| College Course/Programme |
| Chosen course: |
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| Secondary Choice: |
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| For GCSE/AS levels please list choices if known: |
| Choice 1:
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Choice 2:
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| Choice 3:
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Choice 4:
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| Choice 5:
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Choice 6:
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| What are your future career plans? |
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| How did you first find out about these college courses? |
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| If other, please specify: |
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| Please tell us about your hobbies & interests |
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