CTS Education
Functional Skills Application Form
NOTE: This Application form should be filled by Functional Skills students only.
Personal Information
I am registering
*
Select
Myself
Someone else
Will you be responsible for paying the fees?
*
Select
Yes
No
Student's First Name:
*
Enter Names as shown on passport
Student's Middle Name:
*
Enter Names as shown on passport
Student's Last Name / Surname:
*
Enter Names as shown on passport
Student's Contact Number:
*
Student's Email Address:
*
Student's Date of Birth:
*
Gender
*
Select
Male
Female
Ethnicity
*
Select
Asian or Asian British-Bangladeshi
Asian or Asian British-Indian
Asian or Asian British-Pakistani
Asian or Asian British-any other Asian background
Black or Black British-African
Black or Black British-Caribbean
Black or Black British-any other background
Chinese
Mixed-White and Asian
Mixed-White and Black-African
Mixed-White and Black-Caribbean
Mixed-any other mixed background
White-British
White-Irish
White-any other white background
Any other
Not known/not provided
The student's address (state full address):
*
Post Code
*
The person responsible for the fees: First name(s)
*
The person responsible for the fees: Surname
*
The person responsible for the fees: Title
*
Select
Ms
Mrs
Mr
Other
The person responsible for the fees: Telephone Number
*
The person responsible for the fees: Email Address
*
The nearest centre for the student is
*
Select
Manchester
Milton Keynes
Other
Evaluate your English academic writing skills: (1=Poor 2=Fair 3=Good 4=Excellent)
*
Select
1
2
3
4
Evaluate your academic English reading skills: (1=Poor 2=Fair 3=Good 4=Excellent)
*
Select
1
2
3
4
Evaluate your academic numeracy skills: (1=Poor 2=Fair 3=Good 4=Excellent)
*
Select
1
2
3
4
Evaluate your IT skills: (1=Poor 2=Fair 3=Good 4=Excellent)
*
Select
1
2
3
4
Next
Other Details
Does the student have any disabilities or illnesses that would affect learning? (You will discuss this with our assessor during your interview with us).
*
Select
No disability or learning difficulties
Disabilities and learning difficulties
Learning difficulties
Disabilities
No information provided
Next of Kin / Emergency Contact Name and Surname
*
Relationship with Next of Kin / Emergency contact person
*
Next of Kin / emergency Contact Number
*
Next of Kin / Emergency Contact Email
*
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Course Details
Enter the details of the exams (subjects) you are registering to sit with CTS Education. (Functional Skills)
*
Select your preferred Exams sitting arrangement.
*
Select
Exams at Our Centre
Online Exams
On-demand Exams (Sit Exams anytime you're ready)
Select Examination Board
*
Select
AQA
Pearson Edexcel
Would you like to attend classes with CTS Education for any of the subjects?
*
Select
Yes
No
Please tell us how you heard about CTS Education?
*
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Learner Agreement
In deciding upon your choice of learning program, you have considered the implications of the following: (Cost, Time, Commitment, Organisation, Ability, Potential & Career Direction)
*
Select
Yes
No
Previous
Submit
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