Skip to main content
Style sheets must be enabled to view this page as it was intended.
Course NameStart DateEnd DateSite
Principles of Sports Coaching07/09/202618/06/2027Moulton

Moulton College Application Form


Section 1 (of 8) - About you

Title
Legal Forenames
Preferred Name
Surname

Legal Sex

This must be your legal gender at birth.
Pronoun
Date of Birth
This will be used to contact you about your course
Mobile Telephone Number

A personal email address is required (not a school or work email address).
Email Address
Email Address (enter again)
     
Please enter a memorable word to use to access when we contact you for further information


Section 2 (of 8) - Your Address



Country of residence


Section 3 (of 8) - Next of Kin

Please provide the details of someone we can contact who is your Next of Kin.

Where under 18 this must be a parent/legal guardian
Parent/Guardian name (First name)
Parent/Guardian name (Last name)
Relationship to contact

Contact phone number (Please enter with no spaces)

Contact email address
Are you living with this person?
Is Living With Parent

Emergency Contact (optional)

Please provide the details of someone we can contact who is your emergency contact.
Parent/Guardian name (First name)
Parent/Guardian name (Last name)

Relationship to contact

Contact phone number (Please enter with no spaces)

Contact email address
Are you living with this person?
Is Living With Parent2


Section 4 (of 8) - More about you

National insurance number

Ethnic Origin
Nationality

Are you a UK or Irish citizen and been an ordinary resident in the UK or Ireland for the last 3 years?
Is Home Fees

Because you have not lived in the UK for last 3 years or more, we need to collect more information to determine your eligilbity for funding, please answer the questions below

If you aged over 19 at 31Aug you may not be eligible for funding. Please continue to complete your application where it will be assessed by the Admissions Team
Date of Entry into the UK


Do you have any unspent criminal convictions?



Section 5 (of 8) - Learner Support


Do you have a disability, learning difficulty or health problem the College should be aware of?
Primary Disability/Learning Difficulty
Secondary Disability/Learning Difficulty

Please provide any extra information that can help us to help you or add additional disabilities or learning difficulties if there are more than listed above.

Notes

8000 characters left

Do you have or have you had a Local Authority Education, Health and Care Plan (EHCP)?

Has Education Health Care Plan


Have you received any support from external services, such as CAMHS?

Have you been an inpatient due to your mental health in the last year?


Are you currently in care (e.g. in foster care, under a supervision order or in residence at a children's home)?

Please tick if you are in care (16-18), unaccompanied asylum seeker or previously care experienced (e.g. in foster care, supported lodgings, residential care, special guardianship, in receipt of leaving care services or adopted).

Looked After

Are you a care leaver?

Please tick if you are a Recent Care Leaver (18-25), an unaccompanied asylum seeker or previously care experienced (e.g. in foster care, supported lodgings, residential care, special guardianship, in receipt of leaving care services or adopted).

Care Leaver

Are you a carer (with responsibility to care for someone else)?

You're a young carer if you help to look after a relative with a disability, illness, mental health condition, or drug or alcohol problem

Young Carer

Do you currently have a social worker or a family support worker

Social Worker Name

Social Worker phone number (Please enter with no spaces)

Social Worker Email


Section 6 (of 8) - Your school and Education

Previous school, College, Higher Education institution or Home schooled
School - if other
ULN No (if known)

Please include your predicated grades for subjects you are studying or the grade awarded if already achieved. ie GCSE, NVQs, BTEC, Diplomas, A levels or any other subjects you have or are studying.

Please enter the details choosing from the drop-down lists below



QualificationSubject (if not in list)GradeAchieved?Date Awarded



Section 7 (of 8) - Accommodation & Transport


Do you require accommodation on site?

If yes - You will be sent an invite to apply once the application process opens

Do you require bus transport to site?

If yes - You will be sent an invite to apply once the application process opens
To help us plan for next year, please could you advise which of the following statements best applies to you?

Section 8 (of 8) - Marketing & Research

How did you hear about us?

Please tick all those below that you agree to be contacted about





How can we contact you? (Please select at least 1)








Data protection

Student Privacy Notice (FE)

As part of the General Data Protection Regulation (GDPR), the College needs to collect and process personal data so we can provide you with the highest standards of education and training we are able to give and meet legal obligations from government organisations including the Department for Education (DfE) and the Office for Students (OfS). Data regarding employment status and benefits is required to assess your eligibility for fee remission or support. Special categories of personal data, such as information about ethnic origin, disability or health, are processed for equal opportunities monitoring and to monitor our service provision to improve services to specific groups.

As per the Student Privacy Notice Here , which can be found on the College website, the College will use your contact information to keep you informed regarding your course and to obtain data where data is required, i.e. destination surveys.


Please confirm: