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TQUK Level 2 Certificate in Self harm and Suicide Awareness and Prevention
1. Personal Details
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Welcome to the next stage of your extended application at
London South East Colleges
.
Throughout this form, you will be asked to fill in a number of details and asked various questions. If you are unsure what you need to put, click or tap the (
) to get help about that question or field.
In some sections you may be asked to upload evidence. Doing this now will speed up the process and get you enrolled faster.
Legal name as it appears on your birth certificate or passport. This will appear on any qualification certificates you receive.
Title:*
Select Mr, Miss, Mrs, Ms or another title which describes you e.g. Dr, Reverend, Professor
Mr
Mrs
Miss
Ms
Lord
Reverend
Brother
Professor
DR
Lady
Nurse
Dame
Sister
Sir
Major
Baron
Baroness
Canon
Captain
Earl
Father
Lieutenant
Pastor
Rabbi
Right Honorable
Gender neutral
*
Surname:*
This must be the family name as it is written on your birth certificate
*
First Name(s):*
This must be the first name (or names) as written on your birth certificate/ID/passport.
*
Preferred name(s) - these will appear on registers and other College systems
This does not have to be your legal name and can be the name you would like to be called.
Surname:
First Name(s):
Date of Birth
Write your birthday as day/month/year
*
Date is invalid
Age at 31-Aug
National Insurance Number
You can find this on your national insurance card, payslip, P60 or any letters sent to you about tax, pensions or benefits, Your number looks like: AB 12 34 56 C
* Lenth of NI cannot exceed 15 characters
Email
*
*
Gender
Gender blurb
Female
Male
Prefer not to say
Other
* Gender is required
Ethnicity
White - English / Welsh / Scottish / Northern Irish / British
White - Irish
White - Gypsy or Irish Traveller
White - Any Other White background
Mixed - White and Black Caribbean
Mixed - White and Black African
Mixed - White and Asian
Mixed - Any Other Mixed / multiple ethnic background
Asian - Asian British - Indian
Asian - Asian British - Pakistani
Asian - Asian British - Bangladeshi
Asian - Asian British - Chinese
Asian - Asian British - Any other Asian background
Black - African / Black British - African
Black - Caribbean / Black British - Caribbean
Black - Any other Black / African / Caribbean background
Arab
Any other ethnic group
* Ethnicity is required
Address
This is very important as we use this information to get in touch with you. Please write the address you live at now, your email address and your phone number.
Line1*
*
Line2
Town
Please enter a value for Town
Postcode*
*
Country*
England
Afghanistan
Africa Not Otherwise Specified
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antarctica And Oceania Not Otherwise Specified
Antigua And Barbuda
Argentina
Armenia
Aruba
Asia (Except Middle East) Not Otherwise Specified
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina
Myanmar (Burma) [The Republic of the Union of Myanmar]
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Caribbean Not Otherwise Specified
Cayman Islands
Central African Republic
Central America Not Otherwise Specified
Chad
United Kingdom, not otherwise specified
Channel Islands not otherwise specified
Chile
China
Taiwan [Taiwan, Province of China]
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic)
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Cyprus (European Union)
Cyprus (Non-European Union)
Cyprus Not Otherwise Specified
Czech Republic
Czechoslovakia Not Otherwise Specified
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europe Not Otherwise Specified
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia, The
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island And Mcdonald Islands
Honduras
Hong Kong (Special Administrative Region Of China)
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle Of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (North)
Korea (South)
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao (Special Administrative Region Of Chiina)
Macedonia [North Macedonia]
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Middle East Not Otherwise Specified
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North America Not Otherwise Specified
Northern Ireland
Northern Mariana Islands
Norway
Not Known
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn, Henderson, Ducie And Oeno Islands
Poland
Portugal
Puerto Rico
Qatar
Romania
Runion
Russia
Rwanda
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Scotland
Senegal
Serbia And Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South America Not Otherwise Specified
South Georgia And The South Sandwich Islands
Spain
Spain (Except Canary Islands)
Spain Not Otherwise Specified
Sri Lanka
St Helena
St Kitts And Nevis
St Lucia
St Pierre And Miquelon
St Vincent And The Grenadines
Sudan
Surinam
Svalbard And Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
Union Of Soviet Socialist Republics Not Otherwise Specified
United Arab Emirates
United Kingdom
United Kingdom Not Otherwise Specified
United States
United States Minor Outlying Islands
United States Virgin Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wales
Wallis And Futuna
Occupied Palestinian Territories [Palestine, State of]
Western Sahara
Yemen
Yugoslavia Not Otherwise Specified
Zambia
Zimbabwe
Montenegro
Kosovo
Serbia
St Barthelemy
Bonaire, Sint Eustatius and Saba
Curacao
European Union not otherwise specified
St Martin (French Part)
South Sudan
Sint Maarten (Dutch part)
*
Home Tel.
