Borders College
Head Office
Scottish Borders Campus
Nether Road, Galashiels
TD1 3HE
Tel: 08700 50 51 52
Fax: (01896) 758179
Charity Number SC021180

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Application Form

Please read through this form carefully BEFORE filling in and submitting it by clicking the button at the bottom of the page.

Course(s)

1st Choice:

2nd Choice:

Personal Details

Mr Mrs Miss Ms

Surname:

Forename(s):

Date of Birth:

(DD/MM/YYYY)

Gender:

Male Female

Tel No:

Mobile Tel No:

Email Address:

Address for Mail:

Postcode:

Nationality:

N.I. Number:

School Attended

Name of School

Date left School

 

Next of Kin

Mr Mrs Miss Ms

Name:

Tel No:

Address

Postcode:

Relationship


Scottish Candidate Number (SCOTVEC)(SQA)

Have you previously registered with SQA: Yes No

Please enter your registration number (see your results certificate):

Qualifications Already Achieved (if any)

Please include Subject, Level and Grade:

Qualifications Currently Studying/Awaiting Results (if any)

Please include Subject, Level and Grade:


Work Experience (if any)

Please include Name & Town of Employer, Dates and Duties:

Hobbies and Interests:


References -
Please give names and addresses of two referees (not friend or relative)

School Leaver only:
 Your Head of Guidance will be requested to provide a reference (you do not need to provide further referees)

Reference 1

Name:

Occupation:

Address:

Postcode:

Full Tel No:

Reference 2

Name:

Occupation:

Address:

Postcode:

Full Tel No:


Marketing Information

Where did you learned about study opportunities at Borders College:

Friend or Relative

Newspaper Advertising

Careers Service

Phoned/Visited College

Guidance Teacher

Visited College Web site

Employer

Radio / TV

Other (please state):

 

Disability list:

No known disability
Dyslexia

Blind / Partially sited
Deaf/have hearing impairment
Wheelchair/Mobility Difficulty
Personal care support
Mental health difficulties
An unseen disability, e.g. diabetes, epilepsy, asthma
Multiple disabilities
A disability not listed

If you have any mobility difficulties, or any other special requirements, and would like assistance when attending your interview and/or during your course if study, please tick the box .

 

Is English your first language?

Yes No

If 'no' will you need help with reading or writing English?

Yes No

The information you provide will be dealt with confidentially and shared with the Access Co-ordinator and members of staff involved with providing you with any necessary support.

 

Accommodation

Borders College does not have its own Halls of Residence however we do have a partnership arrangement with Heriot-Watt University to provide a limited number of rooms within their Halls for Borders College students. Spaces are limited and priority will be given to students who are not normally resident within the Borders area. If you do wish to be considered for accommodation within the Halls of Residence, please tick box

 

Convictions

Do you have and spent or unspent convictions?

If you are selected for interview for your chosen course you will be required to supply details in a letter marked 'Private and Confidential' detailing the conviction(s).  The content of the letter should outline the incident(s), when it was, how it was dealt with (i.e. sentence received), explanation of circumstances at the time and what are your current circumstances. 

 

Limited Liabilities

Borders College has the right to amend the content of the courses without any form of compensation becoming payable to students. In the event of a course being cancelled, the College's liability will be limited to a refund of fees already paid.

 

Data Protection

The College is registered under the Data Protection Act 1998.  At no time will your personal information be passed to organisations for marketing or sales purposes, although the College may use it internally to improve the service we offer to students. The information provided in the form may be shared with relevant organisations, including examination bodies, The Scottish Funding Council (SFC) and the Scottish Executive SE and Careers Scotland.  The methods of storing and using your information are subject to other Acts of Parliament.

The College may use your personal details to contact you with relevant marketing information. 

 

Tick this box if you do NOT want to be contacted in respect of such surveys.

I have read, understood and accepted these conditions.  I declare that the information I have provided is correct.


Ethnic Group

Please indicate your ethnic group. This information is required for statistical purposes only).

White
Scottish English Welsh Irish
Any other white background

Mixed
Any Mixed Background

Asian, Asian Scottish or Asian British
Indian Pakistani Bangladeshi Chinese
Any other Asian Background

Black, Black Scottish or Black British
Caribbean African
Any other Black Background

Other Ethnic Background
Any other Ethnic Background

Information Refused / Unknown
Information Refused / Unknown


 

If you have not received an acknowledgment from us within 5 working days please get in touch by calling 01896 662516.



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