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Application Process

To apply for Pure College, you can download and print the Pure College Application Form or apply online using the form below.

Download Application Form

Application Form

Pure College Application for Admission September 2024 If you are under 19, please complete the form with your parent/carer.

The information provided is confidential and will be used to process your application accurately and efficiently, for further information on how we use and store personal and sensitive information please refer to our website: https://www.pureinnovations.co.uk/about/privacy-notices/pure-innovations-privacy-notice/

"*" indicates required fields

Personal Details

Name*

First Last

Date of Birth*

Age on 31st August*

Gender*

Address*

Street Address Address Line 2 City Post Code Country

Home Phone Number*

Mobile Phone Number*

Your email address (or best email address to use)*

Country of Birth*

Nationality*

Ethnicity*

Have you lived in the UK for the last three years?*

Yes

If you were not born in the UK, what date did you come here to live

Parent/Carer Details

Name of Parent/Carer*

First Last

Relationship to you*

Parent/Carer phone number*

Parent/Carer email address*

Is their address the same as yours?*

Yes

Address if different to yours

Street Address Address Line 2 City Post Code Country

Emergency contact details*

Are your parent/carer’s details to be used as your emergency contact?

Yes

Emergency Contact Details (if different to parent/carer)*

Education Details

Please list the course/courses you would like to study at Pure College*

What areas of work experience are you interested in?*

Please list all the schools and colleges you have attended and the dates:*

Remember to include any primary, secondary and colleges

Please list your qualifications*

Include dates, subject, level and grade

More About You

What do you like to do in your spare time?*

What are you most proud of?*

Why do you want to attend Pure College?*

What would you like to do when you leave college?*

Support Details

Do you have a difficulty or disability?*

Yes

If yes please tick below which apply to you (you may tick more than one)*

Please give further details*

Please tell us what support and adjustments you may need for your initial meeting with us?*

Please tell us what support and adjustments you may need for when you come to college?*

i.e. Do you have any medical needs, dietary requirements, require specialist equipment or personal care needs?

How do you currently travel to school/college?*

Please tick if you are?

Care Leaver

Young person in care

Young carer

Young parent

Eligible for free school meals

Receiving Income Support/ Universal Credit

Receiving Employment and Support Alliance

Further information

Do you give consent for us to contact your Local Authority for a copy of your EHC Plan*

Yes

Do you give consent for us to contact your current School/College?*

Yes

Disclosure of Criminal Convictions

Because you are applying for an educational training placement where you will study with other young adults with a range of disabilities, we ask you to tell us about any convictions you may have. In the event of placement, failure to disclose past convictions may result in expulsion.

Have you ever been convicted of any criminal offence(s)?*

Yes

Declaration and Consent

Please select one*

Are you a Student over the age of 19

Are you a Parent/Carer of a Student – required for all students under the age of 19

Declaration of Students Over 19

(If you are under 19, please select “Are you a parent/carer of a student” above)

Declaration*

I have competed this application as fully as possible and all the information is correct to the best of my knowledge. I understand that Pure College may ask my current school or college for a reference and may ask for a report to support my application.

I do/do not give consent for images to be used as evidence of achievement for assessment purposes.

I do give consent

I do not give consent

Declaration of Parent/Carer (required if the student is under 19)

Declaration*

I have supported the above-named person to understand and help complete this form, the information given is complete and accurate to the best of my knowledge, and no information which may affect the safety and welfare of this person or others at the College has been withheld or omitted.

I do/do not give consent for images to be used as evidence of achievement for assessment purposes.

I do give consent

I do not give consent

Name

This field is for validation purposes and should be left unchanged.