Loughborough College - International Student Application Form

Please complete all sections of the form and send copies of your qualifications, evidence of your English Language level, passport and any previous UK study visas to either: Intl@loucoll.ac.uk, fax to +44 (0) 845 8339290 or post to:

International Admissions

Loughborough College

* = required

Loughborough College collects data about all staff and students for various administrative, academic and health and safety reasons. Because of the Data Protection Act 1998 we need your consent before we can do this. Since we cannot operate the college effectively without processing information about you, we need you to agree to the following 'consent to process' clause. If you do not agree to this we will not be able to offer you a course place, and may withdraw any offer already made.

Please note that the data sent in this form is not encrypted.

I agree for information about my studies to be shared with my parents or guardian or overseas representative if necessary.

I agree to Loughborough College processing my personal data contained in this form, or any other data the college may obtain from me or other people. I agree to the processing of such data for any purpose connected with my studies, my health and safety whilst on the premises, or for any legitimate reason.

International Student Application Form
Please complete all sections of the form and send copies of your qualifications, evidence of your English Language level, passport and any previous UK study visas to either: Intl@loucoll.ac.uk, fax to +44 (0) 845 8339290 or post to: International Admissions Loughborough College Radmoor Road Loughborough Leics LE11 3BT United Kingdom
* = required****
Title:	*
Family Name:	*
Given Name(s):	*
Date of Birth: (dd/mm/yyyy)	*
Passport Number:	*
Home Address:	*
Correspondence Address: (if different to above)
Telephone Number:	*
Email Address:	*
Country of Birth:	*
Nationality:	*
Country of Residence:	*
Do you have a disability and / or learning difficulty:	*
Will You Need Help:	*
Course/s you are applying for ( Please state the level so we can process your application quickly )
Course:	* Start Date End Date
Course:	* Start Date End Date
For Loughborough University International Foundation Programmes, please state chosen degree course below:

Have you previously applied to Loughborough University?	If yes state the degree programme and year you applied in the text box below?

Last School / College Attended**
Give details of the last school/college attended including the dates:
*
Education and Qualifications Completed / Working Towards
Give details of your qualifications achieved including subjects and grades. If pending, give details of predicted grades.
English Examinations: (e.g. IELTS, TOFEL etc)	Date Completed Score
If you are under 18 please give:
Name of Parent / Guardian:	*
Home Address: (if different from above)
*
Telephone Number:	*
Give details of Employment or Training undertaken to date:
Please give details:

How did you hear about us?
*
Accommodation Please let us know if you need accommodation
*
Agent Zone
Are you applying through an Agent?	*
Agent Address:	*
Agent Email:	*
Criminal Convictions
Do you have a criminal conviction? *
Confirmation of Details and Data Protection
Loughborough College collects data about all staff and students for various administrative, academic and health and safety reasons. Because of the Data Protection Act 1998 we need your consent before we can do this. Since we cannot operate the college effectively without processing information about you, we need you to agree to the following 'consent to process' clause. If you do not agree to this we will not be able to offer you a course place, and may withdraw any offer already made. Please note that the data sent in this form is not encrypted. I agree for information about my studies to be shared with my parents or guardian or overseas representative if necessary. I agree to Loughborough College processing my personal data contained in this form, or any other data the college may obtain from me or other people. I agree to the processing of such data for any purpose connected with my studies, my health and safety whilst on the premises, or for any legitimate reason.
I confirm that the details provided in this application are accurate *
I will send copies of my qualifications gained (Applications cannot be processed without these documents):	*

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