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Post 16 Expression of Interest
On receipt of this form we will contact you to arrange a discussion about the Leigh UTC Post 16. We will talk about your aspirations, discuss our pathways and discuss your options

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Email *
Student firstname *
Student surname *
Current School
Date of Birth *
Parent Name
Home address *
Home Postcode *
Parent phone number *
Parent email address *
Where did you hear about The Leigh UTC *
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I / We declare that the above details are correct and understand that failure to disclose or the giving of false
information will result in my child’s application being rejected. I also understand that should false information be
given in the above details, any subsequent offer will be withdrawn and my child will be given no further
consideration for a place at The Leigh UTC. The Leigh UTC reserves the right to request evidence of a students’
residential address.
I / We agree to The Leigh UTC processing personal data contained in this application form and other relevant data
which The Leigh UTC may obtain from me / us or other people as part of the admissions procedure. I / We agree to
the processing of such data for any purposes described above. (This is in accordance with the Data Protection Act
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