Please email/fax/post this
completed application form to:
The Admissions Department
Regent’s University London
Inner Circle
Regent’s Park
London NW1 4NS
United Kingdom
T +44 (0)20 7487 7505
F +44 (0)20 7487 7425
Eadmit@regents.ac.uk
Application form
Apply online
www.regents.ac.uk
Please write clearly in BLOCK CAPITAL LETTERS and tick boxes where applicable
Programme
Personal details
Please enter the full title of the programme you wish to apply for:
Family (last) name First name(s)
Month of entry:
Date of birth DD/MM/YY
Year of entry:
Country of birth Note: If you wish to apply for more than one programme,
please complete a separate application form for each one.
Gender
Male
Nationality Female
Native language
Credit transfer
I wish to be considered for credit transfer
(Bachelors’ degrees only)
Contact details for admissions correspondence
Permanent contact details (if different from the above)
Postal/mailing address
Postal/mailing address
Postcode/ZIPCountry
Postcode/ZIPCountry
Tel 1 (mobile/personal) country code/area code/number
Tel 1 (mobile/personal) country code/area code/number
Tel 2 (work) country code/area code/number
Tel 2 (work) country code/area code/number
Email(s)
Email(s)
Agent managed application
Is this an agent managed application?
Yes No
Note: All correspondence is normally sent to the agent.
Please tick this box if you do not wish correspondence to be sent to the agent
Name of agent
Postal/mailing address
Postcode/ZIPCountry
Tel 1 country code/area code/number
Tel 2 (mobile/cell) country code/number
Email(s)
Education and experience
School/college/university
Please list all the institutions you have attended since the age of 14 (18 for postgraduate applicants), beginning with the most recent first.
From To Name of institution Country
Please tick this box if at least the last three consecutive years of your education have been taught solely in English
Examination results received
List school/college/university examinations for which you have received results e.g. A-levels, IB Diploma, Bachelor’s degree.
Please enclose transcripts or copies of official documents.
Date
Type of examination
Subject
Grade achieved
Subject
Anticipated grade
Examination results awaited
Date Type of examination
Work experience and positions of responsibility held (postgraduate applicants, if relevant)
Dates
Name of organisation
Position held
Exceptional entry (postgraduate applicants only)
I do not meet the entry criteria outlined in the prospectus and wish to apply for exceptional entry.
Please contact me for further discussion.
Additional information
Do you have a disability, medical condition or learning support need that you would like to tell us about?
Informing us in advance can help us to make arrangements to meet your individual needs.
Yes
If ‘Yes’ please give details
Disability documentation enclosed
How did you hear about Regent’s University London?
Please tick box and give name where possible:
Advertisement Agent British Council
Careers/guidance counsellor Colleague Current Regent’s student
Education exhibition/fair Embassy/consulate Employer
Friends/family Internet search engine Professional body
Publication Regent’s alumni UCAS
Visit to my school Website Other – please specify
No
What to send the Admissions Department
Please see below for a checklist of the supporting documents that you will need to
send us in order to complete your application. Please note that these are all compulsory.
The supporting documents may be sent to us separately by email, fax or post.
Please tick the boxes when you have included the following supporting documents.
Signed and completed application form
C
opies of all relevant official education transcripts and examination certificates
(official English translations must accompany all non-English documents)
Two letters of reference. For undergraduate programmes, one reference must
be academic. The second may be academic or professional. For postgraduate
programmes, both references may be professional, although if you have
recently graduated, at least one should be from your academic institution.
(Postgraduate applicants for psychology and psychotherapy programmes
should check the individual requirements for their chosen programme)
E vidence of English language proficiency
(e.g. TOEFL, IELTS, Cambridge Advanced Certificate test results)*
A personal statement outlining your reasons for applying to the programme,
how you feel you will benefit, and the contribution you will make to campus life.
(Statements should normally be 300-500 words long, but postgraduate applicants
should check individual requirements for their chosen programme)
CV/resume (postgraduate applicants only)
O
ne recent head-and-shoulders photo of yourself in colour
(please send electronically in j-peg format to admit@regents.ac.uk)
A copy of the photograph (ID) page of your passport and recent UK visa, if applicable
* Please note: only required if English is not your native language
Scholarship application
Please see our prospectus or website for details of the scholarships available
and how to apply. www.regents.ac.uk/funding
Declaration
To be signed by the person responsible for paying the student’s fees
I hereby declare that I am the person to whom invoices for all fees should be addressed.
I hereby undertake to fulfil all my financial obligations with respect to fee invoices as and
when they become due for payment.
Signature Date
(please print your full name beneath your signature)
Declaration
To be signed by the applicant
I confirm that all the information on this form is correct to the best of my knowledge.
Signature Date
Regent’s University London is registered under the Data Protection Act 1998. Any information given on
this form may be used for the purposes for which the University is registered, in accordance with the Act.
Regent’s University London has no connection with Regent University Virginia, USA
Please keep a copy of this form for your
own records, and send the original to:
The Admissions Department
Regent’s University London
Inner Circle
Regent’s Park
London NW1 4NS
United Kingdom
T +44 (0)20 7487 7505
F +44 (0)20 7487 7425
Eadmit@regents.ac.uk
www.regents.ac.uk