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Course Guide 2017-18

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APPLICATION FORM <strong>2017</strong>–<strong>18</strong><br />

ATTENTION: You can also complete this form online at wlc.ac.uk/apply<br />

APPLY<br />

ONLINE<br />

wlc.ac.uk<br />

/apply<br />

If you need help completing this form or if there is anything you do not understand<br />

please contact the Learner Information Service. t : 020 8741 1688 e : lis@wlc.ac.uk w : wlc.ac.uk/apply<br />

Please complete the application form using BLOCK CAPITALS.<br />

Data Number (College use only)<br />

1. <strong>Course</strong> details Please tick the College you would like to study at (one only):<br />

Acton Ealing Hammersmith Southall<br />

Name of the course and level you would like to study (for AS/A2 Levels or GCSEs add subject titles). Only add one full time course choice.<br />

<strong>Course</strong> Name Level For AS/A2 & GCSEs list subjects<br />

2. Personal details Mr Mrs Miss Ms Other<br />

Surname or family name<br />

Middle names<br />

First name<br />

Date of birth<br />

Address<br />

Postcode<br />

Mobile Telephone (home) Email<br />

Are you in possession of a UK visa? * Yes No<br />

Do you need to apply for a visa to come and study in the UK? * Yes No<br />

Preferred method of communication: Email Letter<br />

Note: We will use this to contact you regarding your application.<br />

Gender: Female Male<br />

*The College is not currently able to sponsor students who require a Tier 4 visa to study in the UK. We offer immigration support for students requiring a Short Term Study visa to study in the UK.<br />

3. Support at the College<br />

The College is diverse and welcomes learners regardless of age, gender, disability, ethnicity, religion, sexual orientation, marital status or<br />

pregnancy/maternity. Our aim is to create a safe and supportive learning environment through a range of services pre-entry or on a course.<br />

To help us understand the support you may need at College, please complete the section below.<br />

Do you have a disability and/or learning difficulty that requires support at interview or during study? Yes No<br />

If yes please specify the type of support, for example;<br />

wheelchair access, hearing or visual impairment, mental health, dyslexia:<br />

Would you like to discuss your application support needs with an Advisor? Yes No<br />

One of our Additional Learning Support team will contact you to discuss. If you need any further information please contact Learner Services on 020 8741 1688<br />

This form is available in larger print if required.

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