Apply Now Course Application "*" indicates required fields Step 1 of 10 10% Section 1/10Your Personal Details Please provide your full legal name, if your application is accepted then this name will be used on any qualifications you may earn. Title*Mr.Mrs.MissMs.First Name*Middle NamesSurname*Known asSex-- Please Select --MaleFemaleDate of Birth* DD slash MM slash YYYY Check this box if you have studied with us previously Check this box if you have studied with us previously National Insurance NumberPrevious Student Number (if known)Name when last at College (if changed) Section 2/10Your Contact Information Please ensure your email address is entered correctly and that you check your emails regularly. We will contact you regarding your application and the scheduling of any interviews at the address provided. Email Address* TelephoneMobile Phone* Section 3/10Home Address Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Approximately when did you begin living at this address?* DD slash MM slash YYYY Section 4/10Emergency ContactsPrimary ContactContact's First Name*Contact's Surname*Contact's Phone Number*Relationship to Contact*-- Please Select --Another family memberCarerDaughter/SonFriendGrandparentHusband/WifeParentPartnerSiblingSocial WorkerContact's Email Address* Secondary ContactContact's First Name*Contact's Surname*Contact's Phone Number*Relationship to Contact*-- Please Select --Another family memberCarerDaughter/SonFriendGrandparentHusband/WifeParentPartnerSiblingSocial WorkerContact's Email Address* Section BreakBackgroundPlease select your ethnic group*-- Please Select --BangladeshiBlack AfricanBlack CaribbeanBlack OtherChineseIndianPakistaniWhiteOther - AsianAsian or Asian British - BangladeshiAsian or Asian British - IndianAsian or Asian British - PakistaniAsian or Asian British - any other Asian backgroundBlack or Black British - AfricanBlack or Black British - CaribbeanBlack or Black British - any other Black backgroundChineseMixed - White and AsianMixed - White and Black AfricanMixed - White and Black CaribbeanMixed - any other mixed backgroundWhite - BritishWhite - IrishWhite - any other White backgroundEnglish / Welsh / Scottish / Northern Irish / BritishIrishGypsy or Irish TravellerAny Other White backgroundWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny Other Mixed / multiple ethnic backgroundIndianPakistaniBangladeshiChineseAny other Asian backgroundAfricanCaribbeanAny other Black / African / Caribbean backgroundArabAny other ethnic groupNot providedPlease select your nationality*-- Please Select --AfghanistanAfrica Not Otherwise SpecifiedÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntarctica And Oceania Not Otherwise SpecifiedAntigua And BarbudaArgentinaArmeniaArubaAsia (except Middle East) Not Otherwise SpecifiedAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkinaBurmaBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean Not Otherwise SpecifiedCayman IslandsCentral African RepublicCentral America Not Otherwise SpecifiedChadChannel IslandsChannel Islands Not Otherwise SpecifiedChileChinaChina (taiwan)Christmas IslandCocos (keeling) IslandsColombiaComorosCongoCongo (democratic Republic)Cook IslandsCosta RicaCroatiaCubaCyprusCyprus (european Union)Cyprus (non-European Union)Cyprus Not Otherwise SpecifiedCzech RepublicCzechoslovakia Not Otherwise SpecifiedDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEstoniaEthiopiaEurope Not Otherwise SpecifiedFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambia, TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-bissauGuyanaHaitiHeard Island And Mcdonald IslandsHondurasHong Kong (special Administrative Region Of China)HungaryIcelandIndiaIndonesiaIranIraqIrelandIsle Of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (north)Korea (south)KuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao (special Administrative Region Of Chiina)MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMiddle East Not Otherwise SpecifiedMoldovaMonacoMongoliaMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth America Not Otherwise SpecifiedNorthern IrelandNorthern Mariana IslandsNorwayNot KnownOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn, Henderson, Ducie And Oeno IslandsPolandPortugalPuerto RicoQatarR?nionRomaniaRussiaRwandaSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaScotlandSenegalSerbia And MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth America Not Otherwise SpecifiedSouth Georgia And The South Sandwich IslandsSpainSpain (except Canary Islands)Spain Not Otherwise SpecifiedSri LankaSt HelenaSt Kitts And NevisSt LuciaSt Pierre And MiquelonSt Vincent And The GrenadinesSudanSurinamSvalbard And Jan MayenSwazilandSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnion Of Soviet Socialist Republics Not Otherwise SpecifiedUnited Arab EmiratesUnited KingdomUnited Kingdom Not Otherwise SpecifiedUnited StatesUnited States Minor Outlying IslandsUnited States Virgin IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesWallis And FutunaWest Bank (including East Jerusalem) And Gaza StripWestern SaharaYemenYugoslavia Not Otherwise SpecifiedZimbabweCheck this box if you have been a UK or European resident for the past 3 or more years Check this box if you have been a UK or European resident for the past 3 or more years If you did not check the above, please give your date of entry into UK or EU* DD slash MM slash YYYY Do you have any relevant unspent criminal convictions or a pending court case? Check this box if you have any unspent criminal convictions Please refer to Rehabilitation of Offenders Act 1974 Section 6/10Education If you are 19 or under please select the last school you attended (if listed):-- Please Select --Belmont School Community Arts CollegeBishop Barrington SchoolBroom CottagesCarmel School & 6th FormDurham 6th Form CentreDurham Community Business College for Technology and EnterpriseDurham GatewayDurham Gilesgate Sports College - GilesgateDurham Johnston Comprehensive SchoolEducation VillageFerryhill Business & Enterprise CollegeFramwellgate School - Framwellgate MoorGreenfield School and Community Arts CollegeHaughton AcademyHummersknott AcademyHurworth SchoolKing James I AcademyLongfield AcademyMurphy Crescent SchoolNot KnownOtherParkside AcademyQueen Elizabeth 6th FormSedgefield Community CollegeSpennymoor ComprehensiveSt Aidan's C of E AcademySt John's Catholic AcademySt Leonards Catholic SchoolStaindrop AcademySunnydale Community CollegeTeesdale SchoolThe Meadows SchoolThe Oaks SchoolTimothy Hackworth SchoolTudhoe Grange Comprehensive (St Charles)UTC South DurhamWalworth SchoolWarwick Road SchoolWhitworth Park AcademyWindlestone Hall SchoolWolsingham School & Community CollegeWoodham AcademyWyvern AcademyHave you had any extra time or other concessions in Exams? (Max 255 Characters)Check this box if you have passed GCSE Maths Check this box if you have passed GCSE Maths Check this box if you have passed GCSE English Check this box if you have passed GCSE English Section 7/10QualificationsQualifications Subject Level Date Taken Grade School Actions Edit Delete There are no Qualifications. Add Qualification Maximum number of qualifications reached. Section 8/10Medical Information Select any of the below disabilities, health problems or special requirements that apply to you:Disability-- Please Select --Visual impairmentHearing impairmentDisability affecting mobilityOther physical disabilityOther medical condition (e.g. epilepsy, asthma, diabetes)Emotional/behavioural difficultiesMental health difficultyTemporary disability after illness (e.g post viral) or accidentProfound/complex disabilitiesAspergers syndromeMultiple disabilitiesPrefer not to sayOtherNo disabilityNot known/not providedDisability-- Please Select --Visual impairmentHearing impairmentDisability affecting mobilityOther physical disabilityOther medical condition (e.g. epilepsy, asthma, diabetes)Emotional/behavioural difficultiesMental health difficultyTemporary disability after illness (e.g post viral) or accidentProfound/complex disabilitiesAspergers syndromeMultiple disabilitiesPrefer not to sayOtherNo disabilityNot known/not providedPlease enter any additional disabilities, health problems or special requirements (Max 500 Characters) Section 9/10Additional Information How did you hear about us?-- Please Select --College venueOpen eveningFull Time GuideLeaflet/NewsletterSchoolInternet/WebsiteEmailFacebookTwitterLinkedInTextWord of mouthTV/RadioNewspaperOtherBus AdvertOne PointProgression from another coursePT Adult GuideSWDT Full Time GuideInstagramEmployerJob CentreWhat interests you about this course? (Max 255 Characters) Section 10/10DeclarationDeclaration* Declaration*I declare that to the best of my knowledge the information given above is correct and that if accepted, I agree to comply with the Organisation rules and regulations. I agree to Bishop Auckland College/South West Durham Training processing the information contained on this application form. Please note that by completing this form your details will be held on the Organisation’s database, in accordance with the Data Protection Act 2018 GDPR (Regulation (EU) 2016/679), and will be used for administration purposes, please refer to our Privacy Notice for details on storage, retention and any sharing that may take place with third parties. As part of our Admissions process we will send you information and communications relating to your application and admissions.Please note that by completing this form your details will be held on the College database, in accordance with the Data Protection Act 2018, and will be used for administration purposes. As part of our Admissions process we will send you information and communications relating to your application and admissions. For further information on how we use, hold and retain your data please see our Privacy Notice - Students and Prospective StudentsCAPTCHA
