Enrolment

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Age*
- 19 years and older
You need to be 19 years and over to complete this form. 16-18 years should use https://www.brooklands.ac.uk/application/
Phone
If you have completed an application form, please complete this enrolment form to confirm your place for September 2020
Which year are you applying for?
What Course are You Applying For*
What Adult Course are You Applying For*
Which SEND and Transition course are you applying for?*
SECTION A PERSONAL DETAILS
Have you been a student at Brooklands College before?*
Please provide your ID number if known (on your student ID card)
Unique Learner Number (ULN) if known
Name of last school attended*
Year Left*
Are you currently studying at any other college?
Title*
- Mr
- Mrs
- Miss
- Other
Please state
Gender*
Surname / Family name*

(as it appears on your passport)
Previous Surname

(where applicable)
First name / Given names(s)*

(as it appears on your passport)
Date of birth*
National Insurance Number
Have you any previous spent or current unspent convictions?*
(if answered YES it will be followed up by Curriculum prior to enrolment)
Please state*

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SECTION B LEARNER ADDRESS AND CONTACT INFORMATION
Telephone number
Mobile number*
Email Address*
Home address*
Post code

VQ2V-ZTJ2-GSIZ-VZXP

ClarBoswell1879000

0

1

Select an Address:

Name/Number and Street Address Line 2 Town/City County
When did you start living at this address?*
DD slash MM slash YYYY
WHO SHOULD WE CONTACT IN CASE OF AN EMERGENCY?
Name
First name Surname
Telephone number*
IF YOU ARE UNDER 18 PLEASE ALSO COMPLETE THE FOLLOWING SECTION
Parent / Guardian Name*
First Name Surname
Relationship to you*
Relationship*
Home address
Name/Number and Street Address Line 2 Town/City County Postcode

(if different from above)
Parent / Guardian Telephone number*
Parent / Guardian Email*

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Brooklands College Weybridge Campus

Heath Road, Weybridge, Surrey KT13 8TT

Brooklands College Ashford Campus

Stanwell Road, Ashford TW15 3DU

Call

SECTION A PERSONAL DETAILS