Ref:

PLEASE
ATTACH ONE
PASSPORT
SIZE
PHOTOGRAPH
APPLICATION FORM

Please ensure that the application is fully completed using BLOCK CAPITAL
LETTERS.

Tick as appropriate, and comment where

necessary.
Should you wish to provide additional details in support of your application, please use a
separate sheet.

PERSONAL DETAILS

Mr Mrs Miss Ms Nationality

Family Name
Passport No
First Name
Day Month Year
Date of Birth
Gender

Address [UK] Address [if OVERSEAS]

Telephone Telephone

Mobile Mobile

Email Email

COURSE DETAILS

COURSE NAME

Choice
1:
Choice
2:
Choice
3:

SESSION January 2010 April 2010 September 2010 Other

MODE (Overseas students requiring a student visa may only take full-time courses)

Full time Part Time (Day) Part Time (Evening)

 EDUCATIONAL QUALIFICATION Continue on a separate sheet, if necessary.
EDUCATIONAL
QUALIFICATIONS

Previous educational qualifications

Course Title Examination Date Awarded Grade % Subjects Passed

Body

Examinations to be taken/results pending

Course Title Examination Date Awarded Grade % Subjects Passed

Body

ENGLISH LANGUAGE PROFICIENCY

Is English your first language? Yes No

Have you attended any English language courses? Yes No

(Please attach
evidence)

Have you taken IELTS or TOEFL? Yes No

If “yes” what was your score?

Date
passed:

WORK EXPERIENCE Continue on a separate sheet, if necessary.

Please list any work experience you may have

Name of
Job Title Full/Part Time From To
Organisation
ACCOMMODATION
ACCOMMODATION

Self To be arranged by College

FUNDING YOUR STUDIES

How do you intend to finance your studies?

Who will finance your course fees and living expenses?

PERSONAL STATEMENT (Must be completed otherwise application will NOT be processed)

In your own words please give information about yourself, your background, interests and
details of
any work experience / employment. Also include why you are applying for this course and
what your
future education / career plans are.

Continue on a separate sheet, if necessary.

How did you hear about the College?

Agent Friend Internet Leaflet Magazine

ACCOMMODATION

Newspaper Radio Staff Word of mouth Other

TERMS & CONDITIONS

DECLARATION
I confirm that, to the best of my knowledge, the information in this form is correct. I have understood
the College & Conditions. I understand and agree to abide by the conditions and regulations set out
there, which I accept as a condition of this application.

Applicant’s Signature
DATE:

FOR COLLEGE USE ONLY

Student ID: Date Application Received:
Confirmation of Fee Status: UK/EU International Invite for interview: Yes No
English language qualification met: Yes No
Offer: Decline Conditional Offer Unconditional Offer
Recommend another course:
Name(s) of interviewer(s) Date