Skills Bootcamps Enquiry Form

"*" indicates required fields

Course Details

Please enter the Bootcamp you are applying for.
If you have a career route in mind, please enter it

Your Details

Please select your title
Please enter your first name
Please enter your last name
Date of Birth*
Please enter your date of birth
Please select your gender

Your Contact Details

Address*
Please enter your full address
Please enter your telephone number
Please enter your mobile phone number
Please enter your personal email address

Qualifications

Please enter your last place of study
Please enter the year that you started at your last place of study
Please enter the year that you finished at your last place of study
Qualifications*
Please enter all qualifications you have achieved during your studies. Please use the plus button to add more qualifications.
Subject and Level
Predicted Grade
Please state if you achieved this: at school/home education OR after school leaving age in further education / 6th Form
 
Please tick this box if you are currently home educated.
Please tick this box if you are currently home educated.

Nationality

Please enter your nationality.
Please select your country of residence.
Have you been living in the United Kingdom for the past 3 years?*
Please select if you have been living in United Kingdom for the past 3 years.

Please note: You will need to bring to interview your Passport and any other identification upon request.

Support Needs

We provide a range of support for students with disabilities and support needs. To ensure that we can provide you with any additional support you need during the application process, at interview and beyond, if you have a disability and/or support need, please tick the relevant boxes below as appropriate:

Support Needs
Please select all of the support needs you require.

If you have ticked any of the above, we will contact you shortly to discuss further support needs.

Are you currently in care or a care leaver?*
Please select if you are currently in care or are a care leaver.
Do you have any convictions which are not yet spent under the Rehabilitation of Offenders Act 1974 (as amended)?*
Please select if you have any convictions which are not yet spent under the Rehabilitation of Offenders Act 1974. For further advice regarding unspent convictions contact NACRO at www.nacro.org.uk
If you have a key worker or support worker, select enter their contact details.
Do you require any alternative arrangements or additional support to assist you at your interview?*
Please select if you require any alternative arrangement or additional support at your interview.

We would like to talk to you about your support needs at interview; you may bring someone to support you if you wish.

Where did you hear about us?

Tick all that apply.
Please select where you heard about us. Tick all that apply.

Declaration by Applicant

East Coast College has produced a Privacy Notice for students which is in accordance with the GDPR and the Data Protection Act 2018.

The Privacy Notice is available on request and can be found on the College website at www.eastcoast.ac.uk/legal (opens in new tab).

If you have any questions about this notice or the ways in which we use your personal information, please contact our Data Protection Officer at St Peters Street Lowestoft, NR32 2NB or dataprotection@eastcoast.ac.uk

I certify that all the information provided is correct. I agree that admission as a student is subject to my acceptance of the colleges regulations.*