Pre Enrolment Advice Session Record - Brownlow Integrated College

Pre Enrolment Advice Session Record(To be completed by College Staff Only)Student IDStaff Check ListHas the applicant provided:Have you informed the applicant of the following:Armagh / banbridge / kilkeel / lurgan / newry / portadowncourse applicationform 2013/2014PLEASE COMPLETE ALL SECTIONS IN CAPITAL LETTERS (USING BLACK INK)Copy of Results Slip YES NOCopy of School Report YES NOBirth Certificate or Photographic ID YES NOEducational Reference YES NOPortfolio (Art & Design only) YES NOPractical Written Assessment (L 2 Professional Cookery only) YES NOEvidence of Industrial/Work Experience (L2 Hair & Beauty only) YES NOStudent Finance InformationContent of Course/ Ability to Complete YES NOStudent Finance (See Table Below) YES NOLearning Support Available YES NOCareers Service YES NOWork Placement Opportunities YES NOExtra Curricular Activities YES NOFees/ Additional Associated Costs (i.e. Uniform) YES NOCourse InformationFill in order of preferenceFirst ChoiceCourseTitlesecond ChoiceCourseTitleCampusLocationCampusLocationAs on website or in prospectusCourseCodeCourseCodeTick BelowFull TimePart TimeFull TimePart TimeHigher Education (FT) Higher Education (PT) Further Education (FT) Further Education (PT)EMA N/A N/A Maybe Available N/ACollege Hardship Fund Maybe Available Maybe Available Maybe Available Maybe AvailableDiscretionary Award N/A N/A Maybe Available Maybe AvailableStudent Loan Maybe Available N/A N/A N/ACare to Learn Maybe Available Maybe Available Maybe Available Maybe AvailableSchool Meals N/A N/A Maybe Available N/ABus Pass N/A N/A Maybe Available N/AHE Grant/ Bursary Maybe Available Maybe Available N/A N/APEAS/ Interview OutcomeNotes/ Advice GivenA Level Choices OnlyPlease list below your preferred subject choices – this may include a combination of A Levels and National Awards e.g. 1. AS Business Studies 2. AS Law 3. NationalAward Sport. A Level combinations for the 2011 entry are outlined in the College prospectus or online www.src.ac.uk and are only available at the Armagh Campus.1. 3.2. 4.Personal DetailsSuccessful applicants must be aged 16 or over by 1st of July in year of entryMr / Mrs / Miss / Ms (delete as appropriate) *Gender Male Female Date of BirthSurnameNationalityForenameAddressTown and PostcodeTel NoMobileE-mailNational Insurance NoPrevious School / College AttendedSchool / CollegeAddressEntrance RequirementsLeaving DateParent / Guardian / Next of KinSurnameForenameRelationship to StudentTel NoDecision on application (place X in appropriate box)Firm AcceptanceUnconditional OfferOffer / Course TitleCampus OfferedDateprovisional acceptanceConditional Offer (list reasons in notes)Placed on waiting list(only if course is full)CourseCampusCareers OfficerNot AcceptedTransferred / Referred to(complete below)AddressTown and PostcodeFor Office Use onlyStudent ID PEAS Date 1 Keyed to QL by(Keyer Initials)Date ApplicationReceivedPEAS Date 2MobileE-mailOffer MadeSigned by Course Tutor /Head of SchoolDate Applicant NotifiedCourse Code PEAS Date 3 Offer Date