......................... ............................ Course applied for (including pathway if relevant) Please complete this page in BLOCK CAPITALS College Start date of course Month Year Personal details Forenames (as they appear on your passport) Date of birth Day Month Family name (as it appears on your passport) Age Year Mr / Miss / Mrs / Other Male / Female Address in home country Correspondence address (if different from home address) Telephone number (including country and area codes) Mobile number Email Most correspondence will be via email so please write clearly. Country of permanent residence Fee status information Nationality (please include all nationalities held) Do you need a visa to enter or remain in the UK? Yes / No Please include a copy of the photo page of your passport and a copy of any current UK visa. Please provide details of the countries you have lived in during the last 3 years. Country Dates of residence Main reason for residence (e.g. work, study, family, etc.) FOR COLLEGE USE ONLY If your course starts between September and December count back 3 years from 1 st September in the year in which you will start the course. If your course starts in January or February count back 3 years from 1st January in the year in which you will start the course. USE Confirmation of fee status: UK EU International Passport held: Tier 4 immigration history assessed: Eligible to study this course at UAL: English language condition met: Offer: Reject Offer Alternative Y Unconditional Offer Name(s) of interviewers Y UK Conditional Offer: English OTHER N Invite for Interview: N EU Academic Y N Other Date International Application for admission to a Postgraduate course This form should not be used by UK/EU applicants. If you are unsure of your fee status please refer to the website http://www.arts.ac.uk/international/fees/ Education history Please provide details of your educational background. State the schools / colleges that you have attended and the qualifications achieved. Please include copies of your academic transcripts / certificates, with an official translation if necessary. Courses studied outside the UK Period of study Name of school / institution Grade achieved (start date/end date) (or predicted) Courses studied within the UK Please list all courses, including English language courses. If known, please indicate the CEFR level of any English courses (e.g. CEFR B2). For applicants who need a student visa, any offer to study is affected by the length and level of study previously undertaken in the UK. Period of study Name of UK school / institution Level of study Grade achieved Type of visa (start date/end date) (including full title of course/s studied) (e.g. A’Level, BA, MA. Please include the NQF Level if known) (or predicted) (e.g. Tier4 General, Tier4 Child, Student Visitor, Student Visa pre March 2009) Day Month Year If your visa was not a student visa please indicate the type. If you are unsure please include a copy with your application. Have you ever been refused a visa to enter the UK? Yes / No If yes, please provide full details. We may request to see the refusal notice. Employment history Please provide details of any relevant employment. Period of employment (start date / end date) Name of employer Position held / job title and responsibilities English language proficiency If you have any English language qualifications, please provide details and include a copy with this application. If you have booked an English language test, please provide details. Name of test Date of test Grade achieved Portfolio / additional work submission Please provide details of any portfolio you are submitting. Where possible your portfolio should be in digital format, e.g. CDs, (labelled with your name and birth-date in pen) flash-drives or web-links. Portfolios cannot be returned so please do not send original work. References Applicants are required to submit two letters of reference with their application, and one should be from an academic referee. The references should be on letter headed paper, signed and dated. Applications cannot be assessed without letters of reference. Reference 1 Name Reference 2 Name Position Position Email address Email address Supporting statement Please attach this on a separate sheet of paper including your full name on each sheet. Your personal statement should indicate why you have chosen the course, what kind of work you are interested in producing on the course, and how the course will help with your future plans. You should include reasons why you believe you are a suitable candidate for the course, what you hope to achieve during your studies, and how this relates to your interests, current work and relevant experience and abilities. Proposal (if applicable) Please attach this on a separate sheet of paper including your full name on each sheet. Many courses require a project / study proposal. For further guidance please refer to the specific course guidelines on the website www.arts.ac.uk . Your proposal is an outline for a study plan or a major project that you hope to undertake as part of the course. Introduce any current visual work and outline the direction you wish it to take. Explain the subject area of your proposal and define the ideas that you wish to explore along with the proposals, aims and outcomes. Do you have a disability or learning difficulty? Yes / No If you have answered yes, please tick the relevant boxes below: (51) Dyslexia, Dyspraxia, AD(H)D e.g. difficulties (53) Autistic Spectrum Disorder e.g. Aspergers (57) Deaf/Hearing Impairment (58) Blind/Partially Sighted (08) Two or more disabilities or medical conditions (54) Long standing illness e.g. Cancer, HIV, Asthma, Epilepsy, Diabetes or Heart Disease (55) Mental Health condition e.g. Depression, Schizophrenia or Anxiety Disorder (56) A physical impairment or mobility issues, such as difficulty using arms or using a wheelchair or crutches (96) Disability, Impairment or a medical condition not listed above (please specify) ………………………………………………………………………………………………… (L97) Other Learning Difficulty Applicant checklist All sections have been completed Copies of your passport photo page and any current UK visas are included Copies of academic transcripts, plus official translations into English if necessary, are included A copy of any English language certificate is included, if available (i.e. IELTS, TOEFL, PTE) A supporting statement is included Portfolio is included (if applicable) labelled clearly with your full name Project proposal is included (if applicable) References are included Resume / curriculum vitae is included Additional information may be required for certain courses (please check the website for details). Declaration I declare that the information on this form is accurate and I agree to abide by the rules and requirements of the University (details of which can be found at www.arts.ac.uk/about/regulations/studentregulations). I hereby give my permission for the University of the Arts London to disclose any enrolment or offer information as a result of this application to relevant government agencies upon their request. Signature of applicant Date Please send your completed application to the appropriate College International Office address as listed on the website www.arts.ac.uk. Alternatively if you applied via a Recruitment Representative please submit your application to them. International Application for admission to a Postgraduate course Disability / learning difficulty If you answer yes, please tick the relevant box to indicate the type of disability. You will not be disadvantaged by ticking any box.