1 Choice of Programme

Which programme do you wish to apply for?
(Please state the full title of programme and if A Levels, state subject)

Study mode

If uncertain, would you like a guidance interview to help you decide which course to apply for?

Disclosure of convictions is a condition of enrolment. All applicants and learners are required to inform the AP Learner Services of unspent convictions by completing the Disclosure Form. Please contact Learner Services for more information. Confirmation of a programme offer for certain courses is subject to a satisfactory Disclosure & Barring Service (DBS) (previously known as CRB) check.

2 Personal Details

3 Education and Qualification Details

Qualifications achieved or to be taken
Level e.g. GCSE Programme/Subject Language: Medium of learning Expected Grades Achieved Grades Award Date

4 Supporting Information

5 Learning Support

Do you have a link worker, carer, social worker or probation officer that supports you? If YES, please discuss at interview. Learner Services will contact you for further information.

I agree that, in accordance with the Data Protection Act 1998, Grŵp Llandrillo Menai may collect, process and hold the information submitted in this form, including any information which falls within the definition of "sensitive personal data" under the terms of the Data Protection Act 1998, for the purposes of processing this form.

You are strongly advised to seek further guidance on what financial support is available, for your own personal circumstances, before applying for a College programme.

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