Football & Education Academy Application Form
Please complete all of the questions below in as much detail as possible
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Email *
Student: Full name *
Student: Date of birth *
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Student: Address including Postcode *
Which site is most accessible for you? (Women's course is Handsworth only)
Clear selection
Student: e-mail address *
Student: Mobile phone Number *
Student: Name of School *
Parent: Full name *
Parent: e-mail address *
Parent: Mobile phone number *
Which course are you applying for? *
Are you predicted at least 4 Grade 4s and above including Maths & English? If you have already completed GCSES please select Yes *
Do you have any medical conditions? If yes, please provide details. *
Do you have any learning difficulties? If yes, please provide details. *
What position do you play? *
What is the main reason you play football? *
Do you have access to a computer/laptop at home to carry out independent work? *
How did you hear about the course? *
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