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College Ref.

PLEASE STUDENT APPLICATION ATTACH ONE FORM PASSPORT


OFFICE USE ONLY Date Received: DD/MM/YYYY

SIZE (For Full-Time and Part-Time PHOTOGRAPH Applicants)

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

Please ensure that the application form is fully completed and signed using CAPITAL LETTERS. Should you wish to provide additional details in support of your application, please use a separate sheet. The information provided in the form will be treated confidentially in accordance with the Data Protection Act, 1998.

PERSONAL DETAILS

Mr Surname First Name Gender Female

Mrs

Miss

Ms

Nationality Passport No. Date of Birth Male

Place of Birth
Property Number:

Address [UK/IRELAND] Property Number: [OVERSEAS] Address Mobile


Street:

Street: Location:
application form.)

LONDON

(If you wish to study at Grafton College Dublin, please fill in the relevant

Email

Town/City: COURSE NAME Choice Postcode: Telephone Telephone 1: Mobile 2: Choice Choice Email 3: YOUR CHOICE OF COURSE PREFERRED START DATE: DD/MM/YYYY

Town/City: Postcode: Telephone Country:

Mobile Email

+ +

Email

MODE

(International students on a student visa will need to enrol for a full time course, if this course is the main course of study.)

Full time

Part time

EDUCATIONAL QUALIFICATIONS Please list all your qualifications as well as pending results, starting with the most recent. You are required to submit copies of all transcripts/certificates with your application. Pending documents need to be forwarded when they are available.

Email

Qualification
including title, level, country

Awarding Body Date Awarded

Result/Grade

Subjects Passed

MEMBERSHIP OF PROFESSIONAL ORGANISATIONS Please include membership of any professional body or organisation (please give your registration number where relevant).

ENGLISH LANGUAGE PROFICIENCY Are you a national of a majority English-speaking country*? No


*Antigua and Barbuda, Australia, the Bahamas, Barbados, Belize, Canada, Dominica, Grenada, Guyana, Jamaica, New Zealand, St Kitts and Nevis, St Lucia, St Vincent and the Grenadines, Trinidad and Tobago, United States of America

Yes

Have you attended any English language courses (if yes, please enclose evidence)? Yes Yes No No If YES, which test did you take? ________ what was your score? ________ what was the pass date? ________ Have you taken a recognised English test (e.g. IELTS or TOEFL) that assessed your proficiency?

WORK EXPERIENCE

Please outline any work experience you have had (both paid and unpaid). Job Title

Name of Organisation

MM/YYYY
Duties

MM/YYYY

From To

Job Title Name of Organisation

MM/YYYY
Duties

MM/YYYY

From To

Please continue on a separate sheet if necessary. ACCOMMODATION Please indicate if you wish the College to arrange accommodation for you (where applicable).

Self
AIRPORT PICK UP AIRPORT PICK UP

To be arranged by the College


Please complete an accommodation booking form available from the College.

Please indicate if you wish the College to arrange airport pick up for you (where applicable).

Self
FUNDING YOUR STUDIES

To be arranged by the College


Please complete an airport pick up booking form available from the College.

Who will pay your course fees?

Who will pay for your living expenses?


Please provide a sponsor letter with this application form if your studies are sponsored by a government body, the British Council or any international organisation/company or university. PERSONAL STATEMENT Please use this section to provide information to support your application, including your reasons for choosing this programme as well as the benefits that you hope to gain from it. Please continue on a separate sheet if required.

___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________

CRIMINAL CONVICTIONS Have you had any criminal convictions in the UK or any other country?
Notes: Convictions spent under the Rehabilitation of Offenders Act 1974 need not be disclosed. If you are unsure whether to tell us about a previous conviction, you may want to seek more advice from your local Citizens Advice Bureau.

