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Application Form

Application Form

If you are human, leave this field blank.

WEBSITE UPDATE

We’re currently upgrading our website and application form from 27th November – 30th November.

Please complete the form below, and we will call/email on Monday 30th November to confirm your application and interview

Application Form

Title

First name(s):

Surname:

Date of birth

Address

Postcode

Telephone Number

Email Address

Course you wish to apply for? *

Current School / Sixth Form/ College

Have you studied at Kiddermister College previously?

Yes

No

Do you have a disability?

Yes

No

Do you have an Educational Health Care Plan (EHCP)?

Yes

No

We want you to know exactly what we do with your data and why we need the above information to process your enquiry. Please state that you have read and agree to our Privacy Policy You must accept the terms and conditions

I Agree

We’d love to contact you by email, phone, SMS and post with information on courses and events which may be of interest to you. Please let us know if you would like to continue to receive this information via:

Email

Phone

SMS

Post

Reception: 01562 820811

Learner Services: 01562 512003

E-mail: enquiries@kidderminster.ac.uk

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