Choices College (formerly Project Choice) Application Form

Please complete Personal Information
Mandatory Fields Marked *

Personal Details

(If you need help filling in this form, please ask your parent/carer, teacher or Connexions advisor to help.)
Title:*
First name(s):*
Last Name:*
Known As:
Date of birth (DD/MM/YYYY):*
National Insurance Number:
Unique Learner Number (if known):
Sex assigned at birth:*
Gender identity:*
Sexual orientation:*
Ethnic Group:*
Religion:*
Current address
Address line 1:*
Address line 2:
Address line 3:
Town:*
Postcode:*
Contact details
Applicant's phone number:*
Applicant's mobile number:
Applicant's email address:*
Confirm email:*
Prefered contact method: