Sixth Form Referral Form [being developed]

If you would like to refer a young person to us, please complete our short course enquiry form below.

If you are ready to complete a full course application, please visit our course application page.

Who can join our courses?
- Our priority groups are young people with special needs or an EHCP, and looked after children, unaccompanied minors and care leavers.
- We don't deliver courses for under 16's. If you are currently under 16 and would like to enrol for September, please contact us on 0800-0420-184 or sixthformteam@elatt.org.uk
Referrer's Details
First Name*
Last Name*
Referral Agency*
Contact Number*
It's best to include the easiest number we could use to contact you.
Email Address*
What is the young person's date of birth?*

DayMonthYear
REQUIRED FOR AGE CALCULATIONS - DO NOT CHANGE:
Current Date

DayMonthYear
August 31st

DayMonthYear
Age in Days
Age in Years
Difference (Days) from Current Date to August 31st
Age in Days at August 31st
Age in Years at August 31st
Vulnerable groups*

EHCPLACCare leaverOther
Which courses are they interested in? (Optional)

Business AdministrationComputer EngineeringDigital Media ProductionESOLGame DesignIT for the OfficeSoftware DevelopmentWeb Design and Development
They will still learn English and Maths when they register for a course if they have not passed GCSEs.
Additional Information
Message (Optional)

0/500
Your agreement

The data protection privacy notice can be found here.
I agree
Where did you learn your chosen subject?
Should be Empty: