAshford - The North SchoolCanterburyGreenwich HadlowHythe - Port LympneMedway - Cozenton Nursery, RainhamMottinghamSwale - Monkshill FarmTonbridge – Penshurst PlaceWorkplaceDistance Learning *

PERSONAL DETAILS

Title:

First Name:

Last Name:

Date of Birth:

Nationality:

RESIDENCY

Have you been permanently resident in the UK for the past 3 years?

YesNo *

Country of Residency:

If no, please state where you have been living and why:

If no, please your Date of Entry to the UK:

ETHNIC ORIGIN

Please select your ethnic origin:

HOW DID YOU FIND OUT ABOUT THE COLLEGE?

How did you find out about the college?

CONTACT DETAILS

Address:

Town:

County:

Post Code:

Email Address:

Home Telephone:

Mobile:

MEETING YOUR INDIVIDUAL NEEDS

If you have a disability or learning difficulty and you feel you may need some additional support to help you successfully complete your programme, the College would like to give you the opportunity to discuss your needs. If you would like to speak to someone in confidence about your individual needs, please contact the Admissions Office on 0500 551434.

Do you consider yourself to have a disability and / or learning difficulty?

YesNo *

If yes will you need support/specialist equipment during your time at Hadlow?

YesNo *

Do you have a statement of special educational needs?

YesNo *

Do you have any medical conditions that the College should be aware of?

YesNo *

If you have ticked yes above to any of the question please give us more detail in the space provided below:

CRIMINAL CONVICTION

If there are any circumstances relating to a criminal conviction, which may be relevant to your studies at Hadlow College, it is important that you disclose this confidential information. This will not disadvantage your application to join Hadlow College and we welcome applications from everyone.

Do you have a criminal conviction?

YesNo *

If yes, please send details enclosed in a private letter to:

The Associate Principal
Student Support Services
Hadlow College
Tonbridge Road
Hadlow
Kent
TN11 0AL.

PAYMENT DETAILS

Please choose the appropriate option below and complete the relevant details.

Who is paying your fees?

I would like to take advantage of the H£LP Scheme (I understand I will need to pay an initial proportion (25%) at the time of application and then spread the remaining cost of the course over its duration through equal direct debit payments. Excludes work-based qualifications.)

I am not paying my own tuition fees for the reason indicated below:I am aged 16–18 and therefore may be exempt from paying tuition fees (Hadlow will contact you)
I am aged 24 or under and interested in an Apprenticeship Scheme (Hadlow will contact you)
I may be entitled to a Tuition Fee Concession (I understand I will still have to pay registration fees if appropriate) I am in receipt of an income based benefit
I am the unwaged dependent of an individual on (Job Seekers Allowance/Housing Benefit/Council Tax Benefit/Income Support)

SIGNATURE

I declare to the best of my knowledge, that the answers I have given are correct and that if accepted I agree to comply with the College rules and regulations. I have read and understand the College policy on refunds/course cancellation and understand the advice and guidance procedures set out in the part time prospectus. I confirm that I have been given sufficient guidance on: course suitability, entry requirements, progression, and financial/learning support. I agree to attend regularly and pay any relevant examination/registration fees. I agree to submit any required work and enter/sit any required examinations as part of the course.
By submitting your application you give permission for information on any disability or learning difficulty you have declared to be passed to those persons within the College who are involved in providing Additional Support. This includes, but is not limited to, teaching staff, the exams office and the learning support staff.

How We Use Your Personal Information
The personal information you provide is passed to the Chief Executive of Skills Funding (“the Agency”) and, when needed, the Young People’s Learning Agency for England (“the YPLA”) to meet legal duties under the Apprenticeships, Skills, Children and Learning Act 2009, and for the Agency’s Learning Records Service (LRS) to create and maintain a unique learner number (ULN). The information you provide may be shared with other partner organisations for purposes relating to education or training. Further information about use of and access to your personal data, and details of partner organisations is available at: http://skillsfundingagency.bis.gov.uk/privacy.htm http://www.ypla.gov.uk/privacy.htm and http://www.learningrecordsservice.org.uk/privacy-copyright.htm

If you do not wish to be contacted about courses or learning opportunities for surveys and research, please tick here:
In addition, the College may use this information after you have left to inform you about Alumni Association activities.