Apply

Type of programme you are studying for  _*

Programme  _*

Do you know the degree you want to study?  _*

Yes Don't know yet

Intended degree at University  _*

Date you wish to start your course  _*

Do you require English Language Preparation before your course?   _*

Yes No Don't know yet

Family name  _*

Given names  _*

Date of birth  _*

Gender  _*

Nationality  _*

Passport number  _*

Passport expiry date  _*

Country of birth  _*

Country of Residence  _*

State/Province  _*

Home address  _*

City  _*

Postcode  _*

Email  _*

Subscribe  _*

Select yes or no below if you would like to receive further marketing communications from us. You can unsubscribe at any time and your e-mail remains confidential. For more information please see our  privacy policy

Where did you first hear about the International Study Centre?  _*

Where did you first hear about the International Study Centre?

Family name  _*

Given names  _*

Relationship to student  _*

Home address  _*

City  _*

Postcode  _*

Country  _*

Email  _*

1st contact telephone/mobile  _*

2nd contact telephone/mobile

Fax

Do you have any criminal convictions?  _*

-- Please Select -- Yes No

If you answer "yes" you will be asked to provide a full statement of relevant facts in English

The full cost of StudyCare insurance will automatically be added to your invoice unless you can provide proof of alternative adequate cover.

Do you need StudyCare?  _*

-- Please Select -- Yes No

Please give details of any circumstances, including allergies and any reliance on prescription medicines. Completion of this form, including acceptance of terms and conditions, gives professional staff first aiders permission to administer first aid to you if required. If you indicate you have a medical condition, disability or special need this informaiton will be passed to the student support unit at the University. Please note that consideration of how we can meet any special needs is separate from the assessment of your academic ability.

Medical/disability special needs

Characters left:

You need to provide proof that you are able to pay for full tuition fees, accommodation and living expenses. We will let you know if there are any scholarships and bursaries available to you but it is important that you can show you can cover the cost of your education.

Source of Funds  _*

Person or organisation responsible for your financial support  _*

Address of sponsor or fee payer  _*

Declaration by the student, the fee payer/sponsor and parent/guardian if the student is under 18 years old

Agreement by the student

  By checking this box I agree to the Terms and Conditions.  _*   

Agreement by the parent or guardian

  By checking this box I agree to the Terms and Conditions.  _*   

Agreement by the fee payer/financial sponsor

  By checking this box I agree to the Terms and Conditions.  _*   

Accommodation option  _*