Making your
Referral.
Referral to be made via School or LEA
Name of Student
UPN
Date of Birth
Year Group
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Name and Address of School
School Contact/Role
Do you use CPOMS?
Yes
No
Do you use CPOMS Engage?
Yes
No
Email
Name of Parent/Guardian
Relationship to Student
Name and Address of Parent/Guardian
Telephone
Email
Additional Emergency Contact
Reason for attending BLGC
Any medical or allergy information
Transport arrangements to and from BLGC
Any additional information
Keep me up to date
I want to be kept up to date with all the latest news and updates from BLGC We will only contact you in relation to latest news & updates that we think will be of interest to you. We will not disclose your information to any third party and you can unsubscribe from our database at any time.
Consent
I understand that by completing and submitting this referral form, I am providing consent for the processing of my personal data in accordance with the General Data Protection Regulation (GDPR) and any applicable national data protection laws. I consent to the collection, storage, and use of the personal information provided in this form for the purpose of processing this referral and any related communications. I understand that my personal data will be handled securely and will only be shared with relevant parties involved in the referral process. I also acknowledge that I have the right to withdraw my consent at any time by contacting the data controller.
Send
Email Address
education@blgc.co.uk
Phone Number
07787254982
Address
18 Spa Road Bolton BL1 4AG
Facebook-f
Twitter
Google-plus-g
Youtube
Github