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GAMTA APP DETAILS

Student Details

First name*

Last name*

Email*

Phone*

Date of Birth*

1st Line of Address

2nd Line of Address

Town / City*

County*

Postcode*

Country*

Education

To be completed by all G JUNIOR students - GPRO students should mark each field with NA

Do you currently attend secondary school?*

Yes

No

Name of school you currently attend*

Name of your Guidance Teacher*

Contact Number*

Email Address*

Your Health / Special Needs Requirements

Do you suffer from any medical conditions?*

Yes

No

If you answered 'Yes', then please give details below:

Do you have any special needs or requirements in order to assist your learning process?*

Yes

No

If you answered 'Yes', then please give details below:

Do you have any form of learning disability?*

Yes

No

If you answered 'Yes', then please give details below:

Do you have any physical growth issues which may be pertinent to your training?*

Yes

No

If you answered 'Yes', then please give details below:

Have you been assessed by DSA in terms of study aids and strategies?*

Yes

No

If you answered 'Yes', then please give details below:

Emergency Contact Details

This should be your parents details, as all parents will be given access to the GAMTA APP so they can keep up to date with information

First Name*

Last Name*

Phone Number*

Email*

Address*

Relationship to Student*

Headshot / Photograph

Please upload a recent photograph of yourself

Student Declaration

To the best of my knowledge the information contained in this application is correct and will be used and stored to create access to the GAMTA APP.

I understand that my personal information will be shared by SQA and any other relevant accreditation bodies for certification purposes and in accordance with the Data Protection Act 1998.

(Typing your name in the box confirms your signature)

Signature*

Date*

Signature of parent (if the applicant is under the age of 18 years a Parent or Guardian must also sign the form)

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