Online Application

Part 1. Personal Details






Male
Female



Yes
No











Part 2. About You


Part 3. A Level Choices





Part 4. Learner Support



Part 5. Equality Monitoring



Part 6: Exams to be taken

Exam (e.g. GCSE)

Exam board

Subject

Date to be awarded (dd/mm/yyyy)

Predicted grade

Exam 1

Exam (e.g. GCSE)

Exam board

Subject

Date to be awarded (dd/mm/yyyy)

Predicted grade

Exam 2

Exam (e.g. GCSE)

Exam board

Subject

Date to be awarded (dd/mm/yyyy)

Predicted grade

Exam 3

Exam (e.g. GCSE)

Exam board

Subject

Date to be awarded (dd/mm/yyyy)

Predicted grade

Exam 4

Exam (e.g. GCSE)

Exam board

Subject

Date to be awarded (dd/mm/yyyy)

Predicted grade

Exam 5

Exam (e.g. GCSE)

Exam board

Subject

Date to be awarded (dd/mm/yyyy)

Predicted grade

Exam 6

Exam (e.g. GCSE)

Exam board

Subject

Date to be awarded (dd/mm/yyyy)

Predicted grade

Exam 7

Exam (e.g. GCSE)

Exam board

Subject

Date to be awarded (dd/mm/yyyy)

Predicted grade

Exam 8

Exam (e.g. GCSE)

Exam board

Subject

Date to be awarded (dd/mm/yyyy)

Predicted grade

Exam 9

Exam (e.g. GCSE)

Exam board

Subject

Date to be awarded (dd/mm/yyyy)

Predicted grade

Exam 10

Exam (e.g. GCSE)

Exam board

Subject

Date to be awarded (dd/mm/yyyy)

Predicted grade


Part 7: Exams already taken

Exam (e.g. GCSE)

Exam board

Subject

Actual / predicted grade

Exam 1

Exam (e.g. GCSE)

Exam board

Subject

Actual / predicted grade

Exam 2

Exam (e.g. GCSE)

Exam board

Subject

Actual / predicted grade

Exam 3

Exam (e.g. GCSE)

Exam board

Subject

Actual / predicted grade

Exam 4

Exam (e.g. GCSE)

Exam board

Subject

Actual / predicted grade

Exam 5

Exam (e.g. GCSE)

Exam board

Subject

Actual / predicted grade

Exam 6

Exam (e.g. GCSE)

Exam board

Subject

Actual / predicted grade

Exam 7

Exam (e.g. GCSE)

Exam board

Subject

Actual / predicted grade

Exam 8

Exam (e.g. GCSE)

Exam board

Subject

Actual / predicted grade

Exam 9

Exam (e.g. GCSE)

Exam board

Subject

Actual / predicted grade

Exam 10

Exam (e.g. GCSE)

Exam board

Subject

Actual / predicted grade


Part 8: Current place of study/school




Part 9: Verification

Protecting your privacy and personal data

Dudley College of Technology is committed to protecting your privacy and personal data. The data captured on this form will be used for processing your application / enquiry and we may contact you using the information provided. The college will not share this information with any other organisation at this stage. For more information on what data we collect, how we use it, and your rights under data protection law please visit dudleysixth.co.uk/privacy-notice.

I consent to the data captured on this form to be used for informing me about college courses, events or learning opportunities (please tick box).