Student Details
Title    
Surname    
Forenames(s)
Student Mobile   
Email
Student Home Address

Post/Zip Code

Student Correspondance Address (if different)

Post/Zip Code

Home Telephone
Fax Number
Skype Address

Date of Birth (Day/Month/Year)

Student Nationality Information
Passport or Identity Card No.
Nationality

Parents' / Guardians' Name
Forenames(s)
Surname    
Parent Home Address

Post/Zip Code

Correspondance Address (if different)

Post/Zip Code

Mobile   
Home Telephone
Fax Number
Email
Course Details
Academic Year
Name of the course or subjects you are applying for:

Academic Background
Please indicate you career plans:

Details of Secondary Education or college qualifications    
Name and address of school or institution
Qualification
Subject
Grade
Date Achieved
Certificate
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO

About You
Please give details of any full-time work experience you have had:
Who will pay for your studies in the UK?
In which countries have you lived for the last three years?(Please list)
Was your residency in any of those countries only for the purpose of receiving full-time education? YES NO
If you are from Hong Kong, do you intend to claim overseas education allowance (OEA)? YES NO
Do you have the necessary funds in place to pay for your tuition fees and living costs whilst in the UK?
You must provide us with evidence that you have the funds to pay for your tuition fees and living costs -
please see the UKBA Website and our application information page for further information.
YES NO
Is English your first Language? YES NO
Please indicate any English language qualifications you have, attaching certificates where possible:

Beginner Lower Intermediate Intermediate Upper Intermediate Advanced

You must provide us with evidence of your level of English. This will need to be your original certificate.
Please see the UKBA Website and our application information page for further information.

If you are already in the UK, is there a time limit on your stay in the UK imposed by the UK border agency? YES NO

Additional Information
If you consider that you have a learning difficulty or disability, please tick as appropriate so that we can offer support.
(Please specify the date of your last psycology assessment if you have one)
                 
           
(Please specify)
Do you require a host family?
(If yes, please complete our host family application form and send it with your application including the associated fees.)
YES NO
Are you applying to other Colleges in the UK/another country? YES NO
Why have you chosen Bexhill College?

Student Profile
In addition to the completion of this form, please write a 250 word student profile on a separate sheet of paper indicating why you wish to study in England, your career or education plans, hobbies and interests in order that we may assess your level of English. Include information on your ability to speak and understand spoken English.

Data Protection Act

Information you provide on this application form will be stored and processed and, because of the Data protection Act 1998, we need your permission before we can do this. Since we cannot operate the College effectively without processing information about you, we need you to tick the box below. Further information about data confidentiality is available on request from the College.

Please check that you have answered all the questions before submitting. Please remember to post us your deposit/fee payment by cheque or money order made payable to 'Bexhill College' and post to: Admissions Department, Bexhill College, Penland Road, Bexhill on Sea, East Sussex, TN40 2JG, UK. Please make sure your payment is is clearly marked who it is from to enable us to attach it to your application.



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