Welcome to the Kilmarnock College
Full Time Online Application Form

Before you start please read this information carefully.

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If you are applying for an on-line course please
click on this link http://www.kconline.co.uk

If you are applying for an evening class please
click on this link KC Direct for Evening Classes

If you are an International Student please
click on this link Courses for International Students

If you are applying for a full time course please
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Please Note, if your course is not listed in the full time
application form please contact the KC Information Team.

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APPLICATION FORM
FULL TIME COURSE
 Choice of Course 
Please indicate the course you wish to apply for:

Do you have any particular career/job in mind? (Please select) Yes  No
If yes, please give details of what type of future career/job?
Have you previously been a student at Kilmarnock College?  Yes  No
If yes, please state which course(s) and dates of attendance.
 Personal Details 
Mr            Mrs             Miss            Ms  (Please select)
Surname: 
First Name(s): 
Address:
Postcode:  Contact Tel No: 
Date of Birth:  Nationality:
Do you have a Scottish Candidate No? (Please tick) Yes  No
If yes, please supply: 
E-mail address: 
 Education 
Name of last secondary school/college attended:
Date from: to
Subject Level Result Year Achieved

 Interview Details 
Please list specific dates which would not be suitable for interview (e.g. Exam dates)

  

Please complete application form in BLOCK CAPITALS

DISCLOSURE SCOTLAND -
Applicants should be aware that legislation requires that a Disclosure Scotland Application to join the PVG Scheme Form be completed where a course requires placement/work placement with children, young people and adults at risk of harm.

SUPPORT NEEDS - 
The College endeavours to assist and support all students. If you have a learning difficulty, disability or a specific learning need, please tick the box and a representative from the college will contact you to assess your own particular needs and make any necessary arrangements for you throughout the duration of your time at College.
(Please tick)

DATA PROTECTION ACT - 
The information on this form requires to be passed to appropriate staff and external organisations. By ticking the declaration box, you are acknowledging and accepting the College's need to do this. You have the right of access to this information and a right to correct it if the information is incorrect.

CONTACT US -

Telephone: (01563 523501)
Email: admissions@kilmarnock.ac.uk

PLEASE CONTINUE
 Additional Support Needs 
Do you have any support needs?  (Please tick) Yes  No
What is the nature of your support need? (Please tick)
Asthma Epilepsy Mental Health difficulties Visually impaired
Diabetes Hearing impaired Mobility difficulties Wheelchair user
Dyslexia Learning difficulties Other - Please specify
 Course Information 
How did you find out about the course for which you are applying? (Please tick)
Calling College Direct Employer Job Centre Other College
Careers Event Friend/Relative Library Press/Advertising
Careers Officer Gateway School
Other - Please specify
 Further Information 
Please give any further information which you feel will support your application. Please include reasons 
for your course choice, any voluntary work, spare time hobbies, interests, sports or work experience: 
 Reference

A reference must be brought along when you attend for interview. This information is required from ALL candidates and will delay the process of your application should you fail to have this completed by a teacher, employer or other professional contact. Your referee must comment on your suitability for the course in terms of motivation, ability, communication skills, personality etc.
 Declaration 
By typing the words I AGREE in the box below you are confirming that, to the best of your knowledge, the information given on this form is correct and complete. If you commence on a College course, you recognise that you will be asked to sign an enrolment form. In signing this form, and in taking up a place on a College course, you acknowledge you will be entering into a mutually binding contract with regards to terms and conditions of study.
Please type I AGREE here:   (MUST BE IN UPPERCASE, WITH A SPACE BETWEEN WORDS)

Completed forms should be returned to -

Admissions Officer, Kilmarnock College, Holehouse Road, Kilmarnock, Ayrshire, KA3 7AT

EQUAL OPPORTUNITIES
Q U E S T I O N A I R E

  
 Student Services 
Kilmarnock College is a Equal Opportunities organisation and all applicants for courses will receive equal treatment irrespective of race, colour, nationality or ethnic origin, religion, sex, sexuality, marital status, disability or age.
In order to assist the College in ensuring that equal opportunities are being afforded to applicants, it would be helpful if you could provide the information requested.
This information is necessary to enable us a carry out statistical analysis to compare the ethnic origin etc. of enrolled students with that of applicants. The information you supply will be held on computer and, in accordance with the Data Protection Act, you are advised of this. The information contained within this questionnaire will be used to provide a statistical profile of the applicant of each course.
Thank you for you co-operation.
 Personal Details 
1. SURNAME 
2. FORENAME(S) 
3. AGE 

4. COURSE 
5. Please tick appropriate box to indicate your gender:

Male

Female
6. Please indicate your ethnic origin by ticking these boxes:
 Scottish    English    Welsh    Irish    Any other white background    Any mixed background  
 Indian    Pakistani    Bangladeshi    Chinese    Any other Asian background    Caribbean  
 African    Any other black background    Information refused / not known  
7. Please tick the appropriate box to indicate your marital status:
 Married    Divorced    Single    Widowed    Separated  
8. Do you have dependants? Yes   No  

If yes, they are:  

  Pre-school children    School age children    Others in need of care  
9. If unemployed, for how long?
 Under 6 months    6-12 months    1-2 years  
2-3 years   over 3 years    Not Applicable 

Completed forms should be returned to -

Admissions Officer, Kilmarnock College, Holehouse Road, Kilmarnock, Ayrshire, KA3 7AT

 ONLINE APPLICATION FORM SUBMISSION 

Click the SUBMIT button to check and submit the application form online.