NTU Progression
Year 12 - Application Form
NTU Progression is a programme of opportunities designed to support young people access and
succeed at university.
NTU Progression is open to young people in in Year 10 or Year 12 at school or college.
How do I apply?
You must complete all sections of this form and return it to progression@ntu.ac.uk or post to:
Nasser Latif, Shakespeare Villas, Shakespeare Street, Nottingham Trent University, NG1 4FQ.
Information provided on this form will be used for the purposes of prioritisation and selection.
Eligibility criteria
To be eligible for the scheme, applicants must have achieved 5 A*-C grades at GCSE level (or
equivalent) including English and Maths and meet at least one of the below eligibility criteria:
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Be studying a vocational course such as a BTEC or an NVQ.
Would be in the first generation of their family to have attended university (applicants
with siblings who have/are attending university are eligible).
Have had their studies disrupted by circumstances outside their control.
Have been eligible for Free School Meals at any time in the last 6 years.
Be in receipt of the 16-19 bursary.
Have a disability.
Have experience of living in Local Authority Care.
Reside in disadvantaged neighbourhoods (once you have completed your application, we
will inform you if you have met this criterion)
What happens next?
You will be contacted via email and informed of the outcome of your application. If successful,
you will be sent further information. If you have any questions or require any further
information, please contact Nasser Latif using the details below:
Telephone: 0115 848 2817 / 07833046465
Email: progression@ntu.ac.uk
Data Protection
In order to ensure that our activities are effective and reaching the right people, we collect and analyse statistical information,
including information about your ethnicity and disability statement. We may share the data held on this form with one or
more of the following receiving organisations:
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partner Higher Education Providers in the East Midlands,
the Higher Education Funding Council for England (HEFCE),
the Universities and Colleges Admissions Service (UCAS),
the Higher Education Statistics Agency (HESA),
the Department for Education (DfE),
Higher Education Access Tracker (HEAT) service subscribers,
the National Data Service,
your school or college,
the school or college’s Local Authority
East Midlands Widening Participation Research and Evaluation Partnership and the receiving organisations may then link data
from this form to additional educational data about you (including DfE attainment data held on the National Pupil Database,
UCAS records and/or HESA student records). We may access this data and use it to monitor the impact of our activities.
Any personal data we collect will only be shared with the partners mentioned above, all research publications will be
anonymised and the data will not be used for any other purpose. Data will be processed in accordance with the Data
Protection Act 1998. For more information, please see http://www.legislation.org.uk/ or call 01509 223462.
You are able to opt out of the information collected on this form to be used in the above mentioned research on Page 3.
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Personal details
If you are completing the form by hand, please use block capitals and black ink.
Student Full Name:
Date of Birth:
D
D
M
M
Y
Y
Y
Y
Gender:
Female
Male
Home Address:
Home Postcode:
Telephone number:
Mobile number:
Email Address:
Student Disability (please tick):
No known disability
Deaf/hearing impaired
Multiple disabilities
Dyslexia or other
Wheelchair user/mobility
Autistic Spectrum Disorder
learning need
difficulty
/ Asperger’s Syndrome
Blind/partially sighted
Mental health difficulty
Other disability
Unseen disability
Prefer not to say
Chinese
Black Caribbean
White & Black African
Bangladeshi
Black African
White & Black Caribbean
Indian
Other Black Background
Other Mixed Background
Pakistani
White
Other Ethnic Background
Other Asian Background
White & Asian
Prefer not to say
Student Ethnicity (please tick):
Educational background of parents / carers
Have any of your parents / carers been to university or taken a degree?
Yes
No
Don’t know
Parental / carer occupation - we would like to know the following information for research purposes only:
Please think about which of your parents or carers currently living in your home earns the most money. What is
their job?
Free School Meal (FSM) Eligibility
Have you been eligible for Free School Meals at any time in the last 6 years?
Yes
No
Don’t know
Prefer not to say
Care history
Are you living in or have any experience of living in Local Authority Care?
Yes
No
Prefer not to say
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16-19 Bursary
Are you in receipt of the 16 – 19 Bursary?
Yes
No
Prefer not to say
Education
School / College:
Course Type:
Year Group:
A-Levels
BTEC
Other Qualification (please state)
Subjects studied:
Have you achieved 5 A*-C grades at GCSE level (or equivalent)
including English and Maths?
Yes
No
Resitting
Application Statement
Please use this personal statement to tell us why you want to be a NTU Progression member
and how you think you will benefit from being selected. Please do not exceed the space
provided below.
Declaration
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PLEASE COMPLETE THE INFORMATION BELOW
Name:
Date:
(By writing your name you are consenting to your details being used to evaluate the effectiveness of our programmes, as
explained on Page 1. You can opt out below).
If you do not give your consent for the information collected on this form to be used in research
mentioned on Page 1, then please tick this box
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