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Flexi-Study Application Form

Student Details
Student’s Full Name
Sex Male Female
Date of Birth
Student's Mobile
Student's Email
Home Address
Last school attended
Person responsible for paying fees
Address (if different from above)
Home Telephone
Courses to be followed at Wallace College
Subject Level Exam Board Flexi-Study Option
Please give the (approximate) date when you wish to begin your course:
Please give the month and year when you wish to sit your exams:
Subject Details

In the box below please enter the details of the subjects you wish to take. For each subject please include the exam board and the level of the exam.

Previous Exam Results
Please list exam results indicating level and grades obtained.
Subject Level Grade

Exam Board Logos