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Year 12 Application Form

2022 Applications

Before applying please take a look at our Admissions Policy. If you have any questions please email admissions@utcleeds.co.uk or phone 0113 3530140.

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1. Details of Child
Legal Name*
First Last
Preferred Name
First Last
Date of Birth*
Day
Month
Year
Gender*
Home Address*
Street Address Address Line 2 City County Postcode Country
Home Telephone Number*
Student Mobile Number*
Student Email*
Enter Email Confirm Email
Name and Address of Current School*
Name Street Address City County / State / Region ZIP / Postal Code Country
Are you currently in Year 11?*
- Yes
- No
Start Date at Current School*
Day
Month
Year
Start Date at Previous School*
Day
Month
Year
2. Details of Parent/Guardian – emergency contact priority 1
Name*
Title First Last
Relationship to child*
Home Address*
Street Address Address Line 2 City County Postcode Country
Home Telephone Number*
Mobile Number*
Work Telephone Number
Email*
Enter Email Confirm Email
Please tell us how/where you heard about Leeds UTC*
e.g. through school, a friend, or an advert.
Please keep me informed of future events and activities*
- Yes
- No
3. Additional Information
Please tell us your predicted GCSE grades*
Will the child have a sibling attending UTC at the time of admission?*
- Yes
- No
Sibling Name*
First Last
Sibling Date of Birth*
Day
Month
Year
Is the child adopted from care or has left care?*
- Yes
- No
Further Details*
Is the child currently looked after by the local authority?*
- Yes
- No
Was the child previously looked after by the local authority?*
- Yes
- No
Is the child under Special Guardianship (looked after by a family member)?*
- Yes
- No
Does the child currently have a Child Protection Plan in place?*
- Yes
- No
Does the child have Special Educational Needs?
- SEN Statement
- Education Health & Care Plan (EHCP)
- Other SEN needs
Further Details*
Please provide further details for our SENCo
Are parents/carers serving in HM Forces?*
- Yes
- No
Are parents/carers retired on a pension from the Ministry of Defence?*
- Yes
- No
Document Upload
Please provide evidence such as a letter from Social Services or a copy of the adoption order.
Max. file size: 256 MB.
Supporting information
Please use the space below to describe your reasons for applying to the UTC Leeds
Have you attended any of UTC Leeds open evening events?*
- Yes
- No

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Year 12 Application Form

1. Details of Child

2. Details of Parent/Guardian – emergency contact priority 1

3. Additional Information

Cookies and Privacy