Wigston College Application Form 2023 - 2024
Contact Details
Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
County
Postal Code
Date of birth
*
Email
example@example.com
Telephone Number
*
Mobile Number
*
Gender
*
Male
Female
Other
Ethnic Group
White
Mixed/Multiple Ethnic groups
Asian/Asian British
Black/African British
Black/African/Caribbean/Black British
Other Ethnic group
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Parent and Carer contact details
Name
First Name
Last Name
Relationship
Address
Street Address
Street Address Line 2
City
County
Postal Code
Email address
example@example.com
Mobile Number
*
Telephone Number
*
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Education Details
Current School/College
Referee
Name of reference:
Address
Street Address
Street Address Line 2
City
County
Postal Code
Please list your GCSE qualifications
Subject Name
Predicted Grade
Actual Grade
Subject 1
Subject 2
Subject 3
Subject 4
Subject 5
Subject 6
Subject 7
Subject 8
Subject 9
Subject 10
Additional Support
Do you consider yourself to have a disability?
Do you consider yourself to have a learning difficulty?
Yes
No
Do you need interview support?
Yes
No
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Course Choices
Please list your course choices, you must select 3 A Level or Level 3 subjects.
Subject 1
Subject 2
Subject 3
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Personal Statement
Please explain the reason for your choices:
*
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Additional Questions
Are you a carer for a family member?
Yes
No
Please indicate any medical conditions we should be made aware of?
Do you have extra support with lessons / exams?
If yes please state whether you have: Extra time in exams, a scribe, a reader, colour overlays, or any other requirements.
Have you spent any time in local authority care within the last 2 years?
If so, which local authority?
Submit
Should be Empty: