Norland College - Online Application Form

Name in Full:
Address:
Post Code:
Home Telephone:
Mobile:
Email Address:
Date of Birth:
Select the year you wish to enter Norland College?
How old will you be on 1st Sept of that year?

Which course are you hoping to study? (please tick one):

Diploma in Childcare and Education Level 3
BA (Hons) Early Childhood Studies (Norland)

Education (Schools and Colleges) attended:

Education (Schools and Colleges) attended, please include dates from and to:

Please give details of public examinations passed - please include:

Subject | Grade | Year | Exam Type/Level:

Please give details of public examinations to be taken - please include:

Subject | Pred Grade | Year | Exam Level:

Please give details of any work or voluntary experience with children:

Work Experience:
How many days absence from school/work have you had in the last two years (if any)?
Please give the name and address of your doctor to whom we can refer if necessary?

Please give details of two referees (not relatives). One should be your most recent educational referee.
Provide: Name, Address, Telephone and Email Address

Referee 1:
Referee 2:

Please upload a covering letter (Word Document) for your application:

[A covering letter is compulsory for all applications]

Covering Letter:

Places are offered to students subject to references, which are considered by the college to be satisfactory, satisfactory
completion of a Health Questionnaire which is to be returned by the applicant to the college Medical Health Advisor and
completion of a satisfactory Enhanced Disclosure from the Criminal Records Bureau. (Norland College is an organisation
which is exempt under the Rehabilitation of Offenders Act 1974 and requires all students and staff to apply for an Enhanced
Disclosure from the Criminal Records Bureau.)

How did you hear about Norland College? (please tick)

Friends/family
Media (including internet)
Careers event at school
Other (please specify)