International English Centre
Target English Application Form 2017-2018
Section One:Personal DetailsTitle / Mr/Miss/Mrs/Ms/ other / Family Name
Given name(s)
Gender / Male Female / Passport number
Date of birth
Under 18 / Will you be aged under 18 at the start of the course? Yes No
If ‘Yes’, please ask your parent / guardian to complete the parental consent form available on our website
Nationality
Country of birth
Education / Most recent school / university name
Address
When did you/will you graduate?
Qualification obtained
Do you have any disability? Yes No
If ‘Yes’, what adjustments do you need us to make?
Section Two:Contact Details
Student home address / Agent or Institution name and address (if applicable)Student telephone number / Agent telephone number (if applicable)
Student email address / Agent email address (if applicable)
Skype id
Section Three:Choose your course(s)
Course / Dates / No. of weeks / Tuition Fee
Target English / 25 September 2017 – 15 December 2017 / 12 weeks / £3,000
Target English / 8 January 2018 – 23 March 2018 / 11 weeks / £2,750
Target English / 16 April 2018 – 1 June 2018 / 7 weeks / £1,750
Target English / Please fill in your own dates (minimum of 4 weeks): / £250 per week x weeks = £
(please fill in the number of weeks and total tuition fee)
Section Four:Degree Course
Do you plan to study for a degree at Aberystwyth University after this course? Yes No
If yes: Please choose / BA / BSc MA / MSc PhD
Which subject?
Have you applied? / Yes No
Have you received an offer? / Yes No
Section Five:English Language Level
Have you taken a test in English (e.g. IELTS)? / Yes No / Which test?
What was the date of the test?
What was your score? / Listening: / Reading: / Writing: / Speaking:
Overall:
If you do not have a current IELTS or other English Language test, how would you describe your English language skills according to the CEFR (see page 4 of this document)?
Speaking
Listening
Reading
Writing
If you are unsure of your level, please mark this box
Section Six:Previous UK Study and Visas
Previous UK Study / Have you ever studied in the UK before (even if the studies were not completed)? Yes No
If ‘Yes’, please complete the ‘Previous Study in the UK’ form available on our website (European passport holders do not need to do this)
Visas / Have you ever applied for a UK visa and been refused? Yes No
If ‘Yes’, we may need to contact the UKVI to request and Immigration History Check. Do you give consent to this check? Yes No
Section Seven:Accommodation
Do you need university accommodation? / Yes No
Section Eight: How you heard about us
How did you first hear about our courses? / Please tick / Further details (if applicable)Website / Website name:
Agent / Agent name:
School/University / School/University name:
Friend
British Council
Other (please state) / Please state:
Section Nine:Checklist
I have attached my:Scanned passport copy IELTS for UKVI (or other SELT test certificate)
Section Ten:Declaration
This Section must be completed by the applicant.
By signing my name below, I certify that (please tick)
I am the applicant, and the information I have given in this form is correct and complete.
I agree to the University using my personal data to process my application.
Signature of applicant Date
This form should be completed and returned to:
Email:
Postal address: International English Centre, Llandinam Building, Penglais Campus, Aberystwyth, SY23 3DB UK
Other contact details:
Tel: +44 (0) 1970 622547 Website:
Information:How to Pay
• BANK TRANSFER – Please email the bank receipt to us. You can send both the deposit and the balance of fees in a single transfer. Bank charges and commission for both the sending and receiving banks should be paid by the sender. Only the amount received in our bank will be credited to your invoice. The details you require are as follows:
Name of Bank: Lloyds Bank Plc, 1-7 Queen Street, Cardiff, CF10 2AF
Bank sort code: 30-91-63
Account No: 00307826
Name of Account: AU GeneralAccount, G1053-01 1950
IBAN code: GB71 LOYD 3091 6300 3078 26
SWIFT code: LOYDGB21143
• CREDIT/DEBIT CARDPlease phone or email our office to pay by card.
