Full Online Application Form

Student Details

Surname of the Student*

First Name(s)*

Preferred Name*

Gender at Birth*

Date of Birth*

Nationality*

Country of Birth*

Does the student require a visa to study in the UK?* YesNo

Mobile Number*

Email*

Permanent Address*

Permanent Address Postcode*

UK Address (if different)*

UK Address Postcode (if different)*

Course Details

Course Type*

Course Start Date*

Course Start Year*

Subjects to be Studied*

Is the student's name registered at any other school(s) and if so, which?*

Please outline the student's future education and career plans*

Signatories

First Signatory (Parent/Guardian)*

First Signatory Title*

First Signatory First Name*

First Signatory Surname*

First Signatory Relationship to Student*

First Signatory Mobile Telephone*

First Signatory Work/Home Telephone*

First Signatory Email*

First Signatory Address*

First Signatory Address Postcode*

First Signatory Occupation*

Second Signatory (Parent/Guardian)*

Second Signatory Title*

Second Signatory First Name*

Second Signatory Surname*

Second Signatory Relationship to Student*

Second Signatory Mobile Telephone*

Second Signatory Work/Home Telephone*

Second Signatory Email*

Second Signatory Address*

Second Signatory Address Postcode*

Second Signatory Occupation*

Please detail the person responsible to pay the College fees for the student, please provide below their full name and address and their relationship to the student.

Fee Payer Title*

Fee Payer First Name*

Fee Payer Surname*

Fee Payer Relationship to Student*

Fee Payer Mobile Telephone*

Fee Payer Work/Home Telephone*

Fee Payer Email*

Fee Payer Address*

Fee Payer Address Postcode*

Connection to the College

Please mention here the names of any other members of the family or friends attending the College*

Please indicate how you first heard of the College*

Please provide more details if necessary*

Schools Information

Please state the name and address of the present school (with dates of attendance)

Present School: Name of School*

Present School: Address*

Present School: Dates of attendance*

Present School: Qualifications taken/achieved with subjects*

Please state the name and address of the prior school (with dates of attendance)

Prior School: Name of School*

Prior School: Address*

Prior School: Dates of attendance*

Prior School: Qualifications taken/achieved with subjects*

Medical & Special Educational Needs (SEN)

Medical and SEN Matters the College should be aware of, please state below*

Medical Condition(s)*

SEN / SEMH (SEN : special educational need / SEMH: Social, Emotional and Mental Health)*

Interests

Please outline any of the student's artistic, dramatic, musical or sporting skills or experience (if applicable)*

Please give an outline of the student’s other hobbies or interests (if applicable)*

Accommodation

Do you require student accommodation?*

Confidential Information

All information received in this form will be treated in confidence. Please complete the Confidential Information Section below in order to assist us with making any special arrangements which are required for College visits and / or entrance assessments.*

Please disclose any medical condition, health problem or allergy affecting the student.

Please select any medical conditions which apply.

Medical Condition, Health Problem or Allergy* YesNo

Mental Health Condition* YesNo

Learning Difficulty* YesNo

Special Educational Need* YesNo

Disability* YesNo

Behavioural, emotional and / or social difficulty* YesNo

Safeguarding / child protection matters* YesNo

If you have selected yes to any of the above, please provide more details.*

The information provided in this form will enable the College to consider any adjustments that it may need to make to assist the student to partake in the College's admissions procedure or when the student enters the College. Please provide us with as much detail as possible in the space below. Where possible, please provide any relevant documentation such as medical reports, assessments etc. Prior to the commencement of the admissions process, we will contact you about any special arrangements required. The information requested on this form is needed because the College has contractual and statutory duties towards the student. For more information about how the College will use your information, and the student's information, please see our student privacy notice and our parent privacy notice.

Early registration is recommended. Registrations will be considered in the order they are received. Offers of places are subject to availability and the admission requirements of the College at the time offers are made.

A copy of the College's Terms and Conditions will be supplied on request.

How we will use the information provided in this form
This information will be used by the College during the admissions process in order to manage and assess your application and the student's suitability for a place at the College.

For example:
A) we may contact the student's current or previous school to ask for a reference including information on safeguarding;

B) we may contact other people with parental responsibility to check that they consent to the student (if under 18 years) joining the College;

C) the Confidential Information Form will be used to ensure that we have made any reasonable adjustments / suitable arrangements for the student when they visit the College or during any entrance assessments and subsequently if they are offered a place;

D) we may share your information with credit reference agencies. We may also need to share information with UKVI if you require the College to sponsor a visa. If the student is not offered a place, or if you do not accept the offer of a place, we will only retain this information for as long as we need to. Unless there are exceptional circumstances, information is kept for a year after the end of the admissions process.

For more information about how the College will use the information, please see our student privacy and our parent privacy notice.

Both of these documents are published on the College's website:
[• https://www.davidgamecollege.com/11/privacy-notice]. Please show the student a copy of the student privacy notice and discuss it with them.

Safeguarding and child protection
David Game College is committed to safeguarding and promoting the welfare of students and young people and expects all stakeholders to share this commitment. We have a number of policies and procedures in place that contribute to our safeguarding commitment, including our Safeguarding and Child Protection Policy which can be viewed in the Policies section of our website. Sometimes we may need to share information and work in partnership with other agencies when there are concerns about a student’s welfare. We will ensure that our concerns about our students are discussed with the students parents/carers first unless we have reason to believe that such a move would be contrary to the student's welfare. We actively support the measures to counter radicalism and extremism. The designated safeguarding leads in the College are Nedaa Belal (Head of GCSE) and Julia Cushnir (Head of Sixth Form). If you have a concern that a child may be at risk of harm you must speak with the designated safeguarding lead immediately.

Alumni Membership
By applying to the College the student agrees to become a member of the David Game College Alumni Association. The student may opt out at any time or learn more about the association by emailing alumni@davidgamecollege.com.

Declaration

I/We have read and understood how we the College will use the information provided on this form and the College's duty to safeguard students. *

I / We request that I am/the student is named above is registered as a prospective student. *

First Signatory: Full Name*

First Signatory: Relationship to Student*

Secondary Signatory: Full Name*

Secondary Signatory: Relationship to Student*

Complete Application Form