International application

Fill in this form, if you live outside the UK. Items in blue must be filled in. Please click the 'Submit' button at the end of the form when completed to send it to us.

Section 1 - personal details

First name:	Family name:
Date of birth: (eg 23/05/1991)	Gender:MaleFemale

Home address:

Home telephone:

Mobile:

Email address:

Re-enter email:

Name of parent(s)/guardians(s):

Address of parent(s)/guardians(s) if different from above:

Parents(s)/guardian(s)

Work telephone:	Daytime telephone:
Mobile:	eMail:

Section 2 - nationality and residency.

Ethnicity:

Which passport do you hold?: Passport number:

Are you an EU national?:YesNo Have you been resident in the UK or the EU for the past 3 years?:YesNo

If you answered No, please give details of the countries and dates of residency:

Country	Date from	Date to

Name of present school or college
If you are not at school/college now
What was the last school/college you attended?
In which year did you leave your last school/college?

Section 3 - English language skills.

Which examinations have you taken? IELTSTOEFLCambridge PETCambridge FCE

Other exams - please specify

Results and date taken

Which of the following applies to you?

My first language is English
I attended an English school
I have been learning English for more than 5 years
I speak English regularly
My parents speak English
My school lessons are taught in English
What is your first language?

Section 4 - subjects and qualifications

How long do you intend to study at College?
One termTwo termsOne yearTwo years
Please list the qualifications you are currently studying and give the results of any exams you have already taken.

	Qualification	Level	Predicted grade	Achieved grade
1
2
3
4
5
6
7
8
9
10

Select the qualifications that you would like to take at Worthing College

	Qualification
1
2
3
4
5
6
7
8

Have you had any extra help at school?:YesNo

Section 5 - outside interests

Career interests:

Other interests and activities:

Section 6 - data protection
I give permission for Worthing College to store electronically the information I have provided within my on-line application and to use it to process my application. I am aware that I will need to renew my permission in the event of my formally enrolling at the College.

Please go back and check your form carefully.
When you are satisfied and wish to send it to us, please click the 'Submit' button.

In the event of problems or errors, or if you have any suggestions about this site, please email: admissions@worthing.ac.uk