Year 12 (KS5) Admissions for September 2019

How to apply:

Applications to join Year 12 in September 2019 are made directly with us at the UTC.

Please complete the online application form below.

The UTC has increased its PAN to 200 places for 2019.

Please refer to these guidance notes when completing the online application below (a copy is included in the PDF/hard copy application form on the last page).

Please note: If you have already applied and wish to make a change to your application, please contact us by emailing admissions@utcmediacityuk.org.uk stating your name, year group applied for, and changes to be made.

Application Form:

Student Details

Your Forename(s):

Your Surname:

Gender: MaleFemale

Date of Birth:

Address
Address Line 1:

Address Line 2:

City:

County:

Postcode:

Home Telephone Number (no spaces):

Student Mobile (no spaces):

Student Email Address:



Education Details

Options - Please choose 1080 GLH from the drop down lists:

Students do not need to choose an option from each column as long as the total number of Guided Learning Hours equals 1080

Please note: To study any Triple Award you must pick the corresponding double and triple award courses in Option 1 and Option 2

Current School

Do you know what career you want? If so please tell us here

Resident Status

Usual country of residence:
EnglandOther (please specify below):

Nationality:

Have you been a resident in the European Economic Area for the past 3 years?
YesNo

If NO, give date of entry to the EEA:



Equal Opportunities Monitoring

To help the UTC monitor its Equal Opportunities policy, please tick the box that best describes your ethnic origin:



Additional Support Details

We want you to get the best from your course so please let us know how we can support you. If you have any learning support needs, disabilities or medical conditions, we can contact you in confidence to discuss the support available.

Please indicate below what support needs you have:
Please feel free to contact us on 0161 661 3947 to discuss further.
Visual ImpairmentHearing ImpairmentDisability Affecting MobilityEmotional/Behavioural DifficultiesMental Health DifficultiesModerate Learning DifficultySevere Learning DifficultySpecific Language ImpairmentDyslexiaDyscalculiaAutism Spectrum Condition/Aspergers Syndrove



Reference
We will request this from your current school.


Parent / Carer Details

Parent / Carer's full name:

Address (if different from that of applicant):

E-Mail:

Telephone Number

Mobile Number



How did you hear about us?
Please tick all that apply:
RadioGoogle SearchSchool/Guidance AdviserCareers eventGoogleNewspaperFamily/FriendFacebookTwitter
Other (please specify):