Page 1 of 10
Application Form
This form should either be completed electronically using Adobe Acrobat Reader, or if you wish to
complete the form by hand, please complete in BLOCK CAPITALS and use black ink.
SECTION A:
PERSONAL DETAILS
Have you previously applied to UWTSD?
YES
NO
If yes, please enter your student
number
Title Mr/Mrs/Miss/Ms/Other
Surname / Family Name
Previous Surname (if applicable)
Forenames / Given Names
Date of Birth (DD/MM/YYYY)
Gender
Nationality
Country of Birth
County/State
Post/Zip Code
Country
Home Telephone Number
Mobile Phone Number
Email
County/State
Post/Zip Code
Country
Are you a member of UWTSD staff?
YES
NO
Do you have any current or previous criminal convictions (excluding minor motoring
convictions)? Please answer if you are applying for a course for which a satisfactory
Enhanced Disclosure from the Disclosure and Barring Service is a requirement.
YES
NO
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SECTION B:
STUDY OPTIONS
& FINANCE
Qualification for which you are applying
Programme Title
Qualification aim (e.g. Cert HE, HNC, HND, Foundation
Degree, BA, BSc, BEng, CIPD, Grad Cert, Grad Dip, PG
Cert, PG Dip, MA, MBA, MSc, PGCE, PCET)
Starting month and
year of intake applied
for (MM/YYYY)
Point of entry applied
for (i.e. Year 1/2/3)
Mode of Study:
(Please tick)
Full-time
Part-time
Sandwich
Other
Do you wish to study on campus or as a Distance student? (Please tick)
Cardiff
Carmarthen
Lampeter
London
Swansea
Distance
Who will pay your tuition fees? (Please tick)
Self-Financing
Student Loans Co.
Sponsored (please provide details below)
Sponsor/Company Name:
Address:
Person responsible:
Position:
Other (please provide details)
SECTION C:
DISABILITIES
Do you have a disability?
YES
NO
(If yes, tick all that apply)
Blind or partially sighted
Deaf or hearing impairment
Require personal care assistant
Mental health difficulty
Wheelchair user or impaired
mobility
Autistic spectrum disorder (ASD)
Asperger’s syndrome
Unseen disability (e.g.
diabetes or epilepsy)
Specific learning difficulties
(dyslexia, dyspraxia, ADHD or a
combination of these)
Multiple disabilities
(please specify)
Medical condition
(please specify)
Please describe the implications of any disabilities or additional need and/or support required. This information will
be shared with Student Services so that an assessment can be made of any reasonable adjustments required to
allow you to reach your full potential.
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SECTION D:
QUALIFICATIONS
Qualifications completed. If more than 4, please continue on a separate page.
Name of previous Institution
and location
Dates attended
(MM/YYYY-MM/YYYY)
Full-time/Part-time
Title of Award
Level
Subject
Awarding body
Grade/Classification
Start date (MM/YYYY)
Date of Award
(MM/YYYY)
Name of previous Institution
and location
Dates attended
(MM/YYYY-MM/YYYY)
Full-time/Part-time
Title of Award
Level
Subject
Awarding body
Grade/Classification
Start date (MM/YYYY)
Date of Award
(MM/YYYY)
Name of previous Institution
and location
Dates attended
(MM/YYYY-MM/YYYY)
Full-time/Part-time
Title of Award
Level
Subject
Awarding body
Grade/Classification
Start date (MM/YYYY)
Date of Award
(MM/YYYY)
Name of previous Institution
and location
Dates attended
(MM/YYYY-MM/YYYY)
Full-time/Part-time
Title of Award
Level
Subject
Awarding body
Grade/Classification
Start date (MM/YYYY)
Date of Award
(MM/YYYY)
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SECTION D:
QUALIFICATIONS CONTINUED
Qualifications pending. If more than 4, please continue on a separate page.
Name of Institution and
location
Dates attended
(MM/YYYY-MM/YYYY)
Full-time/Part-time
Title of Award
Level
Subject
Awarding body
Start date (MM/YYYY)
Expected Date of
Award (MM/YYYY)
Name of Institution and
location
Dates attended
(MM/YYYY-MM/YYYY)
Full-time/Part-time
Title of Award
Level
Subject
Awarding body
Start date (MM/YYYY)
Expected Date of
Award (MM/YYYY)
Name of Institution and
location
Dates attended
(MM/YYYY-MM/YYYY)
Full-time/Part-time
Title of Award
Level
Subject
Awarding body
Start date (MM/YYYY)
Expected Date of
Award (MM/YYYY)
Name of Institution and
location
Dates attended
(MM/YYYY-MM/YYYY)
Full-time/Part-time
Title of Award
Level
Subject
Awarding body
Start date (MM/YYYY)
Expected Date of
Award (MM/YYYY)
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SECTION E: PRIOR LEARNING
Recognition of Prior Learning
If you have already completed a part of the learning associated with this programme, either at this institution or at
another institution, or maybe as a result of your experience at a workplace, then you can apply for Recognition of
Prior Learning.
Do you wish to be considered for Recognition of Prior Learning?
YES
NO
If your answer was yes, please contact the Registry Admissions team at the relevant campus using the contact
details provided at the end of this form.
SECTION
F: EMPLOYMENT DETAILS
Name and address of
current employer
Current Job Title
Length of
Service
Full-time/
Part-time
Dates (MM/YYYY-
MM/YYYY)
Brief description of
current role
Employment History
Dates
FT or
PT
Job Title
Employer Details
Brief description of duties
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SECTION G
: PERSONAL STATEMENT
Further information to support your application.
Please provide information on your reasons for choosing the programme of study (e.g. experience, interests,
motivation, career path and continuing professional development).
