Salford City College - Application Form

If you are having any issues submitting your application please email centadmin@salfordcc.ac.uk and we will send you an application form in the post.
Alternatively, you can download them here. Please note there is a different form for each college centre.


* Fields must be completed

Personal Details
Title: *   
Surname: *  
First Name: *  
Second Name:
Preferred Name:
Date of Birth:    *  
Gender: *   
Address:  *
 
Town/City:  *
 
County:
Country:
Post Code:
Telephone: *
 
Mobile No:
Email:
 

Age  
     

Extra Details

If you are under 19, please provide the extra details below. If you are 19 years or older, you may leave this section blank.

Names of parents/guardians:
Parent/Guardian Telephone:
High School Attended/Attending:  
Date of Leaving (Month/Year):

Course Details
Name of the course for which you are applying.
 *  

If you do not have a specific course in mind, please enter the area of learning that you are interested in.

Level
(e.g. A-Level, apprenticeship, level 2, advanced)

Please select the College centre or centres that you wish to apply to:
Centres:

Equal Opportunities

Ethnicity
















 *  

Have you previously been a student or applied to be a student at Salford City College?

If you have a special need or disability which we may be able to help you with, please tick this box.  

If you have ever been in care, please tick this box

(A declaration here will only be passed to Student Services who will contact you to discuss your needs.)
Have you been resident in the UK or EEU for the past 3 years?
*    

Examinations obtained, awaiting results, or to be taken.
Subject Level Result Year


Further information

Please give any further information which you feel will support your application. You might like to include any voluntary work, spare time hobbies, interests, sports or work experience.