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Application Form

Welcome to the application form for our pathway courses.
Please complete this application if you are applying for a place in one of our seven university partners.

    Student Forename *
    Student Surname *
    Student name as written on passport
    Student date of birth *
    Student Gender *
    Student Nationality
    Student domicile (where you currently live)
    Does the student currently hold a valid passport?
    Student passport number
    Passport Expiry Date
    Country of passport held
    Student country of birth
    Student home address *
    City *
    State / Province *
    Postal / Zip Code *
    Country *
    Is this the student's correspondence address?
    Student correspondence address *
    City *
    State / Province *
    Postal / Zip Code *
    Country *
    Student mobile telephone number
    Student home telephone number
    Student email address
    Student skype id
    How did you hear about us?
    Other
    Were you referred by a student ambassador?
    Which of these ambassadors referred you?
    Does the student have a parent/guardian?

    Parent/Guardian Details

    Please use this section to provide details about your parent/guardian. These details will be used in case of an emergency.

    Parent/Guardian Forename *
    Parent/Guardian Surname *
    Relationship to student
    Does the parent/guardian have the same home address as the student?
    Parent/Guardian home address *
    City *
    State / Province *
    Postal / Zip Code *
    Country *
    Parent/guardian home telephone number
    Parent/guardian mobile telephone number
    Parent/guardian email address

    Agent Details

    If you have been refered by an Agent, please use this section to complete your Agent's details.

    Are you applying as an agent?
    Agent / Counsellor's First Name
    Agent / Counsellor's Last Name
    Agency Name
    Agency Email Address
    Agency City *
    Agency Country *
    Do you have a passkey?
    Please enter your passkey
    Who is your account manager?

    Colleges

    Please use this section to indicate which College you would like to submit an application to.

    Preferred College*
    Would you like to be considered for a work placement at your preferred college, if available?
    In the event that your application is unsuccessful at your preferred College, would you like to be considered for a place at another one of our partner institutions?
    Please indicate your college preferences

    Immigration

    Please complete this section so we can identify your visa requirements.

    Do you require a visa to study in the United States of America?
    Have you ever been granted a visa to enter the United States of America?
    Have you ever had a visa application refused for any country?

    Education history

    Please provide your recent education history in your home country, and in the United Kingdom (if applicable).

    You must supply at least one Educational achievable for evaluation

    Name of Institution *
    Start Date *
    End Date *
    Qualifications and grades granted

    English language proficiency

    Please provide the results of your most recent Secure English Language Test (SELT).

    Examination Provider
    Date Taken
    Results
    Upload a copy of your most recent English Language test results
    Do you plan to take any other English language test(s) before starting your course?
    Name of examination provider
    Date the exam is due to be taken
    Test Centre Location

    Payment of tuition fees

    Please use this section to state how you will be funding your studies.

    Who will be funding your studies?
    Please provide details about your sponsor

    Additional Information

    Please use this section to indicate whether you have any learning difficulties, impairments or criminal convictions.

    Do you have a disability?
    Do you have dyslexia?
    Are you blind or partially sighted?
    Are you deaf/have a hearing impairment?
    Are you a wheelchair user/have mobility difficulties?
    Do you have an unseen disability (diabetes, epilepsy)?
    If you have answered yes to any of the disability questions, please provide details
    Do you have a criminal conviction?
    If you've answered yes to past convictions please provide details.

    Insurance

    You must have adequate insurance in place to study on an Oxford International Education course. You can purchase insurance from any provider; however, you will need to provide evidence of the cover.

    Oxford International Education Group work with Endsleigh Insurance to offer a policy that has been designed specifically to meet the needs of international students, you can view details of the insurance here https://up.oxfordinternational.com/wp-content/uploads/2022/05/IPID-2021-BI9-0000013-Oxford-International-Education-Group.pdf

    Students under the age of 18

    International students under the age of 18 must provide details of a United Kingdom based guardian who will act in loco parentis throughout the duration of the student’s study. In the event you do not have a United Kingdom based guardian, please ask Oxford International for further details on how to acquire this. If parents are making their own arrangements for either guardianship services, or if a friend or family member in the UK is to act as guardian to the student, please provide the details below.

    Is the student under 18?

    Declaration

    Before submitting this application, please ensure that you read and confirm each of the below statements, that you are clear about each of the policies surrounding your application, and ensure they you give explicit permission for your personal data to be shared with Oxford International and named third parties.

    I confirm that, to the best of my knowledge, the information given in this application is correct and accurate. I understand that if it should be discovered, however belatedly, that an offer has been made on the basis of an application which is found to contain statements that are fraudulent, untrue or misleading Oxford International reserve the right to cancel applications and withdraw offers.
    I give permission for Oxford International and its partner institutions to obtain official records from any institution I have attended.
    I understand that Course Fees are subject to review; I accept the conditions as laid out in the Payment and Refund Policy and accept responsibility for the payment of all fees as outlined in the policy.
    I understand that the cost of living may be more expensive in MY PLACE OF STUDY than in my own country and confirm that I am able to meet all these costs.
    I confirm that I have read and agree to the terms and conditions of enrolment.
    Would you like to receive MARKETING information relevant to YOUR APPLICATION? This could include newsletters, invitations to events and general updates from us.

    We are committed to keeping your data safe and respecting your privacy. If you would like further information on how your personal information is managed please take a look at our Privacy Policy here

    De Montfort University International College, operated by Oxford International Education Group, has written a Privacy Notice to explain how we keep your data safe and respect your privacy, to find out more, please view our Privacy Policy here

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