1. PERSONAL DETAILS

Title:

First or given names:

Last name or family name:

Date of birth:

Gender: Male Female

What is your country of birth?

What is your Nationality on your passport?

Where (which countries) have you been living in for the last 3 years?

What is your first language?

Have you been ordinarily resident in the European Economic Area (EEA) for the past 3 years or more?

Yes No

Email address:

(Please ensure this is a valid email address as we will normally contact you by email.)

Current permanent address:

Country:

Telephone number (including country code):

Is this the address you want us to contact you at? If not please give us another contact address below:

Country:

Telephone number (including country code):

Do you have any English language qualifications or have you taken any English courses? If so please tell us about them including the date of any examinations taken and the grade or score you achieved:

Have you studied English in the UK before?

Did you need a visa to study in the UK at that time?

If yes please tell us the type of visa you studied on and the dates of the study period:

If you plan to apply for a TIER 4 STUDENT VISA you MUST have a SELT (Secure English Language Test) result. If you already have a SELT result please tell us your score here or if you are in the process of taking a test please confirm when you will be sitting a test:

YOUR ACADEMIC OR VOCATIONAL COURSE

I would like to study:

Full-time Part-Time

I am interested in studying:

Please write the name of your chosen course in full.

Course name:

Do you have any academic qualifications? If so please tell us about them including the date of any examinations taken and the grade or score you achieved. Please also include a copy of your qualifications and/or certificates with your application when you submit it:

  1. ACCOMMODATION

If you would like the College to arrange accommodation in a family for you please tick the box below and we will send you an accommodation pack for you.

Please send me an accommodation pack

  1. PERSONAL STATEMENT

Please write your personal statement in the space provided on the next page.

You must do this without any help or without the use of a dictionary or spell checker as it will help us to assess your level of English.

In the statement please tell us a little about yourself and your home country. Tell us why you have chosen to apply for the course and what you hope to get out of studying your chosen course, how does the course fit into your future work, study or social plans? Do you have any particular reason for choosing Cardiff and Vale College for your studies? Do you have any experience relevant to your course choice?

  1. ADDITIONAL INFORMATION (This information will be treated confidentially)

If you have a medical condition or disability that might require special arrangement or facilities please tell us what this is and what type of support you would require.

Do you have any criminal convictions? YesNo

If yes please can you give us details of the nature of the conviction and the relevant dates.

How did you hear about Cardiff and Vale College International?

Agent British Council Friend/Relative Internet Other

Please specify (e.g. Website / agent’s name):

  1. DECLARATION

Please be aware that information about your application, enrolment, attendance and progress at this establishment may be requested by the UK Border Agency for purposes connected with immigration.

I certify that the information contained in this application is correct and that any writing provided is my own. I have sufficient funds to cover my course fees and living costs for the duration of my studies. I have read and agree to abide by the Cardiff and Vale College International Terms and Conditions for international students as published in the International Prospectus and website (

Signature: (Written name/Digital signature is sufficient)

Date:

  1. CHECKLIST

You MUST include the following documents with your application:

(Please tick to show that they have been included)

Completed application form (signed and dated)

Personal statement

Photocopies of relevant qualifications/certificates that you have obtained

SELT (Secure English Language Test) – Necessary if you are applying for a Tier 4 visa or a part-time course from outside the UK and cannot attend for interview

Photocopies of any other English Language results or certificates

Photocopy of your passport and any relevant visas in the UK.

Send completed applications to: Cardiff and Vale College International, Canal Parade, Dumballs Road, Cardiff CF10 5BF

Tel: 0044 (0) 2920 908004 Email: