Enrolment Form | Pembrokeshire College

Note:

If you live outside the EU please use the International Section to look at available courses or go straight to the International Application form.

You should complete this application form if you are applying for either:

Full-time or part-time Further Education courses for example AS Level / NVQ

Part-time Higher Education courses for example Degree / HNC / HND

Further Education applications are welcome from all members of the community over the age of 16 on 1 September at the start of course.

Full-time or part-time Further Education courses for example AS Level / NVQ

Higher Education (eg. HNC, HND and degree) applications for part-time courses are welcome from all adults, usually over 18 years of age on 31 December in the first year of the course.

Higher Education applications for full-time courses should apply through UCAS at www.ucas.ac.uk

The College makes all reasonable efforts to ensure that the contents of the Student Guide (prospectus) and website are accurate and deliver the programmes of study and research opportunities and other services and facilities in the way described in the Guide and website. The College will provide students with the tuition and learning support and other services and facilities it describes with reasonable care and skill. However, the College shall be entitled if it reasonably considers it to be necessary (including in order to manage its resources and pursue its policy of continuous improvement appropriately):

to alter the timetable, location, number of classes and method of delivery of programmes of study, provided such alterations are reasonable;
to make reasonable variations to the content and syllabus of programmes of study (including in relation to placements);
to suspend or discontinue programmes of study;
to make changes to its regulations, policies and procedures which the College reasonably considers necessary;
not to provide programmes of study or to combine them with others if the College reasonably considers this to be necessary (for example, because too few students apply to join the programme for it to be viable).

In the unlikely event that the College discontinues or does not provide a programme of study or changes it significantly before it begins:

1. The College will inform relevant individuals as soon as reasonably practical;
2. An individual will be entitled to withdraw his or her application within 14 days of being informed of the change;
3. For those individuals that are either enrolled on a course which is discontinued or withdrawn their application under paragraph 2 above, the College will make an appropriate refund of tuition fees and deposits paid.

Upon acceptance by an applicant of an offer of a place at the College, the relationship between the applicant and the College becomes contractual. In entering into that contract, neither the student nor the College intends that any of the terms of the contract will be enforceable by virtue of the Contracts (Rights of Third Parties) Act 1999 by any person not a party to it.

The College has a disciplinary procedure which is available in the student handbook and on the intranet. The College reserves the right to withdraw any offer of a place if information becomes available which has not been declared in this application form.

The College will not be liable to you for any representations or descriptions in this form, or in any other College documents and publications including website publications, and/or made to you verbally, unless and to the extent confirmed in the terms as outlined above. The College does not exclude any liability which it would be unlawful to exclude.

The College will not be liable to you in any manner whatsoever for any failure or delay, or for the consequences of any failure or delay, in performance of any contract with you if it is due to any event beyond our reasonable control including, without limitation, strikes, lockouts or other industrial action or disputes (whether involving our workforce or any other party), acts of God, pandemic, quarantine or widespread illness (whether affecting our staff and/or student body or otherwise), governmental requisitioning, emergency planning or provision, war, protests, fire, flood, storm, tempest, explosion, an actual, suspected or threatened act of terrorism, riot, civil commotion, national emergencies, breakdown of plant or machinery, or default of suppliers or sub-contractors.


Title:
Forenames:			Surname:
Date of Birth:	Day Mth Yr		Nationality:

Address:

Town:
County:
Post Code:
Telephone Numbers:	Day time:	Evening:	Mobile:
Email:

(If under 21 years old) Name of School\College last attended:
Year left/will leave:
UCI Number (Unique Candidate identifier) if known:

I am interested in studying the following subject(s)/courses(s), for example Business (please state course title)

Full-time:	Part-time Day: Part-time Evening:
Full-time with Sports Academy:
Apprenticeships:	NVQs at work: Pathway to Apprenticeships:
Please refer to the course information search pages for the full course name

Please state any qualification you have or expect to achieve before joining:
Qualification Level	Qualification Subject		Exam Year	Result (known or predicted)












Personal Statement - Tell us why you are applying to study the subject(s) you have chosen, including how it fits with your career aims.


Details of work experience (full or part-time). Include any work experience done through School/College
Please enter as much information as possible including employer, job title and dates


Have you ever studied at Pembrokeshire College before?			Yes No
If yes, please state your last course and grade(s):

Please select the level of your spoken Welsh
None <---- 0 1 2 3 4 5 ----> Fluent

Did you have support, such as extra time in exams, at school? Yes No
If yes, please specify:
Do you have a medical condition, for example Epilepsy? Yes No
If yes, please specify:
Do you regard yourself as having a disability or learning difficulty? Yes No
If yes, please specify:
Have you been in care? Yes No
If yes, please give dates.	From: To:
Do you have any criminal convictions, or charges pending? Yes No The College has a disciplinary procedure which is available in the student handbook and on the intranet. The College reserves the right to withdraw any offer of a place if information becomes available which has not been declared in this application form.

How did you hear about us? Please tick as many boxes as apply
Advice			Media
1. College Admissions			10. Radio Pembrokeshire
2. Careers advisor			11. Western Telegraph
3. Word of mouth (parent)			12. Tenby Observer
4. Word of mouth (other relative/friend)			13. Milford & West Wales Mercury
5. Teacher			14. County Echo
6. Learndirect			15. Tivyside
Event			Websites
7. College Open Day			16. College
8. County Show			17. Careers Wales
9. Careers Fair (please specify)			18. Other (please specify)
Other
Please specify:

Further Information
If you would like further information about our facilities and support services, call us or click on the links below.
Facilities - Call 01437 753 100 or go to facilities			Support - Call 01437 753 133 or go to support
Learning Centre Eating Areas Bright Start Day Nursery (for 0-7 year olds) Hair and Beauty Salon Complementary Therapies Salon Merlin Theatre			For students with Disabilities Learning Support Tutorial Support Travel Information Student Financial Advice and Support Careers Advice and Guidance

Data Protection Act
By completing this form, I agree for my personal details to be stored on a secure College database which can be inspected on request from the Computer Services Help Desk.
Please tick the box if you do not want to be contacted by the College about future courses, this could be by mail, phone, sms text or email:

Please read the Important Information below before submitting
The College makes all reasonable efforts to ensure that the contents of the Student Guide (prospectus) and website are accurate and deliver the programmes of study and research opportunities and other services and facilities in the way described in the Guide and website. The College will provide students with the tuition and learning support and other services and facilities it describes with reasonable care and skill. However, the College shall be entitled if it reasonably considers it to be necessary (including in order to manage its resources and pursue its policy of continuous improvement appropriately): to alter the timetable, location, number of classes and method of delivery of programmes of study, provided such alterations are reasonable; to make reasonable variations to the content and syllabus of programmes of study (including in relation to placements); to suspend or discontinue programmes of study; to make changes to its regulations, policies and procedures which the College reasonably considers necessary; not to provide programmes of study or to combine them with others if the College reasonably considers this to be necessary (for example, because too few students apply to join the programme for it to be viable). In the unlikely event that the College discontinues or does not provide a programme of study or changes it significantly before it begins: 1. The College will inform relevant individuals as soon as reasonably practical; 2. An individual will be entitled to withdraw his or her application within 14 days of being informed of the change; 3. For those individuals that are either enrolled on a course which is discontinued or withdrawn their application under paragraph 2 above, the College will make an appropriate refund of tuition fees and deposits paid. Upon acceptance by an applicant of an offer of a place at the College, the relationship between the applicant and the College becomes contractual. In entering into that contract, neither the student nor the College intends that any of the terms of the contract will be enforceable by virtue of the Contracts (Rights of Third Parties) Act 1999 by any person not a party to it. The College has a disciplinary procedure which is available in the student handbook and on the intranet. The College reserves the right to withdraw any offer of a place if information becomes available which has not been declared in this application form. The College will not be liable to you for any representations or descriptions in this form, or in any other College documents and publications including website publications, and/or made to you verbally, unless and to the extent confirmed in the terms as outlined above. The College does not exclude any liability which it would be unlawful to exclude. The College will not be liable to you in any manner whatsoever for any failure or delay, or for the consequences of any failure or delay, in performance of any contract with you if it is due to any event beyond our reasonable control including, without limitation, strikes, lockouts or other industrial action or disputes (whether involving our workforce or any other party), acts of God, pandemic, quarantine or widespread illness (whether affecting our staff and/or student body or otherwise), governmental requisitioning, emergency planning or provision, war, protests, fire, flood, storm, tempest, explosion, an actual, suspected or threatened act of terrorism, riot, civil commotion, national emergencies, breakdown of plant or machinery, or default of suppliers or sub-contractors.

Pembrokeshire College Learning for Life

Note:

Pembrokeshire College
Learning for Life