Apply | Southport College

Personal details

Forename *

Middle name

Surname *

Date of birth Day *

Date of birth Month *

Date of birth Year *

Sex *

Mobile phone *

Email address *

Confirm Email address *

Ethnicity *

Nationality *

Address *

Town/City *

County *

Postcode *

Have you been a European resident for the last 3 years? *

Yes

How would you like us to contact you? (tick all that apply)

Telephone

Post

SMS

Educational History

Present or Last High School or College? *

School year start *

School year end *

Predicted or Actual GCSEs and Other Qualifications

Please tell us about your predicted or actual GCSE results (or other qualifications) by selecting the appropriate option from the list below. If you do not know this information, please skip to the next section.

Have you already achieved this qualification?

if yes, then please tick this box, if these are predicated grades please do not tick this box

Parent or Guardian contact details

Title *

Fullname *

Email address *

Home or Mobile Number *

Is their address the same as your address?

Yes

Address

Town/City

County

Postcode

Courses

Please select the course you wish to study.

Subject *

Additional Needs

Do you have an EHCP? *

Yes

Do you have a learning difficulty requiring support? *

Yes

Learning Difficulty

Do you have a medical condition? *

Yes

Do any of these apply to you?

Young Carer

Looked After Child (LAC)

Care Leaver

Teenage Parent

Supervised by the Youth Offending Service

And Finally

Are you happy for us to contact you in the future with details of relevant courses or events?

Yes

How did you hear about us?

College Applications
16-18 years

Not a 16-18 year old?

Personal details

Educational History

Parent or Guardian contact details

Courses

Additional Needs

And Finally

College Applications16-18 years

Not a 16-18 year old?

Personal details

Educational History

Parent or Guardian contact details

Courses

Additional Needs

And Finally

College Applications
16-18 years