Application Form for Admission as a Visiting Student 2016-2017
Please complete this form and pass it to the referee named, enclosing the documents requested. Ask your referee to complete
the questions on the back page and to send the form and supporting documents to the Admissions Office, Lucy Cavendish
College, by email at gj202@cam.ac.uk, to arrive no later than the 1 March 2016.
Please note: This is an application for a place to study at Lucy Cavendish College from 1 October 2016 to 30 June 2017, ie three
terms. We do not accept applications for Visiting Student status in Architecture, Medicine or Veterinary Medicine. Our
Admissions panel considers applications for Visiting Student status as a gathered field after 1 March.
Affix passport-style
photograph here
Title
Last
name
Marital
status
First name(s)
Date of birth
Gender
Home address
Telephone
Mobile
Email Address
Fax
Country of birth
Nationality
Country of residence since October 2013, other than for purposes of education
University name AND address (in full)
Address for correspondence (please tick)
Home
University
Funding arrangements
Name of scholarship or other scheme supporting application (if it is NOT Junior Year Abroad, the Studienstftung des deutschen
Volkes, or DAAD, please attach details of this history and nature of the scheme):
Level of support expected from
the scheme named above:
Estimated date by which you will
know if you will get this support:
Lucy Cavendish College | Lady Margaret Road, Cambridge CB3 0BU
www.lucy-cav.cam.ac.uk
Lucy Cavendish is a registered charity no 1137875
Education
Subjects studied, and grades obtained, at university to date (please attach an academic transcript)
Subject studied
Grade
Final examination results from school (AP, Arbitur etc). Please give marks in individual subjects. Give SAT scores as well if
applicable. Please continue on a separate sheet if necessary.
Subject studied
Grade
Qualifications in the English language (if this is NOT your native language)
Level
Grade
Date of attendance at school and university (since age 16)
Institution (name and country)
To
From
What credits, if any, do you need to obtain during your proposed study at Cambridge?
Why do you want to study at Cambridge?
Lucy Cavendish College | Lady Margaret Road, Cambridge CB3 0BU
www.lucy-cav.cam.ac.uk
Lucy Cavendish is a registered charity no 1137875
Subject choice
Which Cambridge Tripos subject (ONE ONLY) would you wish to study? Please specify from the list at http://www.lucycav.cam.ac.uk/admissions/undergraduates/subjects/, and give reasons for your choice.
Please indicate which papers (classes) within your chosen Cambridge Tripos subject you would be interested in taking if offered
a place. If you are unsure about this please contact Lucy Cavendish College Admissions Office for further details before
submitting your application. Full details of the papers (classes) offered within each subject can be found at
http://www.study.cam.ac.uk/undergraduate/courses/.
Please give information about the level and content of subjects and papers (classes) you have taken which are relevant to your
intended programme of study. If you are applying for a scientific subject, please list in detail on a separate sheet the courses
studies in your first two years at university; we cannot consider your application without this information.
Outline your plans for the remainder of your university degree, and for your career, specifically how studying your preferred
Tripos subject (and papers (classes)) at Cambridge will help with those plans.
Signed
(applicant)
Lucy Cavendish College | Lady Margaret Road, Cambridge CB3 0BU
www.lucy-cav.cam.ac.uk
Lucy Cavendish is a registered charity no 1137875
Date
Referee
Name and address of one referee familiar with your university work. This referee, who should be a member of the staff in the
faculty or department in which you are enrolled, should complete, or oversee completion of, the rest of the form; to reach us by
the 1st March 2015.
Referee name AND address
Supporter
Please ask a suitable member of staff* at your university to answer the following questions:
(* for example your referee, a registrar, personal tutor, academic adviser)
Do you support this application?
Please comment, in detail, on the candidate’s academic achievement to date, commitment, capacity for independent study,
and suitability for the course of study proposed on this form. (Please use a separate sheet if necessary.)
What qualifications, examination passes, or other credits, if any, do you require the candidate to bring home from the period of
study at Cambridge?
Signed
(supporter)
Lucy Cavendish College | Lady Margaret Road, Cambridge CB3 0BU
www.lucy-cav.cam.ac.uk
Lucy Cavendish is a registered charity no 1137875
Date