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Qdos Online Application

Part 1
Part 2
Part 3
Part 4
Part 5
Complete

Contact Details

First Name(s)

Surname

Date of Birth

Male / Female
Male Female
Home Address

Post Code

Home Tel No.

Mobile No.

Email Address


Parent/Guardian/Carer's Name(s)

Address (if different from above)

Post Code

Contact telephone number

Ethnic Origin

Asian or Asian British

Bangladeshi
Indian
Pakistani
Chinese

Black or Black British

African
Caribbean
Other black background

White

British
Other white background
Other

Mixed

White & Asian
White & Black African
White & Black Caribbean
Other mixed background

Residency

Do you live permanently in the UK?
Yes No
Have you lived outside the EU in the last 3 years?
Yes No
Are there any restrictions on your length of stay in the UK? (eg: Visa)
Yes No

Current School

Address

Post code

Start Date


Previous School

If you have attended another secondary school please give details

School Address

Start Date

Leaving Date

Course Applying for:

Higher Diploma in Sport and Active Leisure (Level 2: 1 year course)

Advanced Diploma in Sport and Active Leisure (Level 3: 2 year course)

Apprenticeship in Coaching, Teaching & Instructing (Level 2: 1 Year course)

Apprenticeship in Instructing Exercise & Fitness (Level 2: 1 Year course)

Additional Learning

As part of the Advanced Sport and Active Leisure Diploma you are required to study another Level 3 qualification. Please state below which Level 3 option you wish to follow:

BTEC Level 3 Subsidiary Diploma in Sport

A-level (please list below those you would be interested in studying)


1)
2)
3)

Supporting information

Please use this space to tell us about you, your interests and your ideas for your future. Alternatively, you may email your Personal Statement and/or CV.

Qualifications

eg: GCSE’s, BTEC, Diploma, Functional Skills etc.

Qualification
Including Subject 		Actual/Predicted
Grade		 Date

Accessibility

At Qdos we believe all students should have equal access to their courses and opportunities. Please use this section to identify any support requirements you may have. This information is confidential and will have no bearing on the offer of a place.

Please tick any of the following in which you may need support.

Academic support
Time management
Note taking
Organisation
Other (specify)

Access/Health

Visual Impairment
Hearing Impairment
Autism/Aspergers
Epilepsy
Diabetes
Asthma
Mobility/access
Allergy (Epipen)
ADHD/ADDL
Mental Health issues
Other (please specify)

Learning Difficulties

Dyslexia Dyspraxia
Other (please specify)

Special Aids

Learning support assistant
Other (please specify)

Final Step

Please check you have completed all 4 sections of the application and click the Submit Application button.