ADULT EDUCATION
ADULT EDUCATION
GCSE English Language
GCSE Mathematics
GCSE Psychology
GCSE Science (21st Century)
Single Award
2015-2016
Application Form
THINGS TO CONSIDER BEFORE APPLYING:
1. Our GCSE courses involve taught classes which take place on Monday and/or Tuesday evening
(between 6 pm to 9 pm) in term time.
2. You MUST be able to attend weekly.
3. For the duration of the course, you MUST have in place childcare or make prior arrangements
with your employer to be available each week to attend class.
4. We EXPECT YOU to make a strong commitment to the course and attend classes. This is
particularly important in English, Psychology & Science where you undertake controlled
assessments during class time.
5. You MUST ensure you will be available in the daytime for examination(s) in late May/early June
2016.
Please ensure you fully complete all sections of the application form, as your application is
considered on the information given. Once completed post, hand deliver, or email your
application form to:
Sheila Lahan (Mrs), Assistant Head of Adult Education
Aquinas College
Nangreave Road
Stockport, Cheshire SK2 6TH
sheila@aquinas.ac.uk
Application Form 2015-16
ADULT EDUCATION
If wish to speak to someone before you complete this form, please telephone 0161
to arrange an appointment.
419 9163
GCSE English Language (AQA)
GCSE Mathematics (Edexcel)
GCSE Psychology
GCSE Science single award, 21st Century (OCR)
Equal Opportunities Statement
Aquinas College Adult Education is committed to:



Promoting and supporting learning for each individual
Equality of opportunity
Non-discriminatory practices
Aquinas College welcomes learners to the college regardless of the racial, ethnic or national origin, age, disability
or sexuality.
We aim to ensure that all students at Aquinas College receive a high standard of education and service since we
strive to put into practice the Gospel spirit of freedom, justice and love which is at the very heart of our philosophy.
PLEASE COMPLETE IN BLOCK CAPITALS (handwritten or word processed accepted)
PERSONAL DETAILS:
Title:
Mr/Mrs/Miss/Ms/Other (please state) __________
Gender:
First Name (s):
Surname:
Male

Female

Date of Birth:
Home address:
Home telephone No
Work telephone No
Mobile telephone No
Postcode
E-mail address:
UK Status:
Have you been living in the UK/EEA for the last 3 years?
Yes

No

PLEASE NOTE: College is only open two evenings per week; therefore only two courses can be applied
for. We do not guarantee acceptance onto two courses; this will be at the college’s discretion depending
upon the outcome of the initial assessments carried out at interview:
COURSE(S) YOU WISH TO APPLY FOR:




GCSE English Language
GCSE Mathematics
GCSE Psychology
GCSE Science (single award)
EDUCATIONAL BACKGROUND:
Please list the names and addresses of school/colleges attended. Start with the most recent:
Date from
Date to
School/College
Please list examinations taken/qualifications achieved.
Awarding
Body e.g.
City & Guilds
Edexcel
Subject(s)/ Course(s)
Start with the most recent:
Qualification, e.g.:
Year taken
O level, GCSE, AS/A
Level, NVQ, Access
Results
(grades if
possible)
ETHNICITY:
Ethnic origin information is required as part of our monitoring of the College’s Equal Opportunities Policy
Please tick the most appropriate box :
White – British (31)
White – Irish (32)
White – other White background (34)
Asian or Asian British – Bangladeshi (41)
Asian or Asian British – Indian (39)
Asian or Asian British – (40)
Asian or Asian British – other Asian
background (43)
Asian - Mixed – white (37)
Black African - Mixed – white (36)
Black Caribbean - Mixed – white (35)
Black or Black British – African (44)
Black or Black British – Caribbean (45)
Black or Black British – other Black background
(46)
Chinese (18)
Mixed – other mixed background (38)
Other (98)– please specify:
__________________
Prefer not to say
ADDITIONAL SUPPORT:
The college wants to support students in as many ways as possible. Please give details of any health/physical conditions
that may require special arrangements (wheelchair access, specific learning needs etc.).
Are there any areas that you might need help/support with? (e.g. spelling, writing, fractions. percentages):
Yes  (please state what): __________________________________________________________________________
No

Course Fees
English &
Maths
NO FEE if you do not already have a
GCSE Grade C
If do you have a Grade C and want to improve this
fees will be due:
Estimate of £365.00
(to be confirmed in June)
An Instalment scheme is available.
Science
NO FEE if you are in receipt of:
Job Seekers Allowance
Employment Support Allowance
(work activity group)
Universal Credit (mandated to seek
work)
Evidence will be requested at your
first appointment for audit purposes.
If you do not receive any of the benefits listed, fees
will be due:
Estimate of £385.00
(to be confirmed in June)
An Instalment scheme is available.
Psychology Estimate of £385.00 (to be confirmed in June).
An Instalment scheme is available.
We MAY be able to offer a small number of students a reduction in fees if you are in receipt
of:
 Job Seekers Allowance
 Employment Support Allowance (Work Activity Group) OR
 Universal Credit (mandated to seek work);
Evidence has to be seen if you are offered this option.
MARKETING:
How did you hear about the Aquinas College Adult Education Centre? (Please tick)
 The Review
 Leaflet
 Local Library
 Internet search
 Other College/educational provider
 Other, please specify: ________________________
 National Careers Service
 Word of mouth
EDUCATIONAL/CAREER AIMS:
On a single sheet of A4, using a minimum of 200 words:
DESCRIBE:
1. Why you are applying for this course?
2. Your educational background including any voluntary work you are or have been involved in
EXPLAIN:
1. Any difficulties you may have had at school and what they were
2. (This question for English, Maths & Science only):
Why you have not yet achieved this qualification
PLEASE NOTE HERE ANYTHING YOU FEEL MAY BE RELEVANT WHICH HAS NOT BEEN REQUESTED
ALREADY:
Interview and/or our decision about your application
Your application will be processed by the relevant curriculum department and you will be invited to book an
appointment to attend an interview.
At the interview you will be asked to complete an Initial Assessment for literacy and/or numeracy which will help
us decide if this is the correct course for you and also helps us to identify any possible support that you might
need. Also, you will need to demonstrate to the course tutor/advisor that you have the commitment and skills
necessary to successfully complete the course.
Acknowledgement of your application
We will send you an acknowledgement within 5 days of receipt of your application. If you have not heard from us
within ten days, please contact our Adult Education Helpline (0161 419 9163) or email: sheila@aquinas.ac.uk
DECLARATION:
I CERTIFY THAT THE DETAILS GIVEN IN THIS APPLICATION ARE CORRECT.
Signature
Name (PRINT)
Date