BACA College Application Form (September 2020 Intake)

BACA College Application Form (September 2020)
The purpose of this form is to collect data about applicants to BACA College for processing within BACA. The form asks for: contact information for the applicant, the applicant's parents or carers and other emergency contacts; applicant medical and health information; applicant ethnicity, nationality, country of birth, religion and language; and other relevant information. By completing this form, you agree that BACA may process your data. The data will be processed in accordance with the purposes notified by BACA to the Data Protection Commissioner's office and is subject to the Data Protection Act. The information given will be entered on a computer and will form part of our database.

1. Applicant Information & Contact Details
Surname *
Forename *
Other (middle) Names
Date of Birth *

Day Month Year
Gender *

Male Female Prefer not to say
Nationality *

Home Address *

Street Address
Street Address Line 2
City	State / Province
Post Code	Country

Mobile Phone Number *
E-mail Address *

Confirmation Email

Have you ever lived outside the UK (excluding holidays of 3 months or less)? Please give details.

Country

Date from

Date to

Country 1

Country 2

Country 3

Country 4

2. School Record
Current School (or most recent) *

School's Address (if known)

Street Address
Street Address Line 2
City	State / Province
Post Code	Country

3. Current (or most recent) Courses

Please list the subjects and qualifications you are studying (or have achieved) at your present (or most recent) school. Give predicted grades from your teachers and/or results awarded. Please note, if you are accepted to BACA, you will need to provide an official academic transcript and/or school report.

Subjects and Grades *

Subject Name

Subject Level (GCSE, etc.)

Grade Predicted/Achieved

Subject 1

Subject 2

Subject 3

Subject 4

Subject 5

Subject 6

Subject 7

Subject 8

Subject 9

Subject 10

Subject 11

Subject 12

4. Additional Learning Support
Do you have a disability, learning difficulty or problems with literacy or numeracy? *

Yes No
If yes, what form does this take?
(You do not have to disclose this information, however if you do, you will help us prepare the support that you may need. Any information you provide will be treated confidentially.)
Do you have a recent moving-on plan? *

Yes No
What access arrangements have you previously been entitled to for exams?
(e.g. extra time, reader, laptop)

5. Criminal Convictions

You must disclose certain, specific convictions
Do you have any relevant, unspent criminal convictions? *

Yes No
If yes, please specify.

7. Medical and Health Information
Name of Surgery/clinic

Address

Street Address
Street Address Line 2
City	State / Province
Post Code	Country

Doctor's Name

Forename Surname
Doctor's Phone Number
Details of any Special Medical Information

9. Why BACA College
Please give a brief summary of why you would like to attend BACA College. *

10. Future Plans
Please outline any plans you have after studying the course you are applying for here, such as plans to study at a higher level, possible subjects, employment, training and career ideas. *

11. Subject Choices
Please list 3 first choice subjects and 3 back-up subjects. Double Subjects should be selected with their Single counterpart. Construction Centre Courses are full time and can not be taken in conjunction with other courses.
1st Choice 1
1st Choice 2
1st Choice 3
Back-up Choice 1
Back-up Choice 2
Back-up Choice 3
Specialist Academy

Aldridge Cricket Academy Aldridge Football Academy Table tennis Academy Brighton Digital Media Academy
Are there any courses not listed that you would also like to study? (or any other notes).

12. Photography
Students are sometimes photographed or filmed at events or within teaching situations in and around the Academy. These images may be used within BACA and Aldridge Education, on our website, or released to the local media.
Are you happy to be photographed in this way, and for the images to be used as described? *

Yes No
Are you happy to be filmed in this way, and for the sounds/images to be used as described? *

Yes No

13. Data Protection and Declaration
Information you provide on this application form will be passed to the Education Funding Agency (EFA), which is registered under the Data Protection Act 1998. This registration is primarily for the collection and analysis of statistical data but it also allows the Agency to share information with other organisations for the purpose of detecting fraud. Further information about data confidentiality is available on request from BACA.

I agree to BACA requesting and sharing with my previous school(s) any relevant information which supports me in my wellbeing and educational progress.

We may ask you to help us with publicising BACA to future students. This could be in printed form, on the BACA website, as a photograph or video or as written information on your achievements. BACA will ensure decency and propriety will be maintained in any image used; no personal contact details will be given; an image will not be used beyond six years from the date of consent; BACA may share information with other persons for educational or promotional use.
If you do not agree with this please tick this box

I do not agree
By clicking Submit, you are confirming that all information you have provided is correct to the best of your knowledge. If there is anything you would like to discuss with the school, please contact them on 01273 691191 where they will be able to assist you further.
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BACA College Application Form (September 2020)

1. Applicant Information & Contact Details

2. School Record

3. Current (or most recent) Courses

4. Additional Learning Support

5. Criminal Convictions

6. Parent/Carer or Emergency Contact

Primary Carer

Other Carer / Emergency Contact

7. Medical and Health Information

8. Ethnicity and Nationality

9. Why BACA College

10. Future Plans

11. Subject Choices

12. Photography

13. Data Protection and Declaration