0113 222 6000
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Contact Information

Leeds College Of Building

Address: North Street, Leeds LS2 7QT
Telephone: 0113 222 6000
Fax: 0113 222 6001
Email: info@lcb.ac.uk

Minicom: 0113 222 6016
OSAT: 0113 222 6044
Student Services: 0113 222 6002
Team Education: 0113 222 6030
Work Based Learning: 0113 222 6023
Learning Support: 0113 222 6029

Full Time Application

All applicants for full-time programmes must complete and return this form.

If you are also applying for an apprenticeship you will need to complete a separate form, however please tick this box if you are also applying for an Apprenticeship at the college?

Please note you will need to provide one reference before submitting the form.
Please complete all fields marked with a *.

  • Bisexual
  • Gay Man
  • Gay Woman / Lesbian
  • Heterosexual / Straight
  • Other
  • Prefer Not To Say

You need to complete at least one*





Title (GCSE, GNVQ, NVQ, etc)

Date of Exam

Expected Result

Actual Result

  • Careers Centre
  • School Careers Event
  • Family or Friends
  • College Open Day
  • College Website
  • Other Website
  • Employer
  • Newspaper/Magazine
  • Facebook/Twitter
  • Bus Advert
  • Radio
  • Leaflet/Direct Mail
  • Prospectus
  • College Banner
  • Billboard

Other (please state)

Leeds College of Building is committed to providing equality of opportunity to all. The following information will be useful in monitoring the effectiveness of our equal opportunities policy and in marketing the college. The information will not be used to identify individuals.

Yes     No

Failure to disclose may result in your offer being withdrawn at a later stage.

  • Bengladeshi
  • Indian
  • Pakistani
  • Other Asian
  • Black African
  • Black Carribean
  • Other Black
  • Chinese
  • Mixed - White and Asian
  • Mixed - White and Black African
  • Mixed - White and Black Carribean
  • Mixed - any other mixed background
  • White - British
  • White - Irish
  • White - Any other background
  • Any other

If so, please indicate below. We will then contact you to discuss your needs in confidence. Or alternatively tick the box to move on.
I do not have any health problems
OR I May need help because of:

  • Visual impairment - not corrected by glasses
  • Hearing impairment
  • Disability affecting mobility
  • Medical condition
  • Mental health
  • Temporarily disabled after illness or accident
  • Profound/complex disability
  • Moderate learning difficulty
  • Severe learning difficulty
  • ADHD / ADD
  • Dyslexia
  • Dyscalculia
  • Prefer not to say

Other (please state)

Please describe the help of the facilities your require. Where possible, please attach a Statement of Education Needs (SEN) or letter stating what support is given from your school/college or other educational establishment with this application form.

  • Baha'i
  • Buddhism
  • Christianity
  • Hinduism
  • Islam
  • Jainism
  • Judaism
  • Rastafarianism
  • Sikhism
  • Zoroastrians/Parsi
  • Prefer Not To Say
  • Other

Please tick this box if you do not consent to the information relating to your disability or learning difficulty to be disclosed to the appropriate staff in the College and if necessary, other parties, for example, work placement providers.

To provide you with the support that you need, the College may need to contact your school or other education providers, to obtain information about your disability and or learning difficulty. The College requires your permission to do this. Please tick this box if you do not consent to the College obtaining this information about you.

In specific circumstances enrolment on to a course is subject to a health and safety risk assessment and where appropriate, an assessment of additional requirements.

Please provide details of a person who can tell us about your suitability for the course: If you have left school or college within the last 2 years this will normally be your teacher, head of year or head of careers.

If you have left school more than 2 years ago this should be your employer or other suitable person.

I understand that the College will put the information I supply onto a computer and some of it will be sent to Government agencies for statistical purposes. This is governed by the Data Protection Act 1998 and I authorise such use accordingly.

The information provided may be shared with bodies and associations relevant to my application (ie. parents/guardians, careers services and schools). Please tick here if you do not wish for this information to be shared.

The information you provide on this form is subject to the Data Protection Act 1998. It is for use by Leeds College of Building and the Learning Skills Council and will not be made available to third parties for commercial or marketing purposes.

Your data will only be shared with organisations that have a legal requirement to access such data in order to fulfil statutory requirements.