If You Would Like Help Completing This Form, Please Contact

ART & DESIGN APPLICATION

If you would like help completing this form, please contact:

/ 0207 269 6042

This document is locked for limited editing, you can only enter text in the grey boxes and click to tick/untick the checkboxes

Full Name:

Address:

Contact number:

Email:

Are you a current or previous Mary Ward Centre student?

☐Yes☐No

Yes, my student number is:

PLEASE TICK AS APPROPRIATE *

☐I am applying for NCFE L2 Pre-Foundation in Art & Design

Build your confidence and skills whilst developing a portfolio and sketchbook.

☐I am applying for BTEC L3 Foundation in Art & Design

Build a broad range of skills and wider understanding of art, prepare for University and develop a portfolio.

☐I am applying forBTEC L3 Working in Community Arts

Develop your creative practice and build a portfolio whilst developingthe skills necessary to organiseand run community arts activities.

☐I am applying forAdvanced Practice in Art & Design

Reinvigorate or develop your creative practice with specialist input and more independent working.

* I am available for classes during the:

☐Day☐Evening☐Both

Why do you want to do this course?

Previous experience in art

This could include, classes you have attended, work you have done at home, include anything that might be relevant.

Please list your qualifications – please also include any courses you have started (please note that you are not required to hold any qualifications to join this course)

Use the space to tell us a little about what you have been doing in the last few years.

Please help us to ensure that you are successful on your course, and we are able to support you to achieve. Do you have any additional needs or disabilities that we should know about – eg a disability affecting mobility that could affect access to classrooms, a learning difficulty such as dyslexia, or any other support needs?
Please answer here:

Is English your second language?

☐Yes☐No

If yes what level/s have you achieved?

Are there any times that you would not be available for interview?

Please return your completed application form via email to:

Alternatively you can post or hand your application to:

Rahul Miah,Mary Ward Centre, 42 Queen Square, London WC1N 3AQ

Once we have received your form wewill contact you to arrange a time for you to come in for an informal interview. If you have any questions feel free to call Rahul on 020 7269 6042 or email