• BANKERS DRAFT / CHEQUE in sterling (GB pounds) made payable to “Aberystwyth University” and sent to the International English Centre, Llandinam Building, Penglais Campus, Aberystwyth, SY23 3DB UK.
Deposits & refunds
Deposits are non-refundable unless your visa application is refused. In this case, you must send evidence within 2 weeks of the visa refusal date, in order to be eligible for a refund. A £150 administration charge will be levied on any course deposit refunds (accommodation deposits are non-refundable). However, if the reason for the visa refusal is that forged documents have been submitted as part of your application, then the deposit will be withheld and the offer of study will be withdrawn.
What happens next?
We will assess your application to ensure that you take the right course for your level of English, and that you have the necessary academic qualifications for your chosen degree.
If your application is successful we will send you an offer letter, invoice and financial declaration form. You will then need to pay a deposit of £1,000. Without this deposit we will not be able to issue a Confirmation of Acceptance for Studies (CAS).
All personal data provided by you will be treated strictly in accordance with the Data Protection Act 1998.
CEFR Levels
Proficient / C2 / •Canunderstandwitheasevirtuallyeverything heard orread.•Cansummarizeinformationfromdifferentspokenandwrittensources, reconstructingargumentsandaccountsinacoherentpresentation.
•Canexpresshim/herselfspontaneously,veryfluentlyandprecisely, differentiatingfinershadesofmeaning eveninmorecomplexsituations.
C1 / •Canunderstandawiderangeofdemanding,longertexts, andrecognizeimplicit meaning.
•Canexpresshim/herselffluentlyandspontaneouslywithoutmuchobvious searchingforexpressions.
•Canuselanguage flexiblyandeffectively forsocial,academicandprofessional purposes.
•Canproduceclear,well-structured,detailedtextoncomplexsubjects,showing controlleduseoforganizationalpatterns,connectorsandcohesivedevices.
Independent / B2 / •Canunderstandthemainideasofcomplextextonbothconcreteandabstract topics, includingtechnicaldiscussionsinhis/her fieldofspecialization.
•Caninteractwithadegree offluencyandspontaneitythatmakes regularinteractionwithnativespeakersquitepossiblewithoutstrain foreither party.
•Canproduceclear,detailedtextonawiderangeofsubjectsandexplain aviewpointonatopical issuegivingtheadvantagesanddisadvantagesofvarious options.
B1 / •Canunderstandthemainpoints ofclearstandardinputonfamiliarmatters regularly encounteredinwork,school, leisure, etc.
•Candealwithmostsituationslikelytoarisewhiletravelling inanareawhere thelanguage isspoken.
•Canproducesimpleconnectedtextontopics whicharefamiliarorofpersonal interest.
•Candescribeexperiencesandevents, dreams,hopes andambitionsandbriefly givereasonsandexplanationsforopinionsandplans.
Basic / A2 / •Canunderstandsentencesandfrequentlyusedexpressionsrelatedtoareas
Ofmostimmediaterelevance(e.g.verybasicpersonalandfamilyinformation, shopping,localgeography,employment).
•Cancommunicateinsimpleandroutinetasks requiringasimpleanddirect exchangeofinformationonfamiliarandroutinematters.
•Candescribeinsimpleterms aspectsofhis/her background,immediate environmentandmattersinareas ofimmediateneed.
A1 / •Canunderstandandusefamiliareveryday expressionsandverybasicphrases aimedatthesatisfactionofneeds ofaconcretetype.
•Canintroducehim/herandothersandcanaskandanswerquestionsabout personaldetails suchaswhere he/she lives,people he/she knowsandthings he/she has.
•Caninteractinasimplewayprovidedtheother persontalksslowlyandclearly andispreparedtohelp.
TheCommon EuropeanFrameworkofReferenceforLanguages:Learning,Teaching, AssessmenthasbeendevelopedbytheLanguage
PolicyDivisionoftheCouncilofEurope(Strasbourg)(c)2001 CouncilofEurope,LanguagePolicyDivision