DEADLINE FOR CONSIDERATION is 28th November 2017
Solely for use by students progressing from an (Academic
Partnerships) Partner College Foundation Degree onto a Plymouth University Degree
SECTION 1: Personal Details – PLEASE ENTER NAME EXACTLY AS STATED ON PASSPORT
Title: Mr / Ms / Mrs / Miss
Other …………... / Surname:…………………………………………….
First Name(s): …………………………………………
Do you require a visa to study in the UK?: YES NO (please tick)
Have you been classed as an overseas/international tuition fee payer during your studies in the UK? YES NO (please tick)
If you have ticked Yesto either of these questions please complete section 4 on this form ‘UKBA / Visa Information’. If you are not sure how to answer this question please contact: or see
Do you hold an undergraduate degree qualification from a Higher Education Institution?
YES NO (please tick)
Term time Address:
Post Code:
Tel No. (inc. STD code): / (Home/ Correspondence Address:(if different). Important enrolment information will be sent to this address after you leave your term time address.
Postcode:
Tel No. (inc. STD code):
Mobile No: / Area of Permanent Residence (e.g. Devon) or Country of Domicile
Plymouth University Email address:
…………………………………………………………..
Other Email Address:
…………………………………………………………..
Gender: (please tick)
Male Female / Disability / Impairment (inc. dyslexia / medical conditions) Please tick this box if you have a disability – further details overleaf
(including dyslexia or a medication condition)
- Please give further details in the space in section 3 of this form.
- Have you declared your disability to your College? Yes / No*
- Are you in receipt of Disabled Students’ Allowances (DSA)? Yes / No*
This information may be used to inform a transition plan to ensure that appropriate support is in place when you transfer to Plymouth University.
Date of birth:
(dd/mm/yyyy)
Nationality:
Ethnic Origin:
(see notes at the end of this form)
Have you ever been in care: YES NO (please tick)
If Yes, please state duration of care: Less than one week One week to three months
3 months to 1 year 1 year to 3 years 3 years or more
Age when in care - please tick all boxes that are relevant:
looked after for at least 13 weeks since the age of 14, and in care on or after 16th birthday
In care for at least 3 months and in care on or after 16th birthday
In care for 3 months or more
SECTION 2: Programme Information
Foundation Degree Programme Title:……………………………………………………………….
Partner College Name:……………………………………………………………………………….
Did you study the above programme part-time: YES NO (please tick)
Enter the programme(s) title of the progression Award:
…………………………………………………………………………………………………………………………
This the approved progression routeThis is an alternative progression request
Your application will be given individual consideration by the Admissions Tutor. Note: applying for a non-articulated progression route is not guaranteed and an alternative course offer may be made.
Mode of attendance and year of entry:
Full time Part time FLECS (Flexible Learning in Early Childhood Studies)
ELQ (If you hold an Equivalent or Higher Qualification than the one you are applying for, you
may be charged a higher fee).
Bridging Modules: (if required) - please list (your Programme Co-ordinator can advise)
NB: You will be required to submit Stage 3 module choices (if applicable)
Your final degree award result will be forwarded for information to the college where you completed your Foundation Degree. If you do not want your final degree result released to the college, you should contact the Secretariat’s office at the Plymouth University.
SECTION 3: Declarations
Criminal Convictions: If you have a relevant criminal conviction that is not spent, please tick the box.
If you tick the box you will not be automatically excluded from the application process. For more information on offences and rehabilitation periods, click on:
Disability / Impairment: Please give further information relating to any physical, or other disability or medical condition, including any which might necessitate special arrangements or facilities:
Applicant Declaration: I confirm that, to the best of my knowledge the information given in this form is correct and complete and I give my consent for the Plymouth University to provide information to the relevant Partner College of my final grade.
Signature:Date:
FD Programme Co-ordinator Declaration/*Plymouth University Admissions: I confirm as the Foundation Degree Programme Co-ordinator/*Undergraduate Admissions Team that this student is eligible to progress onto the programmeat Level ____on the named above subject to the results of the Foundation Degree, and completion of bridging modules where relevant.
