Application Form September 2017 Entry
Saints Foundation Education and Football Programme
Title:
Gender:
National Insurance Number:
Surname:
First Name:
Date of Birth:
Email:
Address:
Postcode:
Current School:
Football Experience:
Have you ever played football before (please circle)?
Yes
Current football team:
Position:
Achievements:
No
Grades:
Subject:
Target Grade:
Contact Number:
Predicted Grade:
2nd Contact Number:
Parents/Guardians email:
Nationality:
Are you an EU resident (please circle):
Ethic origin (Please state below):
Yes
No
How did you hear about our course (please circle):
Southampton FC Website
Social Media
Family/Friends
EFL Trust Website
Kickz
Community Champion
Saints Foundation Website
Matchday Programme
U16 Football team
Careers Fair
Word of mouth
Other:
If other please state:
Declaration
I confirm that all information I have supplied on this form to be correct to the best of my
knowledge. The Saints Foundation Education and Football programme collects information
about all of its students for various administrative, academic, and health and safety reasons.
Because of the Data Protection Act 1998 we need you to sign the following consent to process
clause. If you require further information about this please contact a member of staff
Signature:
Date: