IMPORTANT: PLEASE WRITE IN CAPITAL LETTERS

International learner application

Academic/vocational courses
Application checklist
o
Completed application form

o
Copy of your passport, including cover page, information page with photograph and any additional pages with visa stamps

o
Full copy of your UKVI approved IELTS test

o

C opy of your supporting qualifications - this can include secondary/high school or any other formal education in your
own or other country.

o
If possible, a reference from your previous school/college/university

o
Copy financial evidence showing that you can fund your tuition and maintenance fees whilst in the UK

• On acceptance of your application we will arrange an interview with the curriculum and a member of the international office,
via skype or other face to face device.
• Provided you have met the entry criteria for the course and a successful interview with the curriculum and a member of the
international office, we will issue a Conditional Offer for a place on the suitable course.
• Once all conditions of the offer have been met (including payment of the tuition fees) we will issue the Unconditional Offer.
• You should then apply for your Visa
NB. If your visa is refused, we will refund the fees less £300 administration fee, subject to the refund policy stated on the Conditional
Offer letter.
If you have any queries about completing the application form, or need advice on choosing a suitable course, please do not hesitate
to contact the International Office on 0044 1384 363 356 or international@dudleycol.ac.uk
Thank you

Personal information

Family name: First name(s):

Date of birth: Nationality:

Home address:

Email:

Home phone number: Mobile phone number:

IMPORTANT: PLEASE WRITE IN CAPITAL LETTERS

Course applied for

Course title (as it appears in prospectus/online):

Please attach a supporting Statement of Purpose as to why you have chosen this course and how it meets with your career objectives

What is your aim once you have completed this course?

Accommodation
Please state your accommodation plans whilst studying in the UK:

o
Require homestay accommodation, arranged by college

o
Arrange own accommodation

o
S
taying with relatives

About you
Prior qualifications

Qualification name Result Date achieved (DD/MM/YYYY) Education provider

/ /
/ /
/ /
/ /
/ /
/ /

UKVI approved IELTS score: Date achieved:

Education Reference (previous educational provider)

Name: Telephone:

Email:

Address:
IMPORTANT: PLEASE WRITE IN CAPITAL LETTERS

Ethnicity

Please tick one of the following:

o
White o
Indian o
Arab

o
Mixed o
Black o
Chinese

o
Bangladeshi o
Black African o
Other Asian

o
Pakistani o
Black Caribbean o
Other (please state):

Learning support
Please let us know if you have any additional learning needs (tick all that apply).

o
Mobility o

H earing/Sight difficulties

o
Dyslexia o
ther (please state):
O

Immigration & travel history

Have you previously applied for a visa to enter the UK? Yes / No
Was the visa granted? Yes / No

If yes, what was the reason for the visit?

If no, what was the reason for the refusal?

Have you ever been convicted of a criminal offence in any country,

or do you have a criminal offence pending in the courts? Yes / No

Under 18 consent
I give consent for my son/daughter/ward to study at Dudley College of Technology.
Parent/guardian signature:

All learners must sign this section - if you have any queries, please contact the international office

o
I understand that I am responsible for paying my tuition fees (including parents/guardians) before enrolment and certify that
I have sufficient funds to cover tuition and maintenance as required by the Home Office (UK Visas and Immigration)

o
I understand that the information about my enrolment, attendance, and progress and fee payment will be provided to UK Visas
and Immigration.

o
I understand that regular reports on my progress and attendance will be sent to my parents/guardians/government sponsors

o
Courses will run subject to availability and numbers

Applicant signature: Date of application:

Thank you for applying to
Dudley College of Technology
Academic/vocational courses
If you have any queries, please contact the International Office on 0044 1384 363 356

Protecting your privacy and personal data

Dudley College of Technology is committed to protecting your privacy and personal data.
The data captured on this form will be used for processing your application/enquiry and we will contact you using
the information provided. The college will not share this information with any other organisation at this stage.
For more information on what data we collect, how we use it, and your rights under data protection law please
visit dudleycol.ac.uk/privacy.