I declare that all the information provided in this application is true and correct to the best of my knowledge. I understand that providing false information may affect my application.


Signature of applicant ___________________________________________ Date ______________________________________


To help us How did you hear about Hackney Community College? (Please tick as many boxes as appropriate.)


Hackney Community College’s Advice and Guidance team


Newspaper advert o o


Leaflet / flyer through the door o Other leaflet / flyer / postcard College website Hotcourses


o o o


Floodlight Facebook Twitter


Bus advert


Lamppost banner Bus shelter poster


o o o o o o


Tube station advert o Library


Connexions School


Friend or relative Job Centre


Other (please specify) _________________________________


o o o o o


We’re proud to be a diverse college and monitor the ethnicity of our students. To help us with this, please tick the box that you think applies to you.


Asian or Asian British – Bangladeshi o Asian or Asian British – Indian


Asian or Asian British – Pakistani o Asian or Asian British – other Asian o Black or Black British – African


o Black or Black British – Caribbean o


Black or Black British – any other Black background


Chinese o Mixed –White and Asian


o Gypsy or Irish Traveller o


Mixed – White and Black African o Mixed – White and Black Caribbean o Mixed – any other Mixed background o


White – British - Welsh, Scottish English, Northern Irish


o White – Irish o o


White – any other White background o Turkish – Other (including Kurdish) o Any other ethnic group Please state


o _________________________________ o Not provided o


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