UA92 MAIN CAMPUS

Please Click Here to view our guidelines for applicants

If you were born outside the UK, please tell us the date you first entered the UK for residency purposes. If this does not apply to you, please leave this question blank.

Please list all subjects taken, whatever the result, in chronological order. Include the qualification, subject, completion date, institution name and result. Please note you will be asked to provide evidence.*

Why do you want to study this course?* (Approx 500 words)

How have your qualifications and studies helped you to prepare for this course or subject?* (Approx 500 words)

What else have you done to prepare outside of education, and why are these experiences useful?* (Approx 500 words)

Name of Referee*

Student Name

Self-declaration form

This section of the application form will not be used for selection purposes.

Do you have a disability, long-term health condition, or learning difference? Please select the options below that apply:

 
08 Two or more impairments and/or medical conditions51 A specific learning difficulty such as dyslexia, dyspraxia or ADHD53 A social/communication impairment such as Asperger’s syndrome/other autistic spectrum disorder54 A long standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsy55 A mental health condition, such as depression, schizophrenia or anxiety disorder56 A physical impairment or mobility issues, such as difficulty using arms or using a wheelchair or crutches57 Deaf or a serious hearing impairment58 Blind or a serious visual impairment uncorrected by glasses96 A disability, impairment or medical condition that is not listed above

Please select the options below that best describes your ethnicity:

 
10 White15 Gypsy Traveller21 Black or Black British – Caribbean22 Black or Black British – African29 Other Black background31 Asian or Asian British – Indian32 Asian or Asian British – Pakistani33 Asian or Asian British - Bangladeshi34 Chinese39 Other Asian background42 Mixed – White & Black African43 Mixed – White & Asian49 Other Mixed background50 Arab80 Other Ethnic background90 Ethnicity not known98 Prefer not to say

If you have a relevant conviction that is not spent please tick the box, otherwise leave it blank.