Mobile Tel.
*
Next of Kin (first contact)
This is the person we contact if there is an emergency. If you are aged 18 or under this must be the person who is responsible for you. They must be an adult e.g. a parent, carer/foster parent, social worker or other relative.
Full name
NOK is required if learner is under 19
Relationship to you
Aunt
Brother
Brother-in-law
Daughter
Father
Father-in-law
Foster Carer
Grandfather
Grandmother
Guardian
Husband
Mother
Mother-in-law
Other
Partner
Sister
Sister-in-law
Social Worker
Son
Stepfather
Stepmother
Uncle
Wife
NOK is required if learner is under 19
Email
NOK Email is required if learner is under 19
Mobile Tel.
NOK Mobile number is required if learner is under 19
Next of Kin (alternative contact)
Full name
Relationship to you
Aunt
Brother
Brother-in-law
Daughter
Father
Father-in-law
Foster Carer
Grandfather
Grandmother
Guardian
Husband
Mother
Mother-in-law
Other
Partner
Sister
Sister-in-law
Social Worker
Son
Stepfather
Stepmother
Uncle
Wife
Email
Mobile Tel.
Previous school
12
Abbey Manor College
Abbey Wood School
ABRSM
Addey And Stanhope School
Addington High School
All Saints Catholic School
Allstar Beatz
Alpha Beta Christian College
Ambrose Alli University
Archbishop Lanfranc School
Archbishop Michael Ramsey Technology Col
Archbishop Tenison's Ce School
Archbishop Tenison's High School
Ark Greenwich Free School
Ashburton Community School
Aspire Academy Bexley
Axton Chase School
Aylesford School
Aylwin Girls' School
Aylwin School
Babington House School
Bacon’s College
Bacon's City Technology College
Bacon's College (City of Technology)
Barnet College
Barton Court Grammar School
Baston School
Battersea Technology College
Beaverwood School For Girls
Beckmead School
Belcanto London Academy
Belmont Academy
Bennett Memorial Diocesan School
Bensham Manor School
BEP Group
Bethnal Green Academy
Beths Grammar School
Bexley Adult Education
Bexley College
Bexley Fencing Club
Bexley Grammar School
Bexleyheath Academy
Bexleyheath School
Bishop Challoner School
Bishop Justus Church Of England School
Bishop Thomas Grant School
Blackfen School For Girls
Blackheath Bluecoat C of E Secondary School
Blackheath High School
Bonus Pastor R.C. School
Brent Knoll School
Brentwood County High School
Bristnall Hall Academy
British School of Performing Arts
Bromley Beacon Academy
Bromley College Of Further & Higher Education
Bromley Trust Academy
Broomhill Bank School
Bullerswood School For Girls
Bungay High School
Bungay High Sixth Form Centre
Burntwood School For Girls
Capel Manor College
Carmel Girls Central College
Carshalton College
Caterham School
Cator Park School For Girls
Cavendish School
Charles Darwin School
Charles Edward Brooke School
Charlton Park Academy
Chenderit School (Visual Arts College)
Chestnut Grove Academy
Chislehurst & Sidcup Grammar School
Christ Church College
Christ the King (St Marys) 6th Form College
Christ The King Sixth Form Centre
City & Islington Sixth Form College
City College Norwich
City of London Academy
Clapham College
Cleeve Park School
Clough Hall Technology School & Sixth Form College
Cocoapod
COLFE's School
Coloma Convent School
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Convent of Jesus & Mary Language College
Coombe Boys School
Coopers Technology College
Corelli College
Cotelands Education Centre
Cotelands Pupil Referral Unit
Coulsdon College
Crofton Infants School
Crossway Six Form
Crossways Academy
Crown Woods School
Croydon College
Dagenham Park Church of England School
Dagenham Park Community School
Darrick Wood School
Dartford Grammar School
Dartford Science & Technology College
Daugavpils Pilsetas Lentra Gimnazija High School
Deptford Green School
Dorton College Of Further Educn.
