2024 New Student Application Form (Onsite)

English Course Application Form

1. PERSONAL INFORMATION
Full Name*

PrefixFirst NameMiddle NameLast Name
What is your Gender?*

MaleFemaleOther
Age*
Date of Birth*

DayMonthYear
What is your nationality?*
Passport No. or Identification No.*
Attach a copy of pages of your passport showing your photograph and passport number*

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2. CONTACT DETAILS
Address in home country (or current UK address)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number*
Phone Number (Home)*
E-mail*
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
How did you hear about us?*
3. COURSE DETAILS
Course Name*
No. of weeks of study*
Course Start Date*

DayMonthYear
Target Start Date
Course End Date*

DayMonthYear
Target End Date
4. REASON FOR APPLYING FOR COURSE
Please state reason for applying for English course*
5. PREVIOUS LEARNING EXPERIENCE
Please list details of your previous studies*
Attach certificates for previous studies (if applicable)

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6. LEARNING DISABILITY
Do you have a learning disability? If Yes, you will be required to fill out a disability equality form. A member of staff will be in touch and send you a form.*

YesNo
7. ACCOMMODATION / AIRPORT TRANSPORT
GLC does not provide accommodation. However, please let us know if you would need help in finding accommodation.*

YesNo
GLC does not provide airport transport service. However, please let us know if you require this service and we can help you find airport transportation.*

YesNo
8. Terms and Conditions
Please read and agree to the GDPR and Course Terms and Conditions below:
Date*

DayMonthYear
Date
NOTE: a Registration Fee of £50 is payable by a student registering with the college for the first time. This fee will be added to your invoice. Do not pay this fee upfront at the time of application.
9. DECLARATION
I,*

First NameLast Name
1. hereby declare that all the information given is true and complete
2. authorise Global London College to obtain further official records if necessary from any educational institution attended by me.
3. agree to the Global London College Terms and conditions as detailed on the website and above.
Student Signature*

Clear
Please verify that you are human*
Should be Empty:

English Course Application Form