Please note all fees are due regardless of withdrawal from the course(s) (See terms and conditions of enrolment) Data on this form will be stored on a computer. Information from this form will be sent to the DCFS, EFA, SFA, The Connexions Service and other government bodies.

Please tick any of the boxes which are relevant. A member of the Learning Skills Team will contact you to discuss your support needs.

Please see 6. Previous Education/Qualifications of this form for a full list of our full Level 2/Level 3 qualifications. If you do not have a Full Level 2 qualification and are aged 19-23 or if you do not have a Full Level 3 qualification and are aged 19-23, you may be entitled to free tuition (other fees may still apply), please see the fee section in the Part-Time Prospectus for clarification and eligibility. If you meet the criteria, please complete the C01 section at the end of this form. If you are 24 or above and applying for a Level 3 course or higher, then you may eligible for a Further Education loan to pay your fees. Please see www.gov.uk/advanced-learning-loans for details.

The College abides by the Data Protection Act 1998. The personal information you have provided will be processed by the College for the purposes of providing educational and related services. The information may be disclosed to specific third parties, such as the Learning Partnership West and examination boards if relevant. The College’s Data Protection Policy and Data Sharing Declaration can be found at: www.citybathcoll.ac.uk/privacy Please note that parents have no automatic right to information about their sons/daughters but it may, in certain circumstances, be beneficial for the College to liaise with parents, provided the student is given the opportunity to object to a disclosure being made. If you disclose a learning disability, the information will be used for the purpose of determining what adjustments, if any, are reasonable to ensure you are not put at substantial disadvantage. The information will be disclosed only to those staff that need to know in order to implement such reasonable adjustments.

I declare to the best of my knowledge that the information I have given is correct and that should my circumstances change I will inform the College immediately. • I agree to abide by the terms and conditions of the College as set out in the College Prospectus 2014/15 • I confirm that I have received guidance and assessment in relation to choice and suitability of the programme of study, entry requirements and support available. I am aware that I am entitled to further impartial guidance about my choice of programme of study from the College. I understand that Bath College will need to process personal information about applicants/ students in order to make admissions decisions and to provide education and training in accordance with the details set out above. I understand that by submitting this enrolment form, I am agreeing to personal details being processed and shared with relevant third parties of the College. I confirm that all the information on this form is correct and I understand that if I have declared false information the provider may take action against me to reclaim the tuition fees and any support costs provided.

Once your application form has processed one of our team members will be in touch regarding payment details.