APPLICATION FOR ADMISSION

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Section 1: Details of the Applicant
(To be completed by all applicants)
Family Name*
Other Names*
Date of Birth*
Present Age*
Gender*
- Male
- Female
Nationality*
Religion*
Passport No. (for overseas applicants):
Place of issue
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone*
Skype ID
Email
Address for correspondence, reports and fees payment (if different)
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone*
Skype ID
Email
Who will be responsible for paying fees? Please state relationship to student:*
Where did you hear about Abbey College from?*
Have you ever been refused a visa for, or been denied entry to, the UK?*
- Yes
- No
Have you ever been refused a visa for, or been denied entry to, any other country?*
- Yes
- No
If you have answered Yes to either question, please attach full details, and include a copy of any refusal notices.

Section 2: Details of the UK Guardian
(To be completed by all Academic and long-term students under the age of 18 only) For students under 18 years old who are not normally resident in the UK the College recommends there be a guardian resident in this country. If you do not have such person available please advise us separately
Name of Parent or Guardian:
First Last
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone
Skype ID
Email

Section 3: Proposed Course and Dates
(To be completed by all applicants). Please see the Fees List sheet for Course Dates.
Which course would you like to study?*
- GCSE/IGCSE
- A/AS Level
- Foundation
- Pre-sessional
- High School Experience
Academic students - please state which subject/subjects you would like to study.
Please refer to the main brochure for a list of subjects and other details. For GCSEs choose at least five subjects, for A Levels choose 3 or 4 subjects, and for Foundation Courses choose one subject area. NB: For subjects listed as ‘Other Supplementary Subjects’ availability is subject to demand. No guarantee is given that such subjects will be offered.
If you would like an additional 1:1 package (see Student Guide), please tick:
- 30 hours for £1200 extra
- 60 hours for £2200 extra
Start Date*
End Date*
Duration of stay*
Please note that for Academic and Foundation students the minimum length of stay is 1 term. 1 term = 10-13 weeks, 1 year = 33-34 weeks

Section 4: English Language Ability
To be completed by all students
What is your present knowledge of English?*
- None
- Very little
- Elementary
- Intermediate
- Good
- Very Good
Please give details of any English Language examinations you have taken with results (e.g. TOEFL, IELTS):*
If you are due to sit for an English Language exam soon, please give details of the exam, date and when you will have the results*
English Language Only
IF APPLYING FOR AN ENGLISH LANGUAGE ONLY COURSE (INCLUDING ACADEMIC ENGLISH), PLEASE NOW GO STRAIGHT TO SECTION 7

Section 5: Details of Academic Record and Qualifications
To be completed by all Academic students only
Name of present School or College (or most recent if you have left school/college)
Name of Head or Principal
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone
Email
Examinations To Be Taken and Already Taken
Drop files here or
Please use separate sheet to give exam results and enclose copies of certificates obtained. Include any important Predicted/Forecast results, as well as a significant extra-curricular award.

Section 6: University and Career Aims
To be completed by all Academic students only
If you know, please tell us your aim for taking an Academic course at Abbey College. If it is to go to university, please state what you would like to study. If it is to obtain a certain job, please state which one

Section 9: Fees Payment Detail
To be completed by all applicants
Please state by what date – and by which method of payment – the full fees will be paid by
How Do You Wish To Pay Your Fees?*
- Yearly
- In two Instalments
- In three Instalments
there is a reduction if paid yearly

Section 10: Declaration by Parent/Guardian or Sponsor
To be completed by all applicants
Consent*
Confirm
I apply to enrol the student named in Section 1 of this form and agree that he/she will obey the rules and regulations governing the conduct of
students at Abbey College. I undertake to pay all fees and charges on or before the date on which they become due and hereby give permission for
the student to participate in the full range of sports and social activities offered at Abbey College. I agree for the College’s dedicated staff member
to administer any injections and medicines he/she may consider necessary or desirable and to authorise any emergency medical treatment. I
understand that all medication must be deposited with the dedicated staff member on arrival. Students and parents agree that a student's image,
details, written comments and achievements can be used for promotional purposes without written consent or notification, and that he/she may
be added (free of charge) to the college’s alumni association. I have read and fully understood the latest terms and conditions of the college in the
Student Guide and brochure, or as amended on the college website, and in particular all rules governing withdrawal and cancellation.
Name of Person Signing*
First Last
Date*
Additional Signing by Student*
First Last
Date*

Section 1: Details of the Applicant