Signature: Date:
Print Name:College Name:
DEADLINE FOR CONSIDERATION IS 28th November 2017
- You are required to respond to offers made to you by 31 March 2018
- Any applications received after the deadline date will not guarantee acceptance on the designated course, however applications may be considered if places are still available.
- We are not able to guarantee progression onto the next academic year, therefore your offer of a place may be deferred
- *If Plymouth University Undergraduate Admissions sign the application, a copy will be returned to the student to ensure the college tutor also signs/monitors progression.
Please complete in full if you ticked Yes to the visa/international fees question in section 1 on page 1 of this form:
Country of birth: / Nationality:
Country of permanent residence:
Have you ever studied at or applied to Plymouth University or Plymouth University International College (PUIC) before?
YES NO (please tick)
If Yes, please state previous student reference number: / Applicants not born in the EU please state if you ever entered UK/ EU previously:
YES NO (please tick)
Give dates: Continue on a separate sheet if necessary and attach to form)
FROM: TO:
Do you require a Tier 4 visa to study in the UK? YES NO (please tick)
If you are not sure please see Immigration & Visas sections of
Have you studied in the UK previously on a Tier 4 or other type of visa (including all studies, whether completed or not). YES NO (please tick)
If answered Yes to this question please give details in full below: (continue on a separate sheet if necessary and attach to this form).
Name of university / college / Course title / Qualification (& NQF level if known) / Type of visa held / Dates of study
From: / To:
Please note that, due to UKBA regulations, there is a time limit on students in the UK on Tier 4 or pre-Tier 4 visas. If the period of your studies at Plymouth University would mean you are expected to exceed this time limit the University may not be able to offer you a place. Please see for details or ask us for further clarification during the admissions process.
Please see for guidelines on Tier 4 maintenance (funds) and other requirements.
Academic English language test taken (please submit proof) / IELTS / TOEFL / PTE / Other
(specify)
Date taken:
Scores: / Reading:
Writing:
Listening:
Speaking:
Total: / Reading:
Writing:
Listening:
Speaking:
Total: / Reading:
Writing:
Listening:
Speaking:
Total: / Reading:
Writing:
Listening:
Speaking:
Total:
Other English language qualifications (please detail here):
You must include the following with your application (please tick box to show attached):
Copy of Information page from current passport and any UK visas held previously / Proof of English language level / Form fully completed and signed
Please read and tick all to confirm you have read and understood:
- I understand that I will be required to submit a new visa application to transfer my Tier 4 visa to Plymouth University’s Sponsor Licence BEFORE enrolling at the University and I will take advice from the University’s International Student Advisory Service (ISAS) in order to do this
- I have checked on the website that my chosen course(s) is/are offered on a full-time basis (international students who require a Tier 4 visa only)
- I have checked on the website that my chosen course(s) is/are open to international student applications (for example, typically courses with UK NHS funding such as Nursing are not currently open to international (non-EU) student applications at Plymouth University
- I confirm that, if I am accepted by Plymouth University, that I will personally complete a pre-CAS checklist when asked to do so
- I understand that I may be requested to submit further documentation in support of my application
Notes: As a requirement of the Race Relations Amendment Act (2000) we need to know your ethnic origin for the purpose of monitoring equality of opportunity to all ethnic groups. Please enter from one of the categories below:
White
Mixed:
Asian or Asian British: / (10)
White and Black Caribbean (41)
White and Black African (42)
White and Asian (43)
Any other mixed background (49)
Indian (31)
Paskistani (32)
Bangladeshi (33)
Any other Asian background (39) / Black or Black British:
Chinese:
Other:
Not known:
Do not wish to answer: / Caribbean (21)
African (22)
Any other Black background (29)
Chinese / other Cheses background (34)
Other ethnic background (80)
(90)
(98)
DEADLINE FOR CONSIDERATION IS 28th November 2017
Please return this form to your college HE Administratorwho will forward toCentral Admissions, Plymouth University. Please note that information regarding your progression will only be sent to the Plymouth University Email addressONLY.
If you are applying for a progression route at a Partner College please send the progression form to the College HE Office.
Please check the Plymouth University website to ensure you are clear about the fees that you will be charged upon progressing to Plymouth campus.