here. - Bath Spa SBE - Bath Spa University

PLEASE RETURN THIS FORM TO:
SCHOOL OF BUSINESS AND ENTREPRENEURSHIP
NEWTON BUILDING, NEWTON PARK CAMPUS,
BATH SPA UNIVERSITY
BATH BA2 9BN
UNITED KINGDOM
EMAIL: [email protected]
PERSONAL
Title:
APPLICATION FORM
PLEASE PRINT IN BLOCK LETTERS
Mr
Mrs
Miss
Other
Family name:
First name(s):
Previous family name (if applicable):
Date of birth:
DAY / MONTH / YEAR
Gender:
Male
Female
Student address:
Postcode:
Country:
Home telephone:
Mobile telephone:
Country of birth:
Skype ID:
Email:
Country of passport held:
Passport number:
Passport Expiry
Nationality (please list both countries if you have dual nationality):
Agent Name:
PROGRAMME
Agent Email:
BBA (HONS) BUSINESS AND ENTREPRENEURSHIP
Select:
Year 1 Entry
Year 2 Entry
Year of Entry:
2015
2016
Month of Entry:
September
February
PROGRAMME
INTERNATIONAL YEAR 1
Year of Entry:
2015
2016
Month of Entry:
September
February
EDUCATION DETAILS
Prior education since the age of 16 (please list highest qualification first) including pending, incomplete, or failed qualifications. Please continue on back and on
a separate sheet if necessary. Any study or attendence at a UK education institution in the UK must be detailed, even if the study was not completed. Please
attach evidence of all known results in addition to completing the table.
Name of qualification
(eg. ‘A’ Levels, Year 12, Bachelors):
Name of institution:
Grades (itemise individual
subject grades):
Date started (Day/
Month/Year):
If you completed your studies more than 12 months ago, please provide details of your activities and achievements since then.
Date completed (Day/
Month/Year):
ENGLISH PROFICIENCY
STUDYING IN THE UK
Please provide details of your English language qualification.
Do you require a visa to study in the UK?
Score
Date
Obtained
Have you studied previously in the UK?
Yes
Yes
No
No
If yes, name of school / university?
IELTS (Score):
From (Day/Month/Year):
To (Day/Month/Year):
Other (PTE Academic, ‘O’ Levels, Cambridge):
If applicable, name of additional school / university:
DECLARATION OF CRIMINAL RECORD
Do you have any criminal convictions in any country – excluding spent
convictions and minor motoring offenses?
Yes (you might be required to provide details)
No
From (Day/Month/Year):
To (Day/Month/Year):
From where do you intend to submit your Tier 4 visa application?
From your home country
From within the UK
DISABILITIES/SPECIAL NEEDS
Please indicate in the next column whether or not you will need any additional
support or facilities. We will pass this information on to our Student Services
team who will liaise with you to support you through the admission process
and determine whether we and the university can meet your study needs.
Do you consider yourself to have a disability? Specify below (please check):
OTHER INFORMATION
How did you hear about SBE? You may tick more than one box.
Educational agent
Educational fair/exhibition/seminar
Former/current student
No disability
Family/friend
Specific learning disability such as dyslexia, dyspraxia or ADD/ADHD
Internet
Other (please specify):
Newspaper/magazine advertisement
British Council
Other (Please specify):
APPLICATION CHECKLIST AND DECLARATION
We require the following section to be completed in order to process your application.
Check that you have:
Completed all sections of the application form
Read and understood the Terms and Conditions, including the Fee and
Refund Policy as detailed in full on the programme website.
Check that you have attached:
Copies of your academic qualifications (certificates/transcripts
reports),including certified English translations if not in English
Evidence of your English language ability
A copy of your passport and any previous visas (if applicable)
Please read the following declaration and authorisation carefully and sign below to confirm your agreement to its terms. Please be aware that an
electronic signature or electronic submission of this application form constitutes accepting this declaration.
The information I have provided in, and with, this application is true and complete to the best of my knowledge. I understand that any offer of a place
is subject to Bath Spa University and SBE reviewing the information provided and confirming that all conditions have been met.
I enclose copies of my required documents and can verify that they correspond exactly with the details I have confirmed on my application to Bath
Spa University and SBE Admissions Service. I confirm that these copies of my documents are an exact likeness to the originals. I understand that I
may be required to produce my original documents to Bath Spa University and SBE at any time and I am prepared to do this at short notice.
I understand and accept that providing false or misleading information, or failing to mention a material fact, may be a legitimate cause for the
withdrawal of an offer of a place or exclusion if I am already a student at Bath Spa University or SBE.
I give my explicit written consent that Bath Spa University and SBE may use this personal data. My consent is conditional on Bath Spa University
and SBE complying with its obligations and duties under the Data Protection Act 1998. For the purposes of the Data Protection Act 1998, Bath Spa
University and SBE are the Data Controllers of this information.
Please note: This information will be automatically provided to the parent(s) or guardian(s) of any student aged 18 or younger.
Signature:
Date: DAY / MONTH / YEAR
Parent/Guardian Signature:
(if applicant is under 18 years of age)
Date: DAY / MONTH / YEAR