YES

NO

ENTRY CLEARANCE INFORMATION (to be completed by visa national students only) 1 Did you obtain entry clearance or a visa at the start of your current stay in the UK? N/A 2 What date was the entry clearance or visa valid from? N/A 3 What was the date of your first entry to the UK? N/A 4 What date is your current leave (or permission to stay) valid until? N/A 5 Have you ever stayed in the UK beyond the end of your period of leave? N/A 6 Have you ever illegally entered the UK? N/A 7 Have you ever been removed or deported from the UK? N/A YES YES YES NO NO NO YES NO

PREVIOUS UK STUDY (to be completed by visa national students who apply from outside the UK only) Have you ever studied in the UK before? If yes, please provide details: ___________________________________________________________________________________________________ YES NO

ETHNICITY Please tick the relevant box below Asian or Asian British Bangladeshi Indian Pakistani Other Asian background

Black or Black British Black African Black Caribbean Other black background

Mixed Ethnic Origin White & Asian White & Black African White & Black Caribbean Other mixed background

White White British White Irish Other white background

Other Chinese Any other background

DISABILITIES AND SPECIAL CONSIDERATIONS Do you have a disability, illness or medical need? Yes No

If yes, please as appropriate. Visual impairment Hearing impairment Impairment affecting mobility Other physical disability Other medical condition (e.g. epilepsy, asthma, diabetes) Emotional/behavioural difficulties Mental ill health Temporary disability after illness Profound/complex disabilities Aspergers syndrome Multiple disabilities Other

Do you have a learning difficulty? Yes No

If yes, please as appropriate. Moderate learning difficulty Severe learning difficulty Dyslexia Dyscalculia Other specific learning difficulty Autism spectrum disorder Multiple learning difficulties Other

If yes, are there any particular needs which you have when attending the course you have applied for? Please give details:
____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________

MARKETING INFORMATION

How did you hear about Grafton College?


College prospectus College website British Council Education UK website College Representative (please specify) Newspaper/Magazine (please specify) Education Fair (please specify) Internet (please specify) Other (please specify) Family/Friends Staff Leaflet Open Day

How important were the following factors in your choice to study at Grafton College?
(1 - very important, 2 - important, 3 - moderately important, 4 - of little importance, 5 - unimportant) 1 Relevance of Course related to your Career Course Content Course Duration Location Teaching Methods Course Reputation College Reputation Facilities (Learning Resources, Computer Labs) Entry Requirements Flexible Study Options Professional Accreditation Employment Prospects Fees Funding/Scholarship Staff Student Welfare Services Other, please specify: 2 3 4 5

________________________________

Any other comments? ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________

Thank you for your feedback.

APPLICATION CHECKLIST

Please enclose the relevant documents below with your application: Copies of Transcripts/Certificates Evidence of your English Language Proficiency (if applicable) A passport sized Photograph A Copy of the Details Page of your Passport A Copy of your Residence Permit (if applicable) 2 Reference Letters (if relevant)
(You might want to use the reference forms in the appendix)

Evidence of Work Experience (if relevant) Full translations of any documents not in English
(including confirmation from the translator that it is an accurate translation of the original documents, the date of the translation, the translators full name and signature, and the translators contact details)

We may ask you to submit additional documentation after having reviewed your initial application.
SUBMITTING YOUR APPLICATION

Please forward this form and any supporting documents


Upon completion please return this form with all of the supporting documentation listed in

by post to:

Grafton College of Management Sciences Union House 65-69 Shepherds Bush Green London W12 8TX United Kingdom admissions@graftoncollege.com +44 (0)208 749 8369

by email to: by fax to:

For any admission enquiries you can also visit our website at www.graftoncollege.com or phone

+44 (0)208 7498367.

Appendix

REFERENCE FORM 1
TO BE COMPLETED BY THE APPLICANT TO BE COMPLETED BY THE APPLICANT Mr./Ms./Mrs./Miss (applicants name) has applied for (name of course)

at Grafton College of Management Sciences. The Admission Committee of the College should be most grateful if you would provide a reference on the applicants suitability to undertake the proposed course of study by completing the questions below. How long have you known the applicant? In what capacity?

