Name and Details

First Name

Last Name

Date of Birth

Gender

Address

Town/City

Postcode

Your Email

Home Tel No

Mobile Tel No

Where did you hear about the UTC?

Current School

Extra Support for You

We are committed to meeting the needs of people with learning difficulties and disabilities. If you feel you require any additional support, please provide details below:

Please tick if you would prefer to be contacted separately about this question.

Curriculum

Please refer to our website/ prospectus for details of our curriculum pathways/ entry requirements. Please select a pathway. If you select A Levels, tick the specific subjects you wish to study from the options lists.

If you have selected A Levels, choose 3 or 4 courses from the options below:

Specialist Options (Select up to a maximum of 4)

MathematicsFurther MathematicsChemistryPhysicsBiologyBusiness StudiesComputer ScienceProduct DesignElectronics

Minimum entry requirements for pathways are detailed on our website. ‘Other Options’ courses will only run if sufficient students select the courses. We will arrange to meet you to discuss your pathway and finalise your curriculum choices..

Please outline your reasons for selecting these courses and the career you would like to follow:

Qualifications

Please complete this section fully. If you are providing estimated grades for examinations to be taken, please indicate if these grades have been provided by your school teachers. Please attach an extra sheet if necessary. Criteria for admissions are available at www.lincolnutc.co.uk










Parent / Carer Section (Parent / Carer to complete)

First Name

Last Name

Relationship to Child

Daytime Telephone

Mobile Telephone

Email Address

Declaration and Signatures

I confirm that I wish to apply for a place for this applicant at Lincoln UTC. I certify that I have parental responsibility for the applicant and that the information given is true to the best of my knowledge and belief. I give my permission for the information provided to be securely held, processed and shared for school admissions purposes, in accordance with Education Regulations and the requirements of the Data Protection Act 1998.

Signed (Applicant)

Signed (Parent/Carer)