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Higher Education Part-Time Application Form
Higher Education Part-Time Application Form
Step
1
of
10
10%
Course
Campus
–Select–
Grimsby
Scarborough
Point of entry
–Select–
Year 1
Year 2
Name
Title
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
First
Last
Address
Street Address
Address Line 2
City
Postal code
Gender
–Select–
Male
Female
Date of Birth
DD slash MM slash YYYY
Phone
Email Address
(Required)
Planned fee payment method
–Select–
SFE loan
Other
Unique Learner Number
BTEC registration number
Did any of your parent(s)/carer(s) attend Higher Education previously?
–Select–
Yes
No
Don’t know
Prefer not to say
Will you be living at home whilst studying?
Yes
No
Disclosure and Barring Service Number
(If applying for Teacher Training Qualification Only)
Disclosure and Barring Service Date Of Issue
(If applying for Teacher Training Qualification Only)
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Area of permanent residence
Country of birth
Nationality
Ethnicity
–Select–
White – British
Mixed – White/Black Asian
Asian/Asian British – Other
White – Irish
Mixed – Other
African
Gypsy or Irish traveller
Indian
Caribbean
White – other
Pakistani
Black/Black British – Other
Mixed – White/Black Caribbean
Bangladeshi
Arab
Mixed – White/Black African
Chinese
Any Other
UK entry date
DD slash MM slash YYYY
The TEC Partnership welcomes all applications and considers them on their individual merits. However, you are required to tell us about any convictions which are not spent under the Rehabilitation of Offenders Act (1974).For some careers you will need to declare all criminal convictions including those that are spent. Doing this will not necessarily stop you being offered a place on a course. Courses where a full disclosure is needed include those that could lead to a career in teaching or involve working with children or vulnerable adults, healthcare, the law/legal environment, accounting and finance, veterinary practices, RSPCA, taxi drivers, uniformed services and security. If you are unsure about what to declare then please seek advice from our Safeguarding team 01472 311222 Ext 474/638 (you do not need to give your name) or ask a careers advisor at the National Careers Service at https://nationalcareersservice.direct.gov.uk/aboutus/contact us. For further information on what spent or unspent please see the link
https://www.nacro.org.uk
.
Please tick if you have any unspent convictions, have pending prosecutions or current court proceedings.
Yes
Please tick if you are applying for a course that will require you to disclose any criminal convictions or outstanding investigations that could lead to a criminal conviction.
Yes
Please note: you do not need to tick the yes box if your criminal conviction is spent as defined by the Rehabilitation of offenders Act 1974.
If you have ticked the boxes for both of the above questions, you will need to make a full disclosure. Please attach the information in a separate envelope with your application form.If you have attached an envelope with disclosures it will be given to the Safeguarding Co-ordinator who will make contact and may ask you to come in for an interview to discuss. Please note that failing to complete this section or providing misleading or false information may lead to your application/enrolment being withdrawn. Ticking ‘Yes’ to any of the questions above will result in a follow up meeting in order to obtain further details. This is personal, sensitive information and we require your consent before we can process your form.
Do you have a medical condition / disability
None
Visual impairment
Mental health
Hearing impairment
Temporary disability after illness
Disability affecting mobility
Profound complex disabilities
Other physical disability
Aspergers Syndrome
Other medical condition (e.g. epilepsy, asthma, diabetes)
Multiple conditions
Emotional/behavioural difficulties
Other
Do you have a learning difficulty?
None
Moderate learning difficult
Other specific learning difficulty
Severe learning difficulty
Autism spectrum disorder
Dyslexia
Multiple learning difficulties
Dyscalculia
Other
List
(Required)
Provider
Date From
Date to
Course Title
Awarding Body
Level
Grade/Result
Add
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Employer Details
Date employment commenced
Address of Employer
Street Address
City
Postal Code
Telephone of Employer
Email of Employer
Occupation / Duties
Referee Name
Referee Address
Street Address
City
Postal code
Referee Telephone
Referee Email
Referee Occupation
Relationship to you
Mentor Name
Mentor Address
Street Address
City
Postal code
Mentor Email
Mentor Telephone
Mentor Occupation
Mentor Position
Personal Statement
Please use this space if you would like to provide a personal statement in support of your application. For example this may include skills, abilities, motivation, aptitudes, relevant work or voluntary experience, other prior learning and experiences, including those already achieved in the workplace.
I confirm that the information given on this form is true, complete and accurate and no information or other material information has been omitted. I accept that if this is not the case, UCAS shall have the right to cancel my application and I shall have no claim against UCAS or any higher education institution or college in relation thereto. I give my consent to the processing of my data by UCAS and educational establishments. I also accept that having completed this form I do not have the right to further choices within the UCAS scheme and will not approach any other university or college in the UCAS scheme.
Student Declaration
I confirm that the information given on this form is true, complete and accurate and no information or other material information has been omitted. I accept that if this is not the case, UCAS shall have the right to cancel my application and I shall have no claim against UCAS or any higher education institution or college in relation thereto. I give my consent to the processing of my data by UCAS and educational establishments. I also accept that having completed this form I do not have the right to further choices within the UCAS scheme and will not approach any other university or college in the UCAS scheme.I have the right to cancel this application. If I decide not to take up the place at University Centre Grimsby (UCG), I must do this by informing UCG as soon as possible.
I agree
At times University Centre Grimsby may take photographs to be used for internal and external purposes. If you wish for your image not to be used you must make the photographer aware of this at the time.Application Privacy Statement Why do we collect personal information? The TEC Partnership collects and processes personal data relating to its potential learners to meet its statutory obligations as an FE College. The Partnership is committed to being transparent about how and why it collects and uses that data and to meeting its data protection obligations. The TEC Partnership consists of: – Grimsby Institute, University Centre Grimsby, Skegness TEC, Scarborough TEC, East Riding College, Career 6, The Academy Grimsby, Learning Centres and Modal Training. What personal information does the organisation collect? To effectively process your application, The Institute collects personal data under GDPR Article 6f (legitimate interest) and Article 9g (Public Interest) to meet our legal obligations with the Education, Skills Funding Agency (ESFA) and Office for Students (OfS). The data is also necessary for The Institute to carry out its public task to provide education and training. How is this collected and stored? Information is collected directly from yourself via an application form. Data will be stored in a range of different places, including the student information management systems, on paper in stored secure places, or on electronic documents within a secure network. The documents will be kept whilst you are actively seeking a course with The Institute or for a period of 3 years from the date the application form is signed when we would contact you to update the information or destroy it if you are no longer looking for a programme. If you are successful in securing a place on a course at the Institute this information will be transferred to your learner record and an updated Privacy Statement will be issued. Who has access to data? Your information will be shared internally, including with any TEC Partnership staff who need the data to provide services to the learner. What rights do you have? As a data subject, you have a number of rights. You can: access and obtain a copy of your data on request; require the organisation to change incorrect or incomplete data; require the organisation to delete or stop processing your data, for example where the data is no longer necessary for the stated purposes of processing; object to the processing of your data where the organisation is relying on its legitimate interests as the legal ground for processing. The college will only use “legitimate interests” as grounds for processing in a very few situations. For full information regarding the TEC Partnership GDPR policies please visit
www.tecpartnership.com/policies/
or speak to a member of staff.
Email
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TEC Partnership celebrates esteemed ‘Silver’ accreditation from Teaching Excellence Framework (TEF)
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TEC Partnership celebrate their decade of degree awarding status
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Tuesday 4th July
100% employment rate for Greater Lincolnshire driver academy’s first cohort
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Grimsby Institute hairdressing student takes 1st place at WorldSkills North East Regional Heat
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