Apply Online | Private College Kent | Earlscliffe Sixth Form

Step 1 of 6 - Reg form (universal)

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Student’s details

Student's full name*

Title First Last

Student Preferred Name*

If no preferred name, please repeat first name.

Gender*

Date of birth*

DD slash MM slash YYYY

Academic year of entry*

Proposed start month*

Course*

Study Type*

Select bedroom type

Is the student currently attending school?*

Name of student's current school attended or to be attended*

Address of current and/or previous school*

Street Address City ZIP / Postal Code Country

Right to Reside

Please note that the College is required to take steps to ascertain whether the student has permission to be in the UK and to study at the College.

Student's nationality:*

Please choose your student's nationality from the list above.

First language*

Is your child a British or Irish citizen?*

Student visa type required*

If your child is not a British or Irish citizen but already holds or will hold another immigration category that permits them to study at the College; including if they have been granted digital status under the UK's EU Settlement Scheme, please provide full details below:*

Parent 1 details

Parent 1 full name*

Title First Last

Parent 1 postal address*

Street Address City Postcode Country

Contact information

Parent 1 mobile telephone*

Parent 1 home email address*

Work details

Parent 1 work telephone

Parent 1 work email address

Parent 1 occupation

Parent 1 relationship to student*

Parent 1 has parental responsibility (custody)*

Yes

Parent 1 to receive all correspondence*

Yes

Parent 2 details

If both parents share responsibility for the student please complete both Parent 1 and Parent 2 sections.

If a sole parent has responsibility for the student please indicate so below and supply supporting evidence to admissions@earlscliffe.co.uk

No second parent

Parent 2 full name & title*

Title First Last

Parent 2 postal address*

Same as first parent

Street Address City Postcode Country

Second parent’s contact information

Parent 2 mobile telephone*

Parent 2 home email address*

Second parent’s work details

Parent 2 work telephone

Parent 2 work email address

Parent 2 occupation

Parent 2 relationship to student*

Parent 2 has parental responsibility (custody)*

Yes

Parent 2 to receive all correspondence*

Yes

Fees

If someone other than Parent 1 or Parent 2 is to pay the School fees for the student please provide below their full name and address and their relationship to the student. Please note further information about the third-party payer will be required by the School and must be provided in order for an offer to be made. Please provide as much information as possible in the section below to minimise any further information requests (i.e. (a) if an individual, the connection to such person or (b) if a Ltd Company – full company details and your connection to the company).

Will the fees be paid by a 3rd party?*

If you answered yes, provide details below:*

Agent Details

If you have used the services of an educational Agent please include their details here:

Agency Name

Contact at Agency

Agent Telephone

Agent Email

Confidential Information

Please complete the Confidential Information statements below, if applicable, in order to assist us with making any special arrangements which are required for School visits and / or entrance assessments.

The information provided in this form will enable Earlscliffe to consider any adjustments that it may need to make, to assist your child to partake in the Earlscliffe's admissions procedure or when he/she joins.

Please provide us with a detailed summary in the space below for us to assess the situation. Further detailed medical and education evidence will be required for all students prior to arrival.

The information requested on this form is needed because Earlscliffe has contractual, statutory and regulatory duties towards the student. For more information about how Earlscliffe will use your information, and the student's information, please see privacy notice. This document is provided with the letter of offer and published on the Earlscliffe's website.

Does the student have learning requirements or require any additional support?*

Please provide details of additional support and learning requirements*

Does the student have any current or previous medical conditions?*

Please provide details of medical conditions*

Connections with the College

Please mention here the names of any other members of the family attending the College or registered for entry; or any other connection with the School or Dukes Education.

Connections with the College

Sibling of current pupil

Sibling of future pupil

Current pupil at Dukes Education school/nursery

Child of staff member of school or Dukes

Child of alumni

Details of relationship to Dukes Education:

Please indicate how you first heard of the College*

Agent

Alumni

Best Schools

British Council

Current School

Education Advisors

Education Guide

Exhibition

Friend

Web search

Guardian

Independent Schools Council

League Tables

Newspaper

Previous School

School Representative

Seminar

Sibling

Social Media

Summer School

UK Boarding School

Website

Word of Mouth

Important information

Updates*

After you register, we would like to contact you occasionally with updates, as we believe this will help you make an informed choice about whether our College is the right College for you or your child(ren).
Please tick here to consent to us contacting you in this way. We will never sell your data to third parties. If you later change your mind, you can tell us by emailing the College office.

Yes, please do send me occasional updates.

No, I'm not interested in hearing occasionally from the College.

Consent*

We will process your and your child's personal information in accordance with our Privacy Notice for Parents, which is available here.

I agree to the privacy policy.

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