Application Form

Personal and Contact Details
Name *

First Name(s)Middle NameLast Name
Address *

Street Address

Street Address Line 2

CityState / Province / County

Postal / Zip Code
Country (if UK, please select the specific nation, i.e. England, Scotland, Wales or NI)*
Date of Birth *

DayMonthYear
Date
Sex *
Nationality (if British, please select United Kingdom)*
Do you have any other nationality? If so, please state below.
Ethnicity *
Are you a care leaver? *
Is the gender you identify with the same as your sex registered at birth?*
What is your religion? *
Which of the following best describes your sexual orientation? *
Telephone No. (daytime) *
Telephone No. (evening)
Telephone No. (mobile)
Email *
example@example.com
Please upload a head & shoulders photograph of yourself.*

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Please upload a scan of any and all valid passports that you hold (or birth certificate if you do not have a passport).*

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Please upload a clear photo of yourself holding your passport or birth certificate, so the document and your face can be seen clearly.

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College Accommodation
Applications for College accommodation are handled separately from academic applications. We will send you details about how to apply for College accommodation if we are able to offer you a place on your chosen course. Please indicate if you are interested in receiving such information: *

YesNo

Academic and Vocational Qualifications

Please give details below and also indicate any forthcoming examinations to be taken soon or for which results are awaited.
What type of educational provider did you last attend? *
Education provider: please provide the name(s) of the education provider(s) you studied with to gain your qualification(s)*
Please indicate if you fall into the following category:

When my course starts I will have no formal qualifications.
Please list all your existing qualifications that are Level 3 (equivalent to UK A Levels) and above: (Note: you will be required to provide proof of each qualification you list)*
All students must show proof of qualifications. Please upload a scan or photograph of your certificate(s) or results documentation - please include all pages. If offered a place, at point of enrolment you will need to present the original document(s).*

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All students recruited onto Cliff College programmes must meet the minimum English language requirement. If you are a British citizen and were educated via the English language, please state your highest qualification. If you are not a British citizen, or were not educated via the English language, please state either your English language test provider and results (if taken), or the highest qualification (any subject) you gained if you have studied at an institution in the UK or a majority-English speaking country* (please note that you may be required to take a secure English language test):*
*For a list of those countries accepted by UKVI as majority English speaking see https://www.gov.uk/student-visa/knowledge-of-english
It is sometimes possible to transfer in credit achieved elsewhere, to set against one or more units of a course. If you think this may apply, please provide as much detail as possible here, including the title(s) of the units/modules achieved, their credit values(s), the year achieved, and the awarding institution.

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Accreditation of Prior Experiential Learning (APEL) is the identification, assessment and formal acknowledgment of learning and achievement that occurred prior to entry to a course of study, but not in the context of formal education or training. If you feel that you have experience that may exempt you from one or more units of your chosen course, please add details here, including the title of the unit to which you are seeking to apply the APEL.

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Personal Statement
Please input your personal statement below. It is important to include in your statement a reflection on the aims of the programme to which you are applying and why this programme is suitable for you. Where appropriate, please provide details of any mission-related activities in which you have taken part and/or led, your involvement with your local church and how you see yourself contributing to the College community.*
Where applicable, please state your denomination.
Where applicable, name of the church of which you are a member:
How long have you been a member of this church?
Where applicable, please write a short statement detailing your experience and responsibilities in the church.

Programme Follow-up
Where did you hear about this programme? *

Details of Fees
How do you intend to pay the fees? *

I intend to fund the whole course/programme myself.I intend to part fund the course/programme, with help from a sponsor.The full course/programme fees will be paid by a sponsor.
It is important to have an idea where your funding will come from before applying for a place. How do you intend to pay the fees?*

I am eligible for and intend to apply for a UK Student LoanI intend to be fully self-fundingMy church/employer/other sponsor will fund part of my fees; I will fund the restMy church/employer/other sponsor will fund my fees in full.
Please provide details of any sponsor below:
Organisation Name: *
Named Contact: *
Contact's Email Address: *
Contact's Phone Number: *
Please indicate if you intend to apply for a bursary:

I intend to apply for a bursary

Reference
We require a reference from someone who knows you well. We are unable to accept a reference from anyone related to you, or one which comes via you. Please provide details below of the person who has agreed to be your referee. We recommend that you speak with your chosen referee before nominating them below, as they will receive an automated email, informing them that they have been nominated as a referee by you, and asking for the reference. Please ask your referee to return their reference directly to the College by email to admissions@cliffcollege.ac.uk (this will be specified in the email that they will receive).
Referee Name: *
Referee Address: *
Referee Telephone No. *
Referee E-mail Address *
Please confirm by re-typing the email address
Please indicate in what capacity you are known to the referee *

Declaration
The information you supply on this form will be used by Cliff College in accordance with the Data Protection Act 1998, other relevant legislation and the College’s Privacy Policy, which is available at www.cliffcollege.ac.uk/privacy-policy. The College will use the information to process your application and to provide any further information you require, as well as to support the College’s marketing activities.

If you are offered and accept a place at Cliff College then the information from your application form will be used to set up your student file. Where required this information may be shared with the government or their respective agents to check the accuracy of personal information provided against external data sources, eg. the Higher Education Statistics Agency (HESA), and may also be used to contact other institutions to confirm previous qualifications obtained. If you are not offered a place, or an offer is declined, then all documentation relating to your application will normally be destroyed after one year.

I will adhere to the requirements of the College and the course, noting specifically that:
- the College foundation prohibits smoking and the use of alcohol in grounds and buildings
- the course requires attendance at all lectures, seminars and tutorials.
I confirm that the information given on this form is true, complete and accurate and no information requested or other material information has been omitted. I confirm that I have included with this application:
- head & shoulders photograph
- copy of passport
- copy of birth certificate (if no passport)
- copy of qualifications (if any held)
Please type your full name to affix your electronic signature: *
Date *

DayMonthYear
Date
Please verify that you are human*
Should be Empty:

Application Form

Course Details

Personal and Contact Details

College Accommodation

Additional Information

Disclosure Barring Service (DBS)

Academic and Vocational Qualifications

Personal Statement

Programme Follow-up

Details of Fees

Reference

Declaration