Application form - Hartlepool Sixth Form

Do you know the course you want to study?*
- Yes
- No, I'd like some advice and guidance to help me choose.

Which course would you like to study?*
A-Level Course 1*
A-Level Course 2*
A-Level Course 3*
Are you interested in an apprenticeship?*
- Yes
- No
Family name*
First name*
Date of Birth*

Day
Month
Year
Hidden
Age
Legal Sex*
- Male
- Female
House Number / Name*
Street*
City/Town*
Postcode Out*
Postcode In*
Student Email*
Student Mobile*
Last school attended*
Learning difficulty, disability or other health problems*
Have you had support in the past for a learning difficulty, a disability or other additional support needs please specify?
- Yes
- No
if yes, please provide details:

In order for us to process your application, the information you have provided in your application form will be shared with college staff to set up course admission appointments, assessments if needed and to invite you to open events and enrolment days. If you are 18 or under at the start of your course, we will also share information relating to to the offer we have given you with the local authority to support them in their duty to keep young people in education, employment and training*
Please tick to confirm you understand this is a mandatory element of your application
We may need to contact you using all of the information you have provided in your application form, but only in relation to your application*
Please tick to confirm you understand this is a necessary to progress and submit your application.
From time to time, we would like to send you updates of Hartlepool Sixth Form courses, news and information relevant to your application
Please tick the boxes below to let us lnow which ways you’d prefer to be communicated with:
- Email
- Phone
- Post
Privacy Statement*
Please tick to confirm you have read and understood our Privacy Notice

Now is the time to follow your dreams