Grafton College

Of Management Sciences
LONDON
Union House, 65-69 Shepherds Bush Green, Shepherds Bush, London W12 8TX Telephone: 0044 208 749 8367, 0800 107 3276 Fax: 0044 208 749 8369 Email: info@graftoncollege.com Web: www.graftoncollege.com

Ref:

7 Gardiner Row Dublin 1 Ireland Telephone: 00353 1 872 6597, 00353 1 872 6599 Fax: 00353 1 872 6591 Email info@graftoncollege.ie

DUBLIN

PLEASE ATTACH ONE PASSPORT SIZE PHOTOGRAPH

APPLICATION FORM
Please read the terms and conditions before completing this form

Please ensure that the application is fully completed using CAPITAL LETTERS. Tick as appropriate, and comment where necessary. Should you wish to provide additional details in support of your application, please use a separate sheet.

PERSONAL DETAILS

Mr Family Name First Name

Mrs

Miss

Ms

Nationality Passport No Day Month Year Date of Birth Address [if OVERSEAS]

Gender Address [UK/IRELAND]

Telephone Mobile Email

COURSE DETAILS Location LONDON DUBLIN

Telephone Mobile Email

COURSE NAME Choice 1: Choice 2: Choice 3: SESSION January 200 April 200 September 200 Other

MODE (Overseas students requiring a student visa may only take full-time courses) Full time Part Time (Day)

(English Language only)

Part Time (Evening)

EDUCATIONAL QUALIFICATIONS

Previous educational qualifications Course Title Examination Body Date Awarded Grade % Subjects Passed

Examinations to be taken/results pending Course Title Examination Body Date Awarded Grade % Subjects Passed

ENGLISH LANGUAGE PROFICIENCY Is English your first language? Have you attended any English language courses? Have you taken IELTS or TOEFL? Yes
(Please attach evidence)

No No No

Yes

Yes If yes what was your score? Date passed:

WORK EXPERIENCE Please list any work experience you may have Job Title Name of Organisation Full/Part Time From To

ACCOMMODATION

Self

To be arranged by College

FUNDING YOUR STUDIES How do you intend to finance your studies? Who will finance your course fees and living expenses?

OTHER INFORMATION

To help us provide assistance if possible please state briefly any disabilities requiring special support or facilities Please give reasons for choosing this programme of study What are your future education plans?

How did you hear about the College? Agent Newspaper Friend Radio Internet Staff Leaflet Word of mouth Magazine Other

TERMS & CONDITIONS All students must ensure that they read the following terms and conditions of admission before they sign the application form.
1. 2. 3. 4. All courses at Grafton College are open to applicants aged 18 and over. Admission for a course, together with the payment of the fee/required deposit, constitutes a binding agreement on the student to follow the courses and pay the full tuition fees. The minimum entry requirements for each course are as set out in the College prospectus. A payment of 75* in addition to the tuition fee is required as a registration fee for London campus. This fee is nonrefundable. * European students enrolling for an English language course will pay 30 registration fee. There is no registration fee for students wanting to study at Grafton College Dublin. Once a student has been accepted on the course, a full one year tuition fee (or the full tuition fee for courses less than 12 months) is required in order to obtain official documents from the College for visa application purposes. International students who have resided within the UK or Ireland for a period of 1 year or more are entitled to pay local fee rates. All tuition fees must be paid in full from the period of commencement of the course. At the discretion of the College principal, students at the Colleges London campus may be allowed to pay their fees in instalments (a charge of 50 applies for paying in instalments), where the remaining balance must be cleared within the first three months of commencing the course. All bank charges must be paid by the student. If a payment is made via cheque, but this cheque cannot be cleared, the student will be charged a fee of 35 (London campus only). Tuition fees are not refundable after the commencement of the course. If the student requests the cancellation and/or refund before commencing the course, the College will cancel the contract and refund all money paid to the College by the student apart from 75* (London campus)/100 (Dublin campus) registration fee to cover administrative costs. Please consult the College refund policy for more explicit information on tuition fee refunds. *30 registration fee for European students wishing to study English If a student has been refused a visa to enter the UK or Ireland, the fee paid will be refunded within 21 working days from the request date, apart from the sum of 75 (London) / 100 (Dublin) to cover administrative costs, provided the following conditions are met: The student has not entered the UK or Ireland. The student provides the College with the original Refusal Letter issued by the British or Irish Consulate. If the student has logged an appeal, the fee will only be refunded once the College receives documentary evidence that the appeal has been dismissed. All original documents and receipts for fees paid issued by the College must be returned to the College. If the student has obtained a visa using the Colleges official documents and then decided not to follow the course at the College, the fees will not be refunded. The College reserves the right to cancel or reschedule a course, if there is insufficient demand. If the course for which an application is made is cancelled for whatever reason, students will be offered an alternative course or a refund of fees. If a student wishes the College to arrange for accommodation, a deposit of 35 is required to secure the booking (London campus). A letter stating that accommodation will be arranged by the College can only be obtained once the deposit has been paid. For accommodation options and the booking form please contact the College. It is the students responsibility to ensure that external examination entries are submitted on time to the appropriate examining body, and that registration/examination fees for the examination board are fully paid. Overseas students on a student visa are required to attend a full-time course of a minimum of 15 hours per week (day-time study). The College is unable to provide attendance certificates to students whose attendance in class is less than 80%. Absence through illness must be supported by a medical certificate. The College will not facilitate any student who is in breach of the immigration rules. If a student is required by the immigration office to leave the UK or Ireland, because of non/poor attendance or due to any breach of law, tuition fees paid will not be refunded. Behaviour that puts other students and staff at risk or in a harmful/dangerous situation will not be tolerated and disciplinary procedures will be implemented. The College reserves the right to change the times of the courses, and to make changes in regulations, syllabus, fees, etc. without prior notice. The information in this application form is correct at the time of going to print. However, it is subject to change at any time without notice.

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DECLARATION I confirm that, to the best of my knowledge, the information in this form is correct. I have read the College Terms & Conditions. I understand and agree to abide by the conditions and regulations set out there, which I accept as a condition of this application.

Applicants Signature
DATE: