Year 12 (KS5) Admissions for September 2021

How to apply:

Applications to join Year 12 in September 2021 are made directly with us at the UTC.

Please complete the online application form below.

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

* Indicates a required field

Application Form:

    Student Details

    Your Forename:*

    Your Middle Name:

    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

    Select Curriculum Options*

    Please choose your triple award pathway below

    Please choose your A Level choice below

    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.




    Statement for Completion by Parent/Carer
    Please completing this section you give this application your support.

    Title (Please choose one):*

    Parent/Carer's full name

    Address (if different from that of applicant):

    Email*

    Telephone number

    Mobile number*

    Relationship to student (Please choose one):*

    Relationship (if other):

    Statement for Completion by another Parent/Carer
    Please completing this section you give this application your support.

    Title (Please choose one):*

    Parent/Carer's full name:*

    Address (if different from that of applicant):

    Email*

    Telephone number

    Mobile number*

    Relationship to student (Please choose one):*

    Relationship (if other):



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    Other (please specify):


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