City College Coventry Application Form

City College Coventry Application Form
Select Course*
Select Intake*
Preferred Schedule*
Digital Media Marketing is 1 Day a week. Health & Social Care and Public Health is 2 days a week.
Peronal Details:
Full Name*

PrefixFirst NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Place of Birth (As On Passport)*
Address*

Line 1

Line 2

CityCounty

Post Code
Phone Number*
Please enter a valid phone number.
E-mail*
example@example.com
National Insurance Number*
Gender*
Sexual Identity*
Ethnicity*
Religion*
Emergency Contact

Please enter the details of someone we can contact in case you were to have an emergency in the college.
Emergency Contact Name*

First NameLast Name
What is their relationship to you?*
Phone Number*
Please enter a valid phone number.
Previous Qualifications
Please select your Highest Level of Qualifications*
Where did you get your Qualification?*
Do you have an English Qualification?*
Do you have a Maths Qualification?*
Learning & Support Needs

.
Do you consider yourself to have a Disability?*
Do you need any additional support or reasonable adjustments for either the interview or for the course?*
Please Specify*
Do you suffer from any of the conditions listed below? *
Please Specify*
Do you have personal access to the internet and a computer/laptop?*
Nationality & Residency

.
Passport Type?*
Please type your EU Share Code for study*
Nationality?*
Country of Birth?*
Have you been PERMANENTLY RESIDING* in the UK/EU/EEA for the past 3 years?*
Financial & Employment

.
How do you intend to fund your study?*
Have you applied for student finance before?*
If 'Yes', how many years of funding have you received? *
Current Employment Status*
Declaration of Criminal Record

.
Have you ever had a criminal conviction?*
If 'Yes', please describe the nature of the conviction and dates.*
Personal Statement

.
Why have you chosen this course? (Minimum 150 words) *

0/200
Please provide any other relevant information to support your application, e.g. career aspirations etc. (Minimum 120 words) *

0/150
Which module are you most looking forward to studying on the foundation year and why? (Minimum 120 words) *

0/150
Which modules are you most looking forward to studying in the 3 years after the foundation year and why? (Minimum 150 words) *

0/200
Please tell us about your learning experiences so far. (Minimum 150 words)

0/200
Documents Upload

Please ensure the documents uploaded are clear including its four corners. We accept .png, .jpeg, and .pdf files.
Please upload a Valid Passport*

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Please upload your immigration status document if you have an EU passport*

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Upload a Proof of Address dated within 3 months ( e.g. Utility Bill, Council Tax, Bank Statement, etc.)*

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Upload Certificates from Previous Qualifications

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Upload a PHOTO of yourself to be used for your Student ID if you are accepted on to the course.*

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Keeping In Touch

We would like to keep in touch to keep you informed of any events, workshops, etc. at City College that may be of interest to you. Please select "YES" to be included.
How did you hear about us?*
Please Specify*
Student Declaration
Date of Application

MonthDayYear
Date
Should be Empty:

City College Coventry Application Form

Emergency Contact

Previous Qualifications

Learning & Support Needs

Nationality & Residency

Financial & Employment

Declaration of Criminal Record

Personal Statement

Documents Upload

Keeping In Touch

Student Declaration