Please comment on the applicants main strengths and weaknesses?

Overall, how would assess the applicants suitability for the chosen course?

Referees Name: Stamp:

Signature: Date: Thank you for providing a reference.

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

REFERENCE FORM 2
TO BE COMPLETED BY THE APPLICANT TO BE COMPLETED BY THE APPLICANT Mr./Ms./Mrs./Miss (applicants name) has applied for (name of course)

at Grafton College of Management Sciences. The Admission Committee of the College should be most grateful if you would provide a reference on the applicants suitability to undertake the proposed course of study by completing the questions below. How long have you known the applicant? In what capacity?

Please comment on the applicants main strengths and weaknesses?

Overall, how would assess the applicants suitability for the chosen course?

Referees Name: Stamp:

Signature: Date: Thank you for providing a reference.

TERMS & CONDITIONS


All students must ensure that they read the following terms and conditions of admission before they sign the application form. General

1.
2.

3.
4.

5.
6. 7.

8.

9.

10. 11. Behaviour

All courses at Grafton College in London are open to applicants aged 18 and over. Enrolment on a course, together with the payment of the fee, constitutes a binding agreement on the student to follow the course and pay the full tuition fees. The minimum entry requirements for each course are set out in the College prospectus, Courses Leaflets and on the College Website. The College reserves the right to change the dates, times, locations and tutors of the courses, and to make changes in regulations, syllabus, fees, etc. without prior notice. 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. The College will not facilitate any student who is in breach of the immigration rules. If a student is required by the immigration authority to leave the UK due to non/poor attendance or due to any breach of law, tuition fees paid will not be refunded. Prices are subject to change and we reserve the right to charge additional amounts to reflect any pricing changes taking effect before course commencement date(s). Study materials are not included in the tuition fees unless stated otherwise. Students who do not meet attendance requirements and do not show satisfactory academic progress, will not be permitted to enrol for another course. Students wishing to extend their visa will not be issued with a CAS number unless they: meet the course entry requirements and apply for a new course as necessary; pay the required course fees on re-enrolment; have met Grafton Colleges attendance requirements, have made satisfactory academic progress and have met all other visa and UKBA requirements. Courses are not transferable between students. Students must keep Grafton College informed of any change to their contact or personal details.

that puts other students and staff at risk or in a harmful/dangerous situation will not be tolerated and may lead to expulsion. 12. If a student is unhappy with any aspect of the course or the College, the student can make a complaint by using the complaint form available at the College website or from the College reception. 13. 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. Payments 14. A payment of 75 in addition to the tuition fee is required as a registration fee for applicants for Grafton College in London. This fee is non-refundable. This fee includes one Confirmation of Acceptance for Studies (CAS) Number for students who require a Tier 4 (General) Student visa. 15. A payment of 30 in addition to the tuition fee is required as a registration fee for non visa national applicants for English language courses only for Grafton College in London. This fee is non-refundable. 16. For visa national students: Once a student has been accepted on a course, a full one year tuition fee (or the full tuition fee for courses less than 12 months) is required. All tuition fees must be paid in full before receiving any official acceptance documentation from Grafton College. 17. For non visa national students: Once a student has been accepted on a course, a payment of at least 50% of the first years fee (or the course fee for courses less than 12 months) is required. The remaining balance must be paid in instalments before the end of the course. There is a charge of 50 for paying in instalments. Grafton College will agree on an instalment plan with the student before the commencement of the course. 18. Where a student is sponsored by an official sponsor such as the students home government, Grafton College must receive a sponsorship letter before any acceptance documentation can be given to the student. 19. All bank charges must be paid by the student. 20. If a payment is made via cheque, but this cheque cannot be cleared, the student will be charged a fee of 35. Cancellations and Refunds 21. Tuition fees are non refundable after the commencement of the course.

22. Students who do not require a visa can cancel their application provided that Grafton College receives

written notification at least two weeks prior to the course commencement date. In such a case, Grafton College will refund any paid fees apart from the registration fee. 23. Students who require a visa can cancel their application provided that Grafton College receives written notification and the student has not been given a CAS Number or any other acceptance documentation. In such a case, Grafton College will refund any paid fees apart from the registration fee. 24. Once a visa national student has been given a CAS Number or any other acceptance documentation issued by Grafton College, no refunds or course deferrals are permissible, except in the case of visa refusal subject to meeting the criteria detailed in the next point. 25. If a student has been refused a visa to enter the UK, the fee paid will be refunded within 21 working days from the request date, apart from the sum of 75 to cover administrative costs, provided the following conditions are met: a. The student has not entered the UK. b. The student has completed Grafton Colleges refund form available from the Admissions Office. c. The student provides the College with the original visa refusal letter issued by the British Immigration Authorities. d. If the student has submitted an appeal/administrative review, the fee will only be refunded once the College receives documentary evidence that the appeal/administrative review has been dismissed. e. All original documents and receipts for fees paid issued by the College have been returned to Grafton College. f. If a students visa has been refused due to forged documents or any other breaches of the immigration law, there is no refund. 26. If the student has obtained a visa using Grafton Colleges official documents and then decided not to follow the course at the College, fees paid will not be refunded. Course Deferrals 27. Students who do not require a visa can defer their course once, provided that Grafton College is informed by the student in writing at least one week prior to the course commencement date. Students who require a visa can defer their course once, provided that Grafton College has received written notification and has not provided the student with a CAS Number or other official acceptance documentation for their visa application. Accommodation 28. Grafton College will, if requested, arrange homestay accommodation through hostfamilylondon.com. A deposit of 35 is required to secure the booking. A letter stating that homestay accommodation will be arranged by Grafton College can only be obtained once the deposit has been paid. The minimum stay at a homestay family is two weeks. The student must complete an accommodation booking form to secure accommodation. For options and the booking form, the student should contact the Accommodation Officer. 29. If a student does not book homestay accommodation, it will be the students responsibility to make their own accommodation arrangements. The Accommodation Officer will be able to assist by providing the contact details of suitable accommodation. Airport Pick Up 30. Grafton College will, if requested, arrange airport pick up. The student must complete an airport pick up booking form available from the Accommodation Officer. Awarding body registration and exams/assignments 31. Awarding body registration and exam/assignment fees are not included in the tuition fees, unless stated otherwise. However, it is compulsory for students to register with the awarding body of their course and participate in external exams/assignments on the dates set by the awarding body. 32. It is the students responsibility to ensure that external examination/assignment entries are submitted on time to the appropriate examining body, and that registration/examination/assignment fees for the examination board are paid in full. 33. Students who fail to pass an exam/assignment may re-sit twice. Any re-sits must be authorised prior to them taking place by the Academic Committee and Grafton Colleges UK Border Agency Level 1 or Level 2 Users in the case of TIER 4 students. Attendance 34. Every student agrees to maintain regular attendance. Any absence must be reported to Grafton College in writing. 35. 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). If a Tier 4 student misses ten expected consecutive contacts, the students low/non-attendance will be reported to the UK Border Agency and the student will be excluded from the College.

36. The College will not provide any official documentation (e.g. attendance reports, certificates, official letters) to students whose attendance is low. 37. Any absence should be supported by sufficient evidence such as a medical certificate.

38. Please refer to the attendance policy on the College website for further details.
Visa Extensions 39. Students who require a visa to study in the UK must not let their student visa expire whilst in the UK. It is the students responsibility to make arrangements to extend their visas. Students must make arrangements well in advance of their visa expiry date (approximately three months) if they wish to make an application for further leave to remain. 40. To obtain a CAS Number from Grafton College students must make an appointment with one of the Admissions Officers of the College by contacting college reception. 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:

Date:

DD/MM/YYYY