ADULT EDUCATION

GCSE English Language
GCSE Mathematics
GCSE Science combined
(Trilogy - Single Award)
(All GCSEs taken will have the new grading system of 9-1 not A*-G) / 2017-2018
Application Form

ADULT EDUCATION

GCSE English Language
GCSE Mathematics
GCSE Science combined
(Trilogy - Single Award)
(All GCSEs taken will have the new grading system of 9-1 not A*-G) / 2017-2018
Application Form

THINGS TO CONSIDER BEFORE APPLYING:

1.  Our GCSE courses involve taught classes which take place on Monday and/or Tuesday evening (between 6 pm to 9 pm) in term time.

2.  You MUST be able to attend weekly and be punctual.

3.  For the duration of the course, you MUST have in place childcare or make prior arrangements with your employer to be available each week to attend class.

4.  We EXPECT YOU to make a strong commitment to the course and attend classes. This is particularly important for those subjects where you undertake controlled assessments during class time.

5.  You MUST ensure you will be available in the daytime for examination(s) in late May/early June 2018.

Please ensure you fully complete all sections of the application form, as your application is considered on the information given. Once completed either post, hand deliver, or email your application form to:

Sheila Lahan (Mrs), Assistant Head of Adult Education

Aquinas College

Nangreave Road

Stockport, Cheshire SK2 6TH

ADULT EDUCATION

If you wish to speak to someone before you complete this form, please telephone 0161 419 9163 to arrange an appointment.

GCSE English Language (AQA)

GCSE Mathematics (Edexcel)

GCSE Science (combined) Trilogy (AQA)

Equal Opportunities Statement

Aquinas College Adult Education is committed to:

·  Promoting and supporting learning for each individual

·  Equality of opportunity

·  Non-discriminatory practices

We aim to ensure that all students at Aquinas College receive a high standard of education and service since we strive to put into practice the Gospel spirit of freedom, justice and love which is at the very heart of our philosophy.

PLEASE COMPLETE IN BLOCK CAPITALS (handwritten or word processed accepted)

PERSONAL DETAILS: (Please complete all fields)

Title:
Mr/Mrs/Miss/Ms/Other (please state) ______/ Gender: Male o Female o
Date of Birth:
First Name (s): / Surname:
Home address: / Home telephone No
Work telephone No
Mobile telephone No
E-mail address:
Postcode
UK Status:
Have you been living in the UK/EEA for the last 3 years? Yes o No o

Please select the course(s) you wish to apply for below:

(We do not guarantee acceptance onto more than one course, this will be at the college’s discretion depending upon the outcome of the initial assessments carried out at interview):

Subjects: / Evening / I wish to apply for:
Tick which ONE or TWO (maximum) / Previous result / Approx year taken
English Language / Monday or Tuesday
Mathematics – Foundation / Monday or Tuesday
Mathematics – Higher / Tuesday only
Science:
To apply for this course, you must already have a GCSE at Grade C in English and Mathematics. You must bring the certificates with you if you are invited to an interview.
(If you select Science, you cannot select any others from the table above as college is only open Monday and Tuesday evenings) / Attendance required both Monday and Tuesday evening / I wish to apply for Science only: / Previous result / Approx year taken

EDUCATIONAL BACKGROUND:

Please list the names and addresses of school/colleges attended. Start with the most recent:

Date from / Date to / School/College

Please list examinations taken/qualifications achieved. Start with the most recent:

Awarding Body e.g.
City & Guilds
Edexcel / Subject(s)/ Course(s) / Qualification e.g.:
O level, GCSE,
AS/A Level, NVQ, Access / Level / Year taken / Results (grades if possible)

ETHNICITY:

Ethnic origin information is required as part of our monitoring of the College’s Equal Opportunities Policy
Please tick the most appropriate box :
White – British (31) / Black African - Mixed – white (36)
White – Irish (32) / Black Caribbean - Mixed – white (35)
White – other White background (34) / Black or Black British – African (44)
Asian or Asian British – Bangladeshi (41) / Black or Black British – Caribbean (45)
Asian or Asian British – Indian (39) / Black or Black British – other Black background (46)
Asian or Asian British – (40) / Chinese (18)
Asian or Asian British – other Asian background (43) / Mixed – other mixed background (38)
Asian - Mixed – white (37) / Other (98)– please specify: ______
Prefer not to say

ADDITIONAL SUPPORT:

PLEASE NOTE HERE ANYTHING YOU FEEL MAY BE RELEVANT WHICH HAS NOT BEEN REQUESTED ALREADY:

Course Fees
English & Maths / NO FEE if you do not already have a GCSE Grade C / If do you have a Grade C and want to improve this fees will be due:
Estimate of £405.00
(to be confirmed in June)
An Instalment scheme is available.
Science / NO FEE if you are in receipt of:
Job Seekers Allowance (including those receiving National Insurance credits only)
Employment Support Allowance:
a) work activity group (WRAG)
Universal Credit:
a)  All work related groups
b)  Work Preparation group
c)  Work Focused interview group
You will need to bring evidence of your benefit at your first appointment for audit purposes. / If you do not receive any of the benefits listed, fees will be due:
Estimate of £405.00
(to be confirmed in June)
An Instalment scheme is available.

MARKETING:

How did you hear about the Aquinas College Adult Education Centre? (Please tick)

o The Review o Leaflet o Local Library o National Careers Service

o Internet search o Other College/educational provider o Word of mouth

o Other, please specify: ______

Interview and/or our decision about your application

Your application will be processed by the relevant curriculum department and you will be invited to book an appointment to attend an interview.

At the interview you will be asked to complete an Initial Assessment for literacy and/or numeracy which will help us decide if this is the correct course for you and also helps us to identify any possible support that you might need. Also, you will need to demonstrate to the course tutor/advisor that you have the commitment and skills necessary to successfully complete the course.

Acknowledgement of your application

We will send you an acknowledgement within 5 days of receipt of your application. If you have not heard from us within ten days, please contact our Adult Education Helpline (0161 419 9163) or email:

DECLARATION:

I CERTIFY THAT THE DETAILS GIVEN IN THIS APPLICATION ARE CORRECT.

Signature / Name (PRINT) / Date

EDUCATIONAL/CAREER AIMS:

Using a minimum of 200 words on a single sheet of A4 or use the lined pages provided:

DESCRIBE: What is your reason for taking a GCSE course?

Your educational background including any voluntary work you are or have been involved in.
EXPLAIN: Any difficulties you may have had at school and what they were?
Why you have not yet achieved this qualification? (This question for English, Maths & Science only):