BATH COLLEGE – ENGLISH LANGUAGE SCHOOL

Summer School 2015

Application form

Please send the completed application form by email to:

Please use the Tab key to move from one field to the next.

1. Student details
Your name as it appears on your passport
Family name: / First name / given name:
Gender: Male Female / Date of birth: //
day / month / year
Nationality: / Passport number:
Your first language: / Please attach a scanned copy of the student’s passport or ID card
Contact address: / Tel:
Mobile:
Email:
Have you been a permanent resident in the EU for three years immediately before the start of this course?
Yes No. If no, what was your date of entry into the EU?
If you need a visa to come to the UK, please say which type of visa you intend to apply for, or already hold, for the purpose of studying on this course:
2. Course details
Please check the course you would like to attend:
General English
Intensive English (General plus Academic English or exam preparation)
When do you want to start?
6 July 2015
13 July 2015
20 July 2015
27 July 2015
3 August 2015
10 August 2015
17 August 2015 / When do you want finish? (The minimum period of study is 2 weeks)
17 July 2015
24 July 2015
31 July 2015
7 August 2015
14 August 2015
21 August 2015
28 August 2015
3. Your education and level of English
Have you studied in the UK before? Yes No
If ‘yes’, please give the start and end date of your study in the UK:
What is your level of English now?
Elementary (I know some simple sentences, and I can introduce myself)
Pre-intermediate (I can speak enough English to go shopping and have a simple conversation)
Intermediate (I am confident about my English, and I can join in conversations about familiar and unfamiliar topics)
Upper Intermediate (I am very confident that I can understand most of the English around me, and on TV and in films)
Please give the details of any English language exams you have passed:
/ Grade:
Grade: / Date:
Date:
If you have an IELTS score, please enter it here: / Score: / Date:
4. Special support
Do you have any health issues (eg asthma, allergies, etc.)? / Yes No / If yes, please give details:
Do you have a learning difficulty or disability which may need special support (eg dyslexia, hearing difficulties, etc)? / Yes No / If yes, please give details:
Please tell us any other information you think would be useful for us to know:
5. How did you hear about Bath College?
Visit to an education fair
From the internet
Through an agent (name): / From a friend or past student
British Council
Other (please give details):
6. Accommodation
Do you want the college to arrange accommodation for you? Please check one of the boxes below.
Homestay (under 18s take priority)
Hall of residence (sharing with other students)
I do not need accommodation
Do you want to share a bedroom?
Yes No / If yes, is there someone you would like to share with?
Name of person:
Do you have a special diet? (eg vegetarian, halal)
Yes No / If yes, please give details:
Do have any allergies or other special needs?
Yes No / If yes, please give details:
Please tell us any other information you think would be useful for us to know:
7. Airport transfer
Do you want the college to arrange airport transfer to the college for you?
Yes If ‘yes’, please answer the questions below. / No If no, please state who you will be travelling with.
Do you also want a return airport transfer after the course has finished?
Yes / No If no, please state who you will be travelling with.
Which airport will you arrive at?
Bristol airport Heathrow airport other airport (give name:) I don’t know yet
Refunds and Cancellations
We can only consider monetary refunds in truly exceptional personal and verifiable circumstances, but we may be able to give you a credit note for use against other courses at the College at a later date. The final decision on whether a refund is allowed will rest with the Finance Director of the College.
8. Declaration
Bath College needs to process personal information about applicants in order to make admissions decisions, to provide advice, guidance, education and training. In assessing applications information may be released to relevant government departments/ agencies and Local Authorities.
By writing my name below, I confirm that all the information provided in this application form is accurate and I understand that it will be used in order to make admissions decisions. Furthermore, I understand that I will be subject to the College regulations.
Name: Date:
Parent / guardian consent (for students who are under 18)
As the parent/guardian of the applicant, I confirm that I agree to him/her participating in any course related visit, trip or activity arranged by the College. I grant the college the authority to take practical and legal decisions including emergency medical treatment. This is to be undertaken if an urgent decision is required and the College is unable to contact me. I agree to the travel and accommodation arrangements which are organised by the College or its external agent/s. These include travel to and from the airport by coach or taxi, and daily travel to and from the applicant’s accommodation by the local bus service. I also confirm that the information given on this application form is accurate and I agree that the applicant will be subject to the College regulations.
Name of parent / guardian: / Date: //
day / month / year

Please send the completed application form by email to: