Student Application Form

Please make sure you have all information to hand before completing this form. You will need to provide the following information, if applicable:
- next of kin details

- a passport or birth certificate
- a Biometric Residence Permit (BRP)
- date you were registered blind or visually impaired
- details of your education and qualifications (from aged 11)
- details of employment and/or training
- name and address of a referee (e.g. headteacher or previous employer)
- details of your EHCP Co-ordinator, QTVI, Social Worker and Disability Employment Adviser

If there is a question not relevant to your circumstances, please note down 'N/A' in the corresponding response box. All fields on the form are required to be completed before submitting your application.

RNC is now accepting applications for September 2026. Please select which academic year you're applying for.

Section 1: Personal Details

Title

First Names

Surname

Also known as

Date of Birth

Gender

Home address including county and postcode

Home telephone number

Mobile number

Email

Country of normal residence if not UK

Do you have a passport?

If yes, please enter your passport number and expiry date.

If no, do you have a birth certificate?

Are you a UK resident?

If no, do you have a Biometric Residence Permit (BRP)?

If yes, please enter your BRP number and expiry date.

What type of permit have you been allocated?

Have you ever been refused a visa or had an application for a visa rejected?

If yes, please give details:

Have you attended RNC before? If yes, please give details, e.g. year and course

Please indicate whether you wish to be considered for a residential or day placement

Next of Kin details

Next of Kin First names

Next of Kin Surname

Next of Kin Postal address

Next of Kin Telephone number

Next of Kin Mobile number

Next of Kin Email

Next of Kin preferred medium for contact/correspondence

Next of Kin relationship to student

Please help us monitor equality and diversity by ticking the appropriate box

Other please specify

Please indicate your religion/belief

Other please specify








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