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SECTION
H: REFERENCES
Please give details of two referees below (one referee would normally be expected to be an academic)
We normally require one reference to support an application. Please forward the University reference form to one
of your nominated referees. Should we require additional information, the University will contact your second
referee. Your first referee should send your reference to the relevant University campus address listed at the end of
this form.
1
st
Referee
Title & Full name
Position
Telephone / Mobile
Relationship to
applicant
Email
Address
2
nd
Referee
Title & Full name
Position
Telephone / Mobile
Relationship to
applicant
Email
Address
SECTION I
: RESIDENCY
Will you have been an ordinary resident in the EU/EEA (apart from short holidays) for
three years prior to the start date of the course?
YES
NO
Please give further details
Date of first entry to live in the UK (DD/MM/YYYY)
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SECTION
J: STUDENTS WHO ARE NOT FROM THE UK
Please complete this section if you are NOT from the UK
Passport Number
Passport Expiry Date
(DD/MM/YYYY)
Do you currently live in the UK?
YES
NO
If you are applying from within the UK, please give your UK address
Do you currently have a visa? If so what type?
Will you require a Tier 4 student visa for the period of your studies?
YES
NO
If English is not your first language, you will be required to provide evidence of English language in the form of a
current IELTS certificate (or equivalent) with a minimum overall score of 6.0 (to include a minimum score of 5.5 in
reading, writing, speaking and listening) before you will be accepted onto a programme of study.
If you have already taken an English language test, or intend to take an English language test, please provide
details of the test below with the most recent first. You must also provide copies of your official test results with your
application.
Name of test
Listening score
Reading score
Writing score
Speaking score
Overall Score
Date of Test
Use the space below to add any further information regarding your English language proficiency, such as if your
Secondary School / College / University programme was taught through the medium of English
If you are applying for a Tier 4 visa to study at this University, you must be able to meet the UKVI Tier 4 financial
requirements. You will be required to provide evidence to show that you have one year’s tuition fees, and the
maintenance requirement to study in the UK. Full details can be found on the UKVI website at www.gov.uk/tier-4-
general-visa
If you are Self-Financing, you will be expected to provide bank statements for us to check before you can apply
for a Tier 4 visa to study at the University. We will not be able to issue a CAS until your financial documents meet
the UKVI requirements. Please check the UKVI website for full details.
If you have a Financial Sponsor, you will be expected to provide a financial sponsor letter for us to check before
you can apply for a Tier 4 visa to study at the University. We will not be able to issue a CAS until your financial
documents meet the UKVI requirements. Please check the UKVI website for full details.
If you are a national of Saudi Arabia and will be receiving financial sponsorship from the Saudi Arabia Cultural
Bureau, please provide your Saudi national ID number below
Saudi National ID
Number
Are you applying through a UWTSD recognised agent? If so, please name the agent.
Agent Name
Sub-Agent Name
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SECTION
K: INTERNATIONAL APPLICAN
TS - VISA AND IMMIGRATION HISTORY
If you are applying for a Tier 4 visa to study at the University, the University will require you to attend an admissions
interview. Please be aware that the interview will be recorded and retained for our records. You may also be
asked to attend a UKVI interview as part of your UKVI Tier 4 application. This will give you the opportunity to
demonstrate that you have a genuine interest in the programme you have applied for, and to explain why you
have chosen to study at this University. Please answer the following questions by providing as much information as
possible.
Why have you chosen to study in the UK?
Why have you chosen to study at UWTSD?
Why have you chosen to study this programme?
How do you think your studies will help you in the future?
Have you ever received a visa to study in the UK?
YES
NO
If yes, please provide details below
Type of Visa
Visa Start Date
Visa Expiry Date
Type of Visa
Visa Start Date
Visa Expiry Date
Type of Visa
Visa Start Date
Visa Expiry Date
Have you ever been refused a visa to study in the UK?
YES
NO
If Yes, give details below of why your visa was refused
What was the date of the refusal? (DD/MM/YYYY)
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SECTION
L: DECLARATION
The University is a controller in terms of the 1998 Data Protection legislation. The data requested in this application
form is covered by the notification provided by the University under the Data Protection Act. The data will not be
passed to any third party without your consent, except where the University is required by law to do so.
I give permission for the University of Wales Trinity Saint David to contact UKVI to confirm my UK immigration history
and/or status.
By signing this declaration, I confirm that the information provided on this application form is true, complete and
accurate.
By typing your name here, you are signing this form electronically.
Signature of Applicant
Date
SECTION
M: CHECKLIST
This form may be submitted electronically, or as a hard copy by post to the relevant campus address below:
Carmarthen/Lampeter/Wales International Academy of Voice (Cardiff) Campus applications:
admissions@uwtsd.ac.uk
Admissions Office, Registry, UWTSD, College Road, Carmarthen, SA31 3EP, UK
Swansea Campus applications: admissions@uwtsd.ac.uk
Admissions Office, Registry, UWTSD, 1st Floor, Llys Glas, Alex Building, Alexandra Road, Swansea, SA1 5DU, UK
London Campus applications: londonadmissions@uwtsd.ac.uk
UWTSD, Winchester House, 11 Cranmer Road, London, SW9 6EJ, UK
Please ensure that you enclose the following documents. Incomplete applications will not be processed until all
documents have been received.
ONE COMPLETED APPLICATION FORM WITH SIGNED AND DATED DECLARATION.
PORTFOLIO - IF THIS IS REQUIRED AS PART OF THE ENTRY CRITERIA TO YOUR CHOSEN PROGRAMME.
CERTIFIED* COPIES OF ORIGINAL QUALIFICATION CERTIFICATES / TