APPLICATION FORM

City & Guilds of

London Art School

REGISTRATION NUMBER (School use only)

Surname: Mr/Ms/Mrs
First Name(s)
Nationality
Date of Birth
Home Address

Please affix a recent photograph

Telephone
COURSE APPLIED FOR (please tick box)

E-mail/Fax

FOUNDATION COURSE (1 year full-time)

NAME AND ADDRESS OF PARENT/GUARDIAN
(Overseas students under 20 should provide the name and address of a guardian/referee in the UK)

BA (Hons) COURSE (3 years full-time)

Fine Art: Painting
Fine Art: Sculpture
Conservation Studies
HISTORIC CARVING DIPLOMA

Telephone

(3 years full-time)

ADDRESS TO WHICH MAIL SHOULD BE SENT

Carving (Wood)

Carving (Stone)

POSTGRADUATE STUDIES
Academic year for which you wish to enrol

Subject

Secondary School(s) attended, with dates

MA FINE ART
Full-time (one year)

Part-time (two years)

Colleges of further education attended since leaving school

PART-TIME STUDY

(with qualifications and dates)

Details

GCSE

(or equivalent)

A-Level

Subject

Grade

Date

Subject

Grade

Date

Subject

(or equivalent)

Grade

Date

Overseas students - English language requirements

Please list below any English language qualification you currently hold with grades and dates. (Copies of certificates should be sent with your
application and the originals produced at Enrolment)

Other art schools to which you have applied

Give details of feepayer

(NB: If Feepayer is someone other than the applicant, a signed letter of confirmation from the feepayer MUST accompany this application)

Employment details (occupation(s) held with date(s), continue on a separate sheet if necessary)

REFEREES (Please supply the names of 2 referees)

Name

Name

Position

Position

Address

Address

Telephone

Telephone

Do you have special needs? (i.e. do you have any physical or learning disabilities we need to be aware of?)

How did you hear about the City & Guilds of London Art School? (this is for our records)

SUPPORTING STATEMENT
Please attach a statement in support of your application - you may provide any additional information you feel is appropriate. A current CV may also be included.
DECLARATION
I declare that all the statements made on this form are correct.
Signed

Dated

All applications must be accompanied by a non-refundable application fee of 25.

Cheques should be made payable to City & Guilds of London Art School Ltd.
All information on this form will be treated as confidential. Please return the completed application form to:
The School Office CITY & GUILDS OF LONDON ART SCHOOL 124 Kennington Park Road, London SE11 4DJ

Tel: +44 (0)20 7735 2306 & +44 (0)20 7735 5210 Fax: +44 (0)20 7582 5361
e-mail: info@cityandguildsartschool.ac.uk - http://www.cityandguildsartschool.ac.uk