Cambridge Regional College - International

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Course Information Line

01223 226315/418249

International Application Form

1. Title (Mr/Mrs/Ms)

Family Name

Forename(s)

3. Home Address

Post Code

2. Date Of Birth

Home Telephone

Mobile Telephone

Email (required)

4. Last School Attended

School/College	School/College address	Date

6. Resident Status

Usual country of residence

Nationality

Have you been resident in the European Economic Area for the past 3 years?
Yes No

If No, please give date of entry to the EEA

Do you or your spouse have a restriction on your passport?
Yes No

If YES, does one of the following apply?
Seeking asylum
Recently married to an EEA resident
Have exceptional leave to remain
Other

8. Additional Support

We want you to get the best from your course, so please let us know if you have any learning support needs, disabilities or medical conditions such as wheelchair user, mental health difficulties, epilepsy, dyslexia, D/deaf or partially sighted. please tick box if you would like:
further information about the range of support we can offer
us to contact you, in confidence, to discuss the support available

9. Criminal Convictions

10. Course Requested

List in order of preference, showing subject(s) where relevant.

Course/Programme

It is important you state your actual/estimated grades so we can ensure you are guided onto the course level which suits you best.

12. Qualifications

Schools/colleges attended

Qualifications	Awarding Body	Estimated Grade	Actual Grade (if known)

14. Career Plans

If you have any career plans please note them here

15. References

All applicants for full-time courses have to supply a reference. If you are under 19 and/or have been in full-time education for the last 2 years, your reference should be from your current or most recent school or college. If you are 19 or over and haven't been in full-time education for the last 2 years, you will still need to provide a written reference from a responsible person other than a family member or a friend. We would reuest that the reference includes details on the following areas: predicted achievement or application to work tasks, motivation, general behaviour and relationships with others, attendance, punctuality, reliability and other relevant comments. Please attach your reference to this form, or have it sent separately to the International Office.

16. Aspirations

Please describe below why you think CRC would be best suited for you in your intended career path, and what you hope to achieve from your time at the College.

Statement by parent/carer (for students under 18 only)

Parent/carer's Name

Address (if different from that of applicant)

Contact Tel

Comment

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