SECTION 8 HEALTH AND FITNESS

PLEASE NOTE: IF YOU ARE AGED 19 OR OVER
ON 31 AUGUST, YOU WILL NEED TO COMPLETE
AN ADULT LEARNERS’ APPLICATION FORM.

Do you play any of the following sports? (Please tick as appropriate)
Football

Cricket

Netball

Other (please specify)

Basketball

SECTION 9 CHILDCARE
A national scheme of support currently exists for 16-18 year old learners who require childcare while they study. Please ask for more details from the college or your Connexions advisor.

Please tick here if you need access to this provision to be able to study.

SIXTH FORM
APPLICATION FORM

Other (please specify)

EQUAL OPPORTUNITIES STATEMENT

SECTION 10 MARKETING
How did you hear about The Manchester College? (Please tick ONE only)
Advertisement (eg poster / newspaper / radio)

Direct mail (eg letter / e-mail / SMS text)

Event

Internet / website

SECTION 11 ETHNICITY
White
31

English/Welsh/ 
Scottish/Northern
Irish/British

32
33

Irish 
G
 ypsy or
Irish traveller

34

A

 ny other White background Recommendation
(eg friend / school /
Connexions)

• promoting and supporting learning for each individual
• equality of opportunity

Please indicate which category best describes your ethnic origin.

Mixed/
Multiple ethnic group

Asian/
Asian British

35

White and Black 
Caribbean

36

White and Black 
African

39
40

Indian 
Pakistani


41
42

Bangladeshi 
Chinese


43

Any  other Asian background 37
38

The Manchester College is committed to

White and Asian 
Any other Mixed/ 
Multiple ethnic background Black/African/
Caribbean/
Black British
44
45

African Caribbean

46

Any  other
Black/African/
Caribbean background • non-discriminatory practices

We welcome applications from students, regardless of gender, race, religion, age or disability. We aim to ensure that we meet the requirements of all disability legislation.
If you have a disability or medical condition, we will support you to achieve your goals.

Please tell us how we can best help you to succeed at The Manchester College when you enrol. We can send you this document in audio, Braille or large print formats.

Other ethnic group
47
98

Arab
Any other  ethnic group

What is your main spoken language (if not English)?

PLEASE USE A BLACK PEN AND WRITE CLEARLY IN BLOCK CAPITALS.

SECTION 1 PERSONAL DETAILS
Surname

Unique Learner Number (if known)
Address

Forename(s)

SECTION 12 DECLARATION

I CERTIFY THAT THE DETAILS GIVEN IN THIS APPLICATION ARE CORRECT.

Postcode

Telephone
Name (print)

Signature

Date

Mobile

Date of birth

E-mail (home)

Male

Female

Age on 31 August
Nationality

E-mail (school)

National Insurance no.
Preferred contact method

EMERGENCY CONTACT INFORMATION
Name of parent / guardian

Telephone (day)

Relationship

Telephone (eve)

Please send completed form to: Student Applications, Student Records Department,
The Manchester College, FREEPOST MR9919, Openshaw, Manchester M11 9AL.

Please contact us if you need help completing this form.
OFFICE USE ONLY

(No stamp or other information is required)

Person code
We may occasionally wish to update you on new courses and opportunities at The Manchester College.

Please tick here if you do not wish to receive this information.

Site accepted
TMC SixthForm App v4.1 10/11

0800 068 8585 (OPTION 2)

enquiries@themanchestercollege.ac.uk

SECTION 2 RESIDENCY (to be completed by all applicants)
The Manchester College will need evidence of status to satisfy Government requirements. Failure to provide evidence may result in the college being unable to process your enrolment.
Nationality
Are you on a visa or is there any restriction on the length of time you can stay in