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Personal details

First Name *

Surname *

Are you a returning student? *

Gender *

Date of birth *

Age on 5th September *

Which academic year are you applying for? *

What is your student ID number? *

This will be on communications or offer letter from Plumpton College.

Contact details

Email *

Telephone *

Address *

Further Details

Do you have any personal support needs, or any other personal or social factors that may affect you whilst living in residential accommodation? *

Yes

If you answered "Yes" to the above question, please explain your answer below.

Please tick those that are applicable to you: *

EHCP

Physical Impairment

Allergies

Epilepsy

Mental health condition

Dyslexia

Asperger Syndrome

Autism spectrum disorder

Heart condition

Asthma

No health concerns

Other

If you answered "Other" to the above question, please provide us with further details below.

Accommodation details

Title of course applied for *

Type of room (preference) *

I am applying for a full time room

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Plumpton College
Ditchling Road
Lewes
BN7 3AE

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