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Year 11 Application Form Apply Online

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Thank you, your course application has been successfully sent

Course 
 >> Your Details
 >> Parents Details
 >> School Details
 >> Invoicing
 >> Conditions

SELECT COURSE

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YOUR DETAILS

Surname:
First name:
Gender:
Male Female
School Year:
Date of Birth:
Mobile Phone:
Email:
Telephone (daytime):
Telephone (evening):
Address line 1:
Address line 2:
Town:
County:
Postcode:

The Smallpeice Trust is committed to a policy of equal opportunities. Please complete this section for monitoring purposes only.

I am:
What is the single most important factor which influenced you to apply for this course?
A Friend/family Member
Visit From Smallpeice Trust
At A Careers Fair
My School/teacher
Smallpeice Mailing/e-shot
Our Website
Other Website - Please Specify*
Other - Please Specify*
How did you hear about us?
Have you ever attended a Smallpeice activity day (STEM) at your school?
Yes No

PARENT(S) / GUARDIAN DETAILS AND AUTHORISATION

If your parent/guardian has the same address details as you, tick this box:
Title:
First Name:
Surname:
Telephone:
Address line 1:
Address line 2:
Town:
County:
Postcode:
PARENT(S) / GUARDIANS AGREE:
Yes No

Please check the box to confirm that the applicant's parent(s) / guardian(s) give permission for the applicant to attend the indicated Smallpeice Trust residential course. They understand that if the applicant\s application is successful, they will be responsible for arranging transportation to and from the course venue. They understand that students may have to cross a main road between the residential accommodation and working rooms, and that it may not be possible to put male and female students into separate blocks, but at a minimum the genders will be segregated by floor. They have read the conditions below and fully understand them.

SCHOOL AND TEACHER DETAILS

Title:
First Name:
Surname:
Please enter your position:
School Name:
Address line 1:
Address line 2:
Town:
County:
Postcode:
Telephone:
Email:

INVOICING

A successful application will incur a non-refundable registration fee. An invoice will be forwarded to the parent/guardian unless a different name and address is entered here.

Name:
Position:
Organisation:
Telephone:
Address line 1:
Address line 2:
Town:
County:
Postcode:

CONDITIONS

Registration fees are to be paid within two weeks of the date of invoice. The Smallpeice Trust reserves the right to withdraw student’s places where the invoice is unpaid. Notification of withdrawal of a place will be made in writing. Course fees are non-refundable and we reserve the right to charge non-attendance at the full unsubsidised rate where less than 10 days notice is given. As the payee of the registration fee, I understand these conditions.

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