Application Form

Please complete the form below to apply to join the University of Brighton outreach programme. We look at each application individually; please let us know of any circumstances you would like us to take into consideration.  The Outreach team retains the right to make a final decision on eligibility to the programme.

Our privacy notice and our widening participation criteria can be found on the tabs above.

If you have any questions about this form please email outreach@brighton.ac.uk

Outreach programme application form 2025-26

Student details

Please answer all the questions below so we can assess your eligibility.

Name *

Name

First

First

Last

Last

Address *

Address

Town *

County *

Postcode *

Email *

Please type this carefully as this is how we will contact you.

Confirm Email *

Please confirm your email address

Date of birth *

Please use the calendar to enter your date of birth.

Current 6th form or college * Please selectAngmering School, TheArk Alexandra AcademyBeacon AcademyBexhill CollegeBishop Luffa SchoolBrighton Aldridge Community Academy (BACA)Brighton Hove and Sussex Sixth Form College (BHASVIC)Cardinal Newman Catholic SchoolChichester CollegeChichester High SchoolCollege of Richard Collyer, TheCrawley CollegeDv8 SussexEast Sussex College Group - EastbourneEast Sussex College Group - HastingsEast Sussex College Group - LewesFelpham Community CollegeGreater Brighton Metropolitan College (GB Met / Northbrook College)Hailsham Community CollegeHaywards Heath CollegeHazelwick SchoolHeathfield Community CollegeHoly Trinity CofE Secondary School, CrawleyHove Park SchoolIfield Community CollegeImberhorne SchoolKing's SchoolLittlehampton Academy, TheMidhurst Rother CollegeNorthbrook CollegeOriel High SchoolPlumpton CollegeRegis School, TheSackville SchoolSeaford Head SchoolShoreham AcademySir Robert Woodard Academy, TheSt Paul's Catholic CollegeSt Philip Howard Catholic SchoolSt Wilfrid's Catholic School, CrawleySteyning Grammar SchoolThomas Bennett Community CollegeUckfield CollegeUplands Community CollegeVarndean CollegeWeald School, TheWorthing CollegeOther Current 6th form or college

Local Sussex institutions are listed but you can apply wherever you study. If your sixth form/college is not listed, please select 'other' and type in the name.

Current year group *

Year 12 (1st year of sixth form or college)

Year 13 (2nd year of sixth form or college)

Access to HE course

Other Other

What year would plan to start university, if you were to apply? *

2026

2027

2028

2029

Previous secondary school, if different to your current institution

About you

Are you, or have you ever been, in care of the Local Authority or under a special guardianship order? *

Yes

No

Are you a young carer? *

Yes

No

Have you lost contact with your family? Often referred to as estranged, but not in the care of the Local Authority. *

Yes

No

Do you currently, or have you ever, lived in supported accommodation? *

Yes

No

Supported accommodation refers to housing that includes additional services to help people live as independently as possible. It’s designed for individuals who may need some level of support due to age, disability, mental health challenges, or other personal circumstances.

Do you have refugee or asylum seeker status? *

Yes

No

Do you have a diagnosed disability (physical or learning)? *

Yes

No

Definition of disability - an explanatory note. The Equality Act 2010 defines disability as: "a physical or mental impairment, which has substantial and long term adverse effect on a person's ability to carry out normal day-to-day activities"

If yes, what is the nature of your disability? * Please selectLearning difference such as dyslexia, dyspraxia or AD(H)DSocial/communication conditions such as a speech and language impairment or an autistic spectrum conditionLong-term illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsyMental health condition, challenge or disorder such as depression, schizophrenia or anxietyPhysical impairment (a condition that substantially limits one or more basic physical activities such as walking, climbing stairs, lifting or carrying)Deaf or have a hearing impairmentBlind or have a visual impairment uncorrected by glassesDevelopment condition that you have had since childhood which affects motor, cognitive, social and emotional skills, and speech and languageAn impairment, health condition or learning difference not listed abovePrefer not to specify

Do you receive the 16-19 Bursary Fund? *

Yes

No

Have you ever received free school meals? *

Yes

No

Are you studying an Access to Higher Education course, or are you a mature student? *

Yes

No

Subject interests

Which of the following subject areas are you interested in? *

Accounting, finance and economics

Allied health professions

Architecture and design

Biological and biomedical sciences

Business and management

Civil engineering

Computing

Construction and building

Creative writing

Criminology and sociology

Data science and analytics

Education studies

Engineering

English literature and creative writing

Fashion, textiles and 3D design

Fine art

Geography, ecology and environment

History of art and design

Humanities

Journalism

Language

Law

Literature

Marketing

Media and film

Nursing and midwifery

Pharmacy and pharmaceutical sciences

Photography

Politics

Psychology

Social work

Sound and music

Sport and exercise

Teaching

Visual communication

Please select any that are of interest to you.

Confidential equal opportunities monitoring

Please select the appropriate options

Sex *

Female

Male

Other

We are asking for your sex as opposed to the gender with which you identify. Please use the term 'other' if you associate with the terms intersex, androgyne, intergender, ambigender, gender fluid, polygender, genderqueer, or would prefer not to say.

Ethnicity * Please selectArabAsian - Bangladeshi or Bangladeshi BritishAsian - Chinese or Chinese BritishAsian - Filipino or Filipino BritishAsian - Indian or Indian BritishAsian - Pakistani or Pakistani BritishAny other Asian backgroundMixed or multiple ethnic groups - White or White British and Asian or Asian BritishBlack - African or African BritishBlack - Caribbean or Caribbean BritishAny other Black backgroundMixed or multiple ethnic groups - White or White British and Black African or Black African BritishMixed or multiple ethnic groups - White or White British and Black Caribbean or Black Caribbean BritishWhite - English, Scottish, Welsh, Northern Irish or BritishWhite - Gypsy or Irish TravellerWhite - IrishWhite - PolishWhite - RomaWhite - ScottishAny other White backgroundAny other ethnic backgroundAny other Mixed or Multiple ethnic backgroundPrefer not to say

Agreement

The information I have given is complete and accurate. By submitting this form I confirm I have read and understand what my data will be used for, and what I can expect from the outreach programme. This includes targeted and appropriate communications from the University of Brighton, including being notified of activities which are part of the university's widening participation offer. I understand that my data will be used as set out in the WP Outreach privacy notice, and that I can opt out of communications at any point. *

Yes

I am happy to be contacted for research purposes by the University of Brighton *

Yes

No

Student signature *

Please type your name

Thank you

We will contact you as soon as possible to let you know the outcome of your application.

WP Outreach privacy notice
University of Brighton privacy notice for prospective students

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