I wish to apply for the foundation programme in:
Engineering and Physical Sciences
Science
Social Sciences and Business
Arts and Humanities
Leading to the honours degree course in:
Proposed date of admission (month and year of entry):
Title: (delete as applicable) Mr/Mrs/Miss/Ms/Other
Surname (as per passport):
Forename(s) (as per passport):
Date of birth (day/month/year):
Age at start of foundation course (years/months)
Gender: (delete as applicable) male/female
Nationality:
Country of birth:
Country of permanent residence:
Correspondence address (please note this is the address to which the University will send all correspondence):
Home address (if different to above):
Email address:
(Important: give an email address you will be able to check frequently both in your home country and the
UK. If your application is successful, you may need to receive important information quickly.)
Telephone number:
Fax number:

Education from age 11 (previous academic institutions attended, for example schools/colleges):
Name of institution From (month/year) To (month/year)
Qualifications completed (examinations for which results are known, including those not completed successfully):
Result/grade mark Month/year Subject Level/qualification
Qualifications pending (examinations or awards to be completed or results pending):
Level/qualification Month/year Subject
English Language qualifications (please enclose a copy of your English language qualifications):
Type of test Score
IELTS
TOEFL
O-level/GCSE/SPM
Other (please specify)
Date obtained
You should send a reference from an academic referee (ie someone who has taught you). Please complete all details below:
Full name:
Position:
Address:
Telephone number: Email address:

How will your course be financed? (if sponsored please give details)
Do you have a criminal conviction? Yes/No
If you have special needs owing to a disability (including dyslexia) or a specific learning difficulty, please give details:
I certify that, to the best of my knowledge and belief, the foregoing statements are true.
Signed: Date
(dd/mm/yyyy)
Please check that your application is complete and that you have enclosed all the relevant documents:
Transcript of previous studies
English Language qualification certificate
Reference
How did you find out about this course?
General web search
Visited the University website directly
British Council paper based materials
External organisation
(provide details)
School careers event
British Council website
Other advertising
(provide details)
Other
(provide details)
You may submit this form and supporting documents by email to foundation.year@nottingham.ac.uk
. Alternatively you can type in your details and print this form then submit by post to the address below:
Foundation Programme Applications
Admissions Office
The University of Nottingham
University Park
Nottingham
NG7 2RD
United Kingdom
Thank you for your interest in our foundation programmes and for completing this form.
Date received: