1. PERSONAL DETAILS
Title
Mr
Mrs
Miss
Ms
First Name(s)
Last Name
Please input your first name
Please input your Surname
Address
Date of Birth
Please input the first line of your address
Please select your date of birth
Please enter date in dd/mm/yyyy format
Town
Post Code
Gender
Male
Female
Please input your Town
PostCode Part1
PostCode Part2
Please indicate your gender
Home Telephone
Telephone
Please input a contact telephone number
Please enter a valid telephone number
Parent Name
Parent Telephone
Please input a Parents Name
Please input a Parent Contact Number
Please enter a valid telephone number
Email Address
Have you been an EU resident for the last 3 years?
Yes
No
Nationality
Do you have any additional learning needs and/or disabilities?
Yes
No
Please input your Nationality
Please input an email address
Please enter a valid email address
Please select
Please select
Burnley College Sports Academies (A Levels and Full-Time only):
If you are a full-time student, and already play sport at a high level, you have the opportunity to join one of our Sport Academies. Please indicate if you are interested in becoming a member and you will be given further details at interview:
Basketball
Football
Golf
Netball
Rugby
Honours Programme (A Levels only):
If you would like to develop skills which will prepare you for challenging university level courses, please indicate and you will be given further details at interview