Dover Grammar School for Boys
Drapers Academy
Drumbeat School Brockley Site
Drumbeat School Downham Site
Dunraven Secondary School
East Surrey College
Eastbury Comprehensive School
Eastlea Community School
Eclipse Netball
Edenham High School
Elizabeth Woodville School (South)
Ellis Guilford School and Sport College
Eltham College
Eltham Foundation School
Eltham Green School
Eltham Hill School
Endeavour Academy Bexley
Erith School
Erith Town Forum
Evelyn Grace School
Farringtons
FE Sussex
Five Bridges School
Football Magic Coaching - (John Keats Primary School)
Forest Hill School
Friern Barnet
Full Circle Education
Furness School
George Green's School
Glebe School
Glenthorn High School
Globe Academy
Glyn Technology School
Glyndon Community Centre
Greenvale School
Greenwich Community College
Grey Coat Hospital
Haberdashers' Aske's Boys School
Haberdashers' Aske's Crayford Academy
Haberdashers' Aske's Hatcham College
Haberdashers' Aske's Knights Academy
Hadlow College
Haling Manor High School
Halstead Place School
Hampton College
Harris Academy Beckenham
Harris Academy Bermondsey
Harris Academy Falconwood
Harris Academy Greenwich
Harris Academy Merton
Harris Academy Morden
Harris Academy Orpington
Harris Academy Peckham
Harris Academy Purley
Harris Academy South Norwood
Harris Boys' Academy East Dulwich
Harris City Academy Crystal Palace
Harris City Technology College
Harris Garrard Academy
Harris Girls Academy Bromley
Harris Girls' Academy East Dulwich
Harrow College
Hatcham Wood School
Hayes School
HEA Ltd
Heron Academy
Hextable School
Highshore School
Hillsyde Sixth Form
Hillview School for Girls
Holy Cross Catholic Girls School
Home Schooled
Homewood School
Horizons Academy Bexley
Hugh Christie School
Hurstmere School
Ian Brett
Istituto di Istruzione Superiore Giovanni Falcone
Italia Conti Academy of Theatre Arts
ITec
JK Kennedy Catholic School
Jo Richardson Community School
John Ruskin College
Joi Productions Ltd
K College
Karuna Andrews
Kelsey Park Sports College
Kemnal Technology College
Kerry Higgins
Kidbrooke School
King Henry School
King's Park Campus, Newhaven School
King's School, Rochester
Kingsdale Secondary School
Kingsland College of Business Studies
Kingston College
Kingswood Centre
Knockhall Primary School
Knole Academy
Kunal Shetty
La Retraite R.C. Girls School
Lady Margaret School
Lambeth College
Langdon School
Langley Park School For Boys
Langley Park School For Girls
Learning & Enterprise College Bexley
Leigh Academy Bexley
Leigh City Technology College
Lewisham College (LeSoCo)
Lilian Bayliss Technology
Lincoln Bryden
London College of Beauty Therapy
London Community College
London East Academy
London Leisure College
London South East College
Longfield Academy
Malory School
Marjorie McClure School
Marlborough School
Mayfield Grammar School
Meopham School
Merton College
MI Computsolutions
Mid Kent College
Moatbridge School
Moor House School
Morley College
Moulsham High School
Moving On School
Nash College Of Further Educatn
Near Neighbours - Church Urban Fund
Newham Sixth Form College
Newhaven School
Newstead Wood School For Girls
NHS Property Services
Nightingale Academy
Norbury Manor High School
North Kent College (North West Kent)
Northbrook Church Of England
Northfleet School For Girls
Northfleet Technology College
Norwood School
Notre Dame School
Nottingham Trent University
Nsawam S.D.A. Junior Secondary School
Oakwood Park Grammar School
Oasis Academy Coulsdon
Oasis Academy Shirley Park
Online Learning Centre (was Learn Direct)
Orchards Academy
Orpington College Of Further Education
Other
Other - Bexley
Other - Bromley
Other - Greenwich
Oxted School
Paget High School Business and Enterprise College
Park Campus
Park View Academy
Parkwood Hall School
Pathways Short Stay School
Paul Smith
Pearsewood Primary School
Pendragon School
Phoenix Childrens Resource Centre
Pimlico Secondary School
Plan B Education
Plumstead Manor School
