Application Form - Milton Keynes College

International Students
English Programme Application Form
Please complete this form clearly and in BLOCK LETTERS
1. Personal Information
Given Name*
Family Name*
Title: Mr / Mrs / Ms / Dr / Other*
Male / Female*
(please delete as appropriate)
Date of Birth* (dd/mm/year)
Married / Single*
Nationality (as in passport) *
Passport No*
Address (Home country) *
City / Town
Correspondence address (if different – all correspondence sent to this address unless stated otherwise)
(include dialing code)
Mobile telephone
2. Course Details
Start Date*
End Date ( Friday) *
weeks / term / year
Include programme eg. standard or intensive
1st choice
2nd choice
5 th choice
3rd choice
We will try our best to accommodate your choice. Different programmes have specific number of options
Which language/s do you speak:
3. Visa
If you are already in the UK, what type of visa do you hold? Please attach a current copy. If you have been refused a visa by the UK or any
other country, please provide detailed information
4. Agent
If you are applying through an Education Agent, please give their name and contact details
5. Accommodation
Host Family / Hostel / Hotel /None
If accommodation is required, please complete the Accommodation Request Form and attach to this Application Form. If no accommodation
required, please tell us where you will be living.
UKVI Tier 4 Sponsor
6. Education – Previous Study and Qualifications*
List all academic studies completed – most recent first plus any still to be completed. Attach certified copies of any certificates and transcripts.
School / College / University Name, City and Country
Dates Attended (To / From)
Qualification Obtained
(Any level / Grade)
7. English Language*
Please list and provide a certified copy of any English language certificate or qualification (if you are applying for a Tier 4 visa and require
a Confirmation of Acceptance for Studies (CAS).
Examination (IELTS, TOEFL, Cambridge or Other, please specify)
Score / Grade
8. Supporting Information*
Personal Statement – Briefly include your reasons for applying for this course and tell us about your plans after you have completed your
studies. Approximately 100 to 200 words. Use a separate sheet of paper if necessary.
9. Learning Support
Do you have any disabilities or illness that may affect your learning? *
Do you need support with any of the following? *
Do you have any allergies or medical conditions?
Yes / No
/ No
Yes / No
Do you take any medication of any kind? * Yes / No
If you answer yes to any of the questions above, please provide additional information. Use a separate sheet of paper.
UKVI Tier 4 Sponsor
10. Finance and Funding
The whole tuition fee is payable in full before the course starts. When you accept the offer of a placement on the course, an
invoice will be sent to you for the full cost of your fees. If your visa is refused, you will be refunded your fees minus
administration fees according to our Refund Policy.
UKVI sets out the requirements needed to show you have enough money to pay for your course and living costs as an adult
student. You will need to determine the full costs of your course and living costs.
How will you fund your education? *
Yourself / Family/ Scholarship / Government Body / Other, please specify
Home Telephone
Mobile Telephone
11. Parent or Legal Guardian Undertaking (For students under 18)
I,___________________________________________ (full name) am the parent or legal guardian of the student.
I undertake to pay all tuition and accommodation fees as they become due. I give permission for the
administration of first aid and to seek medical, dental or optical treatment when required. I give permission for the
student to attend all activities organised by the College.
Relationship to student
12. Application Checklist
□ Application is fully completed and signed
□ A copy of passport (identification page) and any current visa you hold for the UK
□ Any copy of school / college / university certificates attached with certified English translation
□ Copies of any English Language examinations or qualifications
If I am accepted as a student at Milton Keynes College, I agree to pay all fees in advance, to attend all classes
and abide by the College rules. I understand that fees will not be refunded after the start of the course.
I agree to allow Milton Keynes College to share information with my parents and /or legal guardian and with the
named authorised agent on this application form. I state that all information provided and support documents
provided are accurate to the best of my ability.
Student Signature
Return this completed, signed and dated application form with supporting documents to:
International Admissions Office
Milton Keynes College
Silbury Campus
200 Silbury Boulevard
Milton Keynes MK9 1LT
Email: [email protected]
Fax: 44 (0) 1908 688 221
Telephone: +44 (0) 1908 688 227
UKVI Tier 4 Sponsor
Application Terms & Conditions
Certified Documents
A certified copy is a copy of the original document with a signature and stamp or seal by a suitable person or
organisation to verify that it is a true and genuine copy of the original document. These persons include court,
government officials or professionals including solicitors, bank managers, accountants and Justices of Peace.
If any of these documents are in a language other than English, please provide a certified English translation
of documents.
1. Application
When your application is received, you will be sent an acknowledgement letter to confirm receipt of your
application and notification if any support documentation is missing.
2. Offer Letter
When all required information is received, you will be issued a conditional offer. The offer may be
conditional on your course fee payment, or examination results for qualifications you are currently taking.
3. Payment of Fees
All fees, charges and accounts will be payable as determined by Milton Keynes College. Fees are correct
the time of printing and Milton Keynes College reserves the right to vary its fees at any time. Any increase
or changes to the fees will be stated before the course starts.
4. Enrolment
When full payment is received and all conditions of the Offer have been met, you will be sent a
Confirmation of Enrolment Letter or Confirmation of Acceptance of Studies (CAS) confirming your place in
the course.
5. During your course
You are required to attend all classes, submit all assignments and undertake all tests and examinations
during the course. Any requests for changes including withdrawals, cancellation or deferrals must be
made in writing to Milton Keynes College. As a Tier 4 Sponsor, we are required to monitor your
attendance to ensure that you attend at least 90% of in-class contact hours and report poor attendance.
6. Refund Policy
Any fees refunded will be at the discretion of Milton Keynes College.
For cancellation, withdrawal or visa refusal your course fees will be fully refunded - minus administration
fees below:
Visa Refusal
Change of plans or
Notification Period
Cancellation Fee
Up to four weeks prior to course commencement
£250 administration fee
Less than 4 weeks prior to course commencement and
after commencement
£400 administration fee
More than 10 weeks prior to course commencement
£250 administration fee
Less than 10 weeks prior to course commencement
£400 administration fee
If your enrolment is terminated by Milton Keynes College due to disciplinary action, you will not be entitled
to any refund of fees.
If you have any questions, please contact our International Admissions Office. Our International Team will
be pleased to help you.
International Admissions Office
Milton Keynes College
Silbury Campus
200 Silbury Boulevard
Milton Keynes MK9 1LT
Telephone Direct line: +44 (0) 1908 688 227
Telephone Reception: +44 (0) 1908 688 222
Fax: 44 (0) 1908 688 221
Email: [email protected]
UKVI Tier 4 Sponsor