On-line Application Form

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1: Personal details of student
Family name:
First name(s):
Title: Gender: Male Female
Date of birth:
Day: Month: Year:
Student's home address:
Nationality:
Student's mobile phone number:
Student's email:

 

2: Parent or guardian details
Family name:
First name(s):
Title: Gender: Male Female
Relationship to student:
Parent Guardian Agent Other
Please specify:
Parent or guardian's address:
(If different from 1 above) 
Home or main phone number:
Mobile phone number:
Other phone numbers (optional):
Fax number:
Main email:
Alternative email:

 

3: Person responsible for paying fees (if different from 2 above)
Click here to go to next section if the details for this section are the same as section 2
Name:
   
Title: Gender: Male Female
Relationship to student:
Parent Guardian Agent Other
Please specify:
Parent or guardian's address:
(If different from 1 above) 
Main phone number:
Other phone numbers:
Mobile phone number:
Fax number:
Main email:
Alternative email:

 

4: Contact in an emergency
Name:
Main contact phone number:
Other phone numbers:
Mobile phone number:

 

5: Course(s) applied for
Subject
(e.g. Maths) 		Level
(e.g. GCSE, AS, A2) 		Proposed Start Date Duration
(e.g. 1 term, 1 year)
As above Or:
As above Or:
As above Or:
As above Or:
As above Or:
As above Or:
As above Or:

 

6: Educational details
Please list your academic qualifications, English language qualifications should be listed in section 8
Qualifications and subjects Exam board Level and grade

 

7: Schools/colleges attended (the three most recent)
Please give full details of most recent school below
School:
Dates attended:
From: to:
Contact name:
Position (e.g. head teacher):
School address:  
Telephone number:
Fax number:
Email:
Other schools attended
School:
Dates attended:
From: to:
School:
Dates attended:
From: to:

 

8: For international students only
What is your first language?
What is your second language?
For how many years have you studied English?
English qualifications obtained (most recent only):
Grade/level achieved:
Date your qualification was obtained::
Where did you take the above English qualification?
Do you have a UK student visa?
No Yes
Valid from: to

 

9: Accommodation
Please tick the relevant box
Room in the COLLEGE BOARDING HOUSE (single room, shared bathroom, self catering)
Homestay accommodation, (single room, shared bathroom, catered)
Commuting from home no accommodation required
Assistance not required for arranging accommodation in Oxford (only for students aged 18 or over)

 

10: Health and diet
Does the student have any illnesses, allergies or disabilities requiring special care? No: Yes:
If yes please give further details below:

 


Mrs Carolyn Owen
Oxford International College
College House
39–42 Hythe Bridge Street
Oxford OX1 2EP
Tel: 01865 203988
Fax: 01865 203998
Email: carolynowen@oxcoll.com