Prendergast Ladywell School (Crofton School)
Prendergast School (Hilly Fields College)
Providence Heights Secondary School
Quest Academy
R.N.I.B
Raines Foundation School
Rainham School For Girls
Ravens Wood School For Boys
Regents Vocational College
Richmond Upon Thames College
Riddlesdown High School
Riverside School
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Saint Bede's
Saint Gabriel’s College
Saint George's Church of England School
Schoolhouse Education
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Selsdon High School
Sevenoaks School
Shirley High School
Shooters Hill Post 16 Campus
South Chelsea College
South East London Chamber Office
South Essex College
South Kent College, Ashford
Southwark College
Sparsholt College Hampshire
Springboard Bromley
St Alban's Academy
St Andrews Ce High School
St Angela’s Sixth Form Site
St Bonaventure’s Sixth Form Site
St Catherines RC School for Girls
St Columba's Catholic Boys' School
St Dunstans College
ST Francis Xavier College
St Gabriel College
St Gregory’s Catholic Comprehensive School
St John Rigby R C School
St John's Catholic Comprehensive
St Joseph's Academy
St Joseph's College
St Martins in The Field High School Girl
St Martin's School
St Mary's Catholic High School
St Mary's University College
St Matthew Academy
St Michaels And All Angels Academy
St Michaels Catholic College
St Olave's Grammar School
St Paul's Academy
St Paul's RC Secondary School
St Pauls Way Trust School
St Philomena’s Catholic High School for Girls
St Saviour's & St Olave's School
St Simon Stock Catholic School
St Thomas More R.C. Secondary School
St Thomas The Apostle School
St Ursula's Convent School
Stanley Technical High School
Stationers' Crown Woods Academy
Stockwell Park High School
Swadelands School
Swan International Marbella (Spain)
Swanley School
Sydenham High School For Girls
Sydenham School
Tai Solarin College of Education
Tamworth Manor High School
Teresa Pearce MP
Thames Valley University
Thamesview School
Thanet College
The Beacon School
The Bradbourne School
The Bromfords School
The Bromley Beacon Academy (Burwood School)
The Business Academy Bexley
The Business Academy, Bexley
The Charter School
The Church of Pentecost
The Ebbsfleet Academy
The Elmgreen School
The Halley Academy
The Hayesbrook School
The Holmesdale School
The Hundred of Hoo Academy
The Isle of Sheppy academy
The John Fisher School
The John Roan School
The Learning Centre
The Leigh Academy
The Leigh UTC
The Malling School
The Marsh Academy
The New School At West Heath
The Priory School
The Ravensbourne School
The Sittingbourne Community College
The Sydenham & Forest Hill Sixth Form
The Sydney Russell School
The Tutorial Foundation
The University of Derby
The Virtual School for Looked After Children
Therfield School
Thomas More RC School
Thomas Tallis School
Townley Grammar School For Girls
Trinity Church of England School, Belvedere
Trinity School
Trinity School (Sevenoaks)
Trinity School, Belvedere
Tunbridge Wells Grammar School for Boys
Turney School
University on Ilorin Portal
Uplands Community College
Vilniaus Vladislavo Sirokomlees Vidurine Mokykla
Virgo Fidelis Convent Senior School
Wallington High School for Girls
Walworth Academy
Walworth Upper School
Warlingham School
Welling School
West Kent College
Westlands Scool
Westminster Academy
Westminster City School
Westminster Kingsway College
Westwood College
Westwood High School
Westwood Language College For Girls
Whitgift School
Willow Bank Primary School
Wilmington Academy
Wilmington Enterprise College
Wilmington Grammar School For Girls
Wilmington Grammar School For Boys
Wilmington High School
Wilson's School
Wisedom School
Wize up
Woodbrook School
Woodcote High School
Woodside Academy
Woodside School
Woolwich Polytechnic Boys School
Wrotham School
Previous school
is mandatory
Date of last attendance
London South East Colleges is the trading name of Bromley College of Further and Higher Education