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Enrolment Form

Personal Details

Qualifications

Employment

Terms



Personal Details


Student Reference Number (Found in your Email)
Surname
First Forename
Date Of Birth

Please check you have entered the correct year.

If you are over the age of 19 you may be required to pay for your tuition fees, please contact student.records@plumpton.ac.uk to confirm

National insurance number

Note: If you are on benefits, or applying for an apprenticeship or are over 19 years old, providing a National Insurance number is mandatory. If you do not have your National Insurance Number or you do not have one as under 16 or international student please leave blank.

Main Address Postcode

Nationality

Nationality

Criminal Convictions

Do you have any unspent criminal convictions??  
Plumpton College is keen to support students with criminal convictions to help them succeed and having criminal convictions will not necessarily prevent you taking up a place here. Entry is dependent on you declaring all unspent convictions. During this time your application/ enrolment will be placed on hold pending review of your disclosure. You may be required to come in for an interview to discuss your disclosure further. Please note that failing to complete this section or providing false information may lead to your application/ enrolment being withdrawn. Any information you provide the College Group in relation to criminal convictions will only be disclosed to third parties if this is necessary in the interests of the safety and welfare of other students or staff.
*You do not have to declare spent convictions (under the Rehabilitation of Offenders Act 1974) except when you are applying for a course in teaching, health, social work, childcare or involving work with children or vulnerable adults, as this may affect your ability to attend work placements and possibly achieve your course. If you are unsure about what to declare please seek advice from our Safeguarding Team (you do not need to give your name) or we suggest you seek advice from Citizens Advice Bureau or the Probation Service, Youth Offending Team or NACRO – www.nacro.org.uk. If you have declared you have an unspent criminal conviction you will receive a letter or an email from the Designated Safeguarding Lead, who will review your disclosure and will inform you of any actions they may take. During this time your application/ enrolment will be placed on hold pending review of your disclosure. You may be required to come in for an interview to discuss your disclosure further. Please note that failing to complete this section or providing false information may lead to your application/ enrolment being withdrawn. Any information you provide the College Group in relation to criminal convictions will only be disclosed to third parties if this is necessary in the interests of the safety and welfare of other students or staff.
If you have declared a criminal conviction you may be asked to come in for an interview to discuss. Please note that failing to complete this section, or providing misleading or false information may lead to your application/enrolment being withdrawn.

Vehicle Details

Please provide your vehicle details if you intend on parking within the campus


Vehicle Colour
Vehicle Make
Vehicle Model
Vehicle Number Plate

Parent/Guardian/Emergency Contacts

Primary Contact
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone Number
Emergency Contact Email Address
Do you live with this person?
Secondary Contact
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone number
Emergency Contact Email Address
Do you live with this person?

Learner Support

Do you have any disabilities or learning difficulties?
 

If you can't find the course you want, or you have a query about a course, enrolment or payment please call 01273 890 454

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