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Online Application Form

Missing Attachment

Personal Details

Surname*

Forenames

Email*

Address*

Postcode*

Sex*
Male Female 

Date of birth*

Telephone number*

Mobile number

Present school*

Parish

Have you been resident in the United Kingdom for the last three years*?
Yes No 

Parent / Guardian's name

Address

Telephone number

Emergency Contact Name*

Address*

Telephone number*

Admissions Policy (please select one)

 1. Pupil from one of the three Leeds partner RC high schools 2. Pupil attending other RC school 3. RC pupil attending other school 4. Non-catholic pupil 5. International student

Your ethnicity is best described as

 31. English/Welsh/Scottish/Northern Irish/British 32. Irish 33. Gypsy or Irish Traveller 34. Any Other White Background 35. White and Black Caribbean 36. White and Black African 37. White and Asian 38. Any Other Mixed/Multiple Ethnic Group 39. Indian 40. Pakistani 41. Bangladeshi 42. Chinese 43. Any Other Asian background 44. African 45. Caribbean 46. Any other Black/African/Caribbean background 47. Arab 98. Any other ethnic group

Public Examinations

Level Subject Estimated grade Mock grade Actual grade Year taken Double/Single/Past award

Provisional Course Applied For

AS-Level/A2-Level (subjects in order of preference)
1. Subject Level
2. Subject Level
3. Subject Level
4. Subject Level
5. Subject Level
GCSEs (provisional choice of subjects)
1. Subject Level
2. Subject Level
3. Subject Level
4. Subject Level
5. Subject Level
 BTEC Diploma in IT Level 3 BTEC Diploma in Applied Science Level 3 BTEC Diploma in Sport Level 3 Business BTEC Level 2 Diploma Health and Social Care BTEC Level 2 Diploma IT BTEC Level 2 Diploma

Personal Statement

Please write below a personal statement explaining why you wish to study at Notre Dame College and why you have chosen the course(s) applied for. You may wish to tell us a little more about yourself including your career aims and interestes/activities outside of the classroon. The statement should be no more than 500 words.

Medical Information

Please indicate below any medical condition you wish the College to be made aware of:

Do you consider yourself to have a disability or learning difficulty*?
 Yes No

Would you like to be considered for the Football Academy?
 Yes No

Signatures

DATA PROTECTION ACT 1998
I agree to Notre Dame Catholic Sixth Form College processing personal data contained in this form, or other data which the college may obtain from me or other people whilst I am a student. I agree to the processing of such data for any purposes connected with my studies or my health and safety whilst on the premises or for any other legitimate reason. I understand that information on me may be passed to the Education Funding Agency for statistical use, and also to the Careers Service, and WYLNN.

DISABILITY DISCRIMINATION ACT 1995
The College is committed to ensuring that disabled people, including those with learning difficulties, are treated fairly. All reasonable adjustments to provision will be made to ensure that disabled students and other disabled people are not substantially disadvantaged.

Please enter your full name to sign this form

Parent / Guardian

Student*