Stafford College Logo Request a Prospectus Follow us on Twitter
Read about e-safety on our e-safety page under "about us" menu		 See us on Flickr
Read about e-safety on our e-safety page under "about us" menu		 Join us on Facebook
Read about e-safety on our e-safety page under "about us" menu		 Watch us on YouTube
Read about e-safety on our e-safety page under "about us" menu		 Subscribe to our RSS
NB. Will open in browser		 Decrease Font Size
 NB. Changes size of text		 Increase Font Size
NB. Changes size of text		 Low Contrast
Telephone Number View our Ofsted Inspection Report
Email the college
             
  • Personal Details
  • Course Details
  • Additional Information
  • Declaration
Personal Details
Title
Forename(s)
Surname
Address
Town
County
Postcode Exceeded maximum number of characters.
Telephone (home)
Telephone (mobile)
Email address
Date of birth
Sex
Nationality
Ethnicity
Have you been permanently resident in the UK and/or the European Union in the last 3 years?
Yes     No
If not, what is your country of residence?
Course Details
Please enter the details of the course(s) you wish to take.
Course Code Course Title Course Year (1 or 2) Start Date Start Time
Additional Information
Please answer the following questions, if you would like to discuss these with a member of staff please tick the relevant box at the bottom.
Yes    No Do you have a relevant (unspent) criminal conviction?
(If yes or unsure you will be required to provide details on form CSV8, available from the enrolment centre)
Yes    No Have you ever attended a course run by Stafford College previously?
If so, and you were using a different surname, please provide it here:
Yes    No Do you have a disability? (e.g. visual or learning impairment?
Yes    No Do you have a learning difficulty? (e.g. dyslexia)
Yes    No Do you have a health condition? (e.g. epilepsy, asthma, diabetes, arthritus etc.)
If you have answered yes to any of the above 3 questions, you will be required to fill out form CSV9 upon enrolment

Please tick this box if you prefer to discuss any matter confidentially with a member of our DHCA team.
Student Declaration
  1. I confirm that to the best of my knowledge the information given on this form is correct and complete.
  2. I have received information on my chosen course(s) and understand that, if required, I have the opportunity to discuss my choice(s) with an advisor.
  3. I give my consent to the College to pass on any personal information I have disclosed regarding any learning difficulty/disability, health condition or criminal conviction to relevent member(s) of College staff to help me with my studies.
  4. I understand that my enrolment may be subject to an assessment of risk by the College if I have disclosed a learning difficulty/disability, health condition or criminal conviction.
  5. I agree to abide by the terms and conditions of the Colleges Student Code of Conduct, which is included in the Student Handbook.
  6. I understand that College course fees are not generally refunded and that fees normally remain payable if I should withdraw from the course.
  7. I understand that if my course fees are not paid in full I will not be enrolled on a new course, until all outstanding debts have been paid.
  8. I understand that the information I provide to the College on this form will be passed to the Learning and Skills Council (the LSC) which is registered under the Data Protection Act 1998. The registration is primarily for the collection and analysis of statistical data but it also allows the Council to share information with other organisations for the purpose of administration, careers and other guidance and statistical/research purposes.
    • Please tick this box if you do not wish to be contacted by the LSC or its partners in respect of your views on the education or training you receive
    • Please tick this box if you do not wish to be contacted by the LSC or its partners about courses or learning opportunities relevant to you
I agree to the above statements. Date : 31/07/2010
Click here to:
 

 

Please fill in all the required fields making sure all the details you supply are correct.

Once you have completed a section, click the next tab along and repeat until all 6 sections are complete.

Once complete press the submit button
Go to the top of page            
Contact the College
General enquiry: 01785 223 800
Full-time enrolments: 01785 275 468
Part-time enrolments: 01785 275 607
Email: enquiries@staffordcoll.ac.uk
Stafford College, Earl Street, Stafford ST16 2QR		 Links
Training Solutions
Stafford Beauty Academy
Butterflies Nursery
Staffordshire University
Train to Gain
www.lsc.gov.uk
Matrix Standards Investors in People Positive About Disabled People
Matrix Standards Investors in People Positive About Disabled People
Matrix Standards Investors in People Positive About Disabled People