ShipleyCollege wants to help all learners reach their full potential. Sharing any support you have previously had, relating to a particular disability or learning need, will help us to support you better. Have you previously received any extra Yes No help or support with a disability or learning need? (please tick) Do you have an Education, Health Yes No and Care Plan (EHCP)? Have you previously had any support Yes No during exams? Details of any support arrangements you have had at school/college SENSORY Sight MEDICAL CONDITION Asthma Hearing PHYSICAL Epilepsy Diabetes Name of contact Tel Wheelchair user Profound complex Which ethnic group would you say you belong to? Please tick Mobility impairment Other Mobility LEARNING Dyslexia Dyscalculia Autistic Spectrum Disorder Aspergers Syndrome Multiple learning difficulties Moderate learning difficulties Severe learning difficulties Other learning difficulties (specify) Signed: Multiple disabilities Temporary impairment Other disabilities (specify below) MENTAL HEALTH Mental health issues Emotional or behavioural issues Extra details box:- Date: To download an application form or apply online, see our website - www.shipley.ac.uk Asian British Bangladeshi Asian British Indian Asian British Pakistani Asian British other background Black British other background Chinese Dual Heritage White/Asian Dual Heritage White/Black African White British White Irish White Other Background Any Other Ethnic Group White – Gypsy or Irish Traveller Black British African Black British Caribbean Dual Heritage White/ Caribbean Dual Heritage other It is a specific requirement of some courses for you to have a DBS (Disclosure and Barring Service) check, you will be informed of this at your interview. CONFIRMATION OF APPLICATION BY STUDENT I agree to ShipleyCollege processing my personal data contained in this form, or other data which may be obtained from me or other people, in accordance with the terms of the General Data Protection Regulation 2018 and as stated in the College’s student privacy notice which can be found on the Colleges website, www.shipley.ac.uk I agree that ShipleyCollege may exchange information with my school, Connexions Service or other agencies in order to check my suitability for the programme of study and the progress of my application. I declare that the information I have provided on this form is correct and I agree to inform the College of any changes to this information during the application process. PRIVACY NOTICE AND DATA PROTECTION ShipleyCollege is committed to protecting your privacy. The information collected during the application stage will be used to progress your application and to complete the administration process. We have a statutory requirement to share details of your application with other organisations e.g. local authority, previous education institutions, Connexions Service, etc, to support your application process. However, if we need additional information we may also share your minimal information with other organisations in order to receive relevant information to progress your application. By providing us with your personal and sensitive data, such as health or learning needs, you are consenting to us to electronically store and use your information for the application process..
How to find us Reception and Student Services are located in our Salt Building, Victoria Road, Saltaire, Shipley, West Yorkshire, BD18 3LQ Based in the small village of Saltaire, we are easily accessible by train or bus from Shipley, Bradford, Leeds, Ilkley, Keighley, Bingley and Skipton. For the most up-to-date bus and rail travel information please see: www.wymetro.com TRAINS • Bradford Forster Square to Saltaire • Shipley to Saltaire • Bingley to Saltaire • Keighley to Saltaire • Leeds to Saltaire BUSES • Bradford to Saltaire: 662, 622, 676 • Baildon to Saltaire: 626 (Change in Shipley) • Keighley & Bingley to Saltaire: 662, 60 • Calverley to Saltaire: 60 • Shipley Town Centre to Saltaire: 622, 623, 60, 676, 678 • Bingley to Shipley: 622, 623, 60 • Guiseley to Shipley: 737 • Idle to Shipley: 614, 613, 660 LEEDS/LIVERPOOL CANAL ALBERT RD ALBERT RD WHITLAM STREET ALBERT TERRACE CAROLINE ST CAROLINE ST TITUS ST TITUS ST OASTLER ROAD HELEN ST SALTAIRE TRAIN STATION SALTAIRE RD A657 BINGLEY RD A650 SHIPLEY COLLEGE CAMPUS 1 2 3 4 5 SALT BUILDING VICTORIA HALL EXHIBITION BUILDING JONATHAN SILVER BUILDING MILL BUILDING USEFUL AMENITIES TRAIN STATION BUS STOP PARKING ROBERTS PARK GEORGE STREET GEORGE STREET RIVER AIRE LOCKWOOD ST 1 BINGLEY 5 MAWSON ST VICTORIA RD VICTORIA RD WHERE WE ARE SLATAIRE VILLAGE 4 2 PARK STREET EXHIBITION RD SALTAIRE A650 3 SALTAIRE RD A657 PARK ST MADDOCKS ST A657 SALTS MILL SHIPLEY RHODES ST BRADFORD/ FRIZINGHALL BAKER ST WYC LIFFE GARDENS BAILDON OTLEY RD A6038 LEEDS SHIPLEY TRAIN STATION The ESFA funds adult further education and skills training, including apprenticeships in England. It also co-finances the use of European Social Funds from the European Union to directly or indirectly part/wholly fund your learning activities to tackle worklessness and workplace skills issues. Register your interest 79