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* - Mandatory Fields
1. Course Details
Programme or study for which you wish to apply *
Mode *
Full Time Part Time
Commencement *
January April July October
Have you previously applied or attended Queensbury college? *
Yes No
If YES, when?
2. Personal Details (as in passport)
Title *
Family/Surname *
First Name
Date of Birth *
Gender *
Email *
Home Address *
Postcode *
Telephone *:
Mobile
Correspondence Address
(if different)
Postcode
Telephone :
Mobile
3. Residency
Nationality *
Passport No *
Passport expiry date *
Have you been a permanent resident in the UK for the last 3 Years? *
Yes No
If NO, please indicate which country/countries you have been living in for the last 3 years and the date of entry into UK *
Country Date of Entry
If YES, what visa do you hold or will you need to study in the UK
Country
No, I do not need a visa to study in the UK
Are you an Asylum seeker or Refugee? *
Yes No
4. How did you hear about Queensbury College? *
Advertisement College Literature Family/Friend Website Previous Attendance Employer
School Have you attended a Queensbury college open event/seminar
Other, please mention
5. Education - Qualification Please give details of your education. Start with the most recent qualifications. Where appropriate include professional qualifications.
Name of School/College/University. Awarding Body
(state country if outside the UK)		 Start date End date Qualification
(e.g. FSc,BA, BSc)		 Grade/ GPA Degree Title: Subjects studied and grades obtained so far
Add Another Qualification

Detail qualification(s) yet to be awarded. Where appropriate include professional qualifications.
Name of School/College/University. Awarding Body
(state country if outside the UK)		 Start date End date Qualification
(e.g. FSc,BA, BSc)		 Grade/ GPA Degree Title: Subjects studied and grades obtained so far
Add Another Qualification
6. English Language
Is English your first language?*
Yes No
If NO, please give details of any professional examination you have taken for English (e.g. IELTS, TOEFL etc.)
Course Finishing Date Grade/GPA
Any other details to show your competence in English.
7. Employment
Name and Address of Employer (state country if outside the UK) Start date End date Position held and main duties
Add Another
8. Funding
How will you be financing your studies at Queensbury College? Please tick one or more boxes.
Personal/Family resources Loan Studentship/Scholarship Sponsorship
Other (please specify)
9. Personal Statement - All applicants
Please state why you wish to follow your chosen programme and how it relates to your previous experience. Continue on a separate sheet if necessary.
10. Referees State details of two people who may be willing to provide references in support of your application.
Name *
Position
Address *
Tel *
Email
Fax

Name *
Position
Address *
Tel *
Email
Fax
11. Disability/Special Needs Queensbury College welcomes applications from students with disabilities and considers them on the same academic grounds as those from other students. It is helpful for us to know about the nature of any disability in order to ascertain whether facilities are available at the college to meet students’ special needs. Applicants with disabilities are encouraged to contact the college, prior to applying.
Do you have a disability?
Yes No If yes please tick the box(es) which apply to you:

You are blind/partially sighted You are a wheelchair user/have mobility difficulties
You need personal care support You have mental health difficulties
You have dyslexia You are deaf/have hearing impairment needs
You have an unseen disability (diabetes/epilepsy/asthma) You have an autistic spectrum disorder
You have a disability not listed above (please specify)
12. Criminal Convictions Applicants who have a relevant criminal conviction will not be automatically excluded from the application process. (Please refer guidelines section)
Do you have any relevant criminal convictions? *
Yes No
If yes, please provide details.
13. Equal Opportunities - The information is for monitoring purpose only Please tick one box
White Mixed – White and Black Caribbean Other Mixed background
Asian or Asian British – Pakistani Mixed – White and Asian Other Ethnic background
Asian or Asian British – Bangladeshi Irish Traveller Information refused
Asian or Asian British – Indian Black or Black British – Caribbean  
Chinese Black or Black British – African  
Other Asian background Other Black background  
14. File Upload
Please attach scanned copies of a photo of you (Passport size), passport copy and educational certificates as a single zip file. The size of the zip file should not exceed 10MB.


Before you submit, please check carefully whether you have filled all required information