SECTION 1 - ABOUT YOURSELF
Surname:
First Name:

Other Forenames:
Gender:
Address:
Post Code:
Home Phone No:
Student Mobile Phone No:
Student E-mail address:
Nationality:
Date of Birth:
Have you been resident in the European Community for the last 3 years?
SECTION 2 - YOUR EDUCATION
Present or last School/College:
SECTION 3 - YOUR OPTIONS
Which courses would you like to study at KGV College? (please select up to 5 subjects in the drop down menus provided)
AS LEVEL
Subjects (list subjects in order of preference)
1
2
3
4
5
WE ARE A CENTRE OF EXCELLENCE FOR STUDENT SUPPORT
King George V College wants to support you in every aspect of College life to ensure that you stay healthy and safe and achieve your potential. If you think that there is anything that the College needs to know about your individual circumstances, in order that we may support you, for example, issues relating to Health, Disability or Learning difficulties, then please tick the relevant boxe(s) below.

Please tick if you need support with:
Health
Disability/Sensory Impairment
Learning Difficulties
I understand that the information disclosed will only be used to make necessary adjustments regarding the provision of support and also to monitor support across the college.

Please note: You will have another opportunity to discuss any requests for support during your ‘confidential’ interview.
DECLARATION I declare that the information given on this form, is correct to the best of my knowledge and that I agree to it being stored in electronic and manual form and being processed in accordance with the College’s registration under the Data Protection Act 1998 (this may include disclosure to those staff members of the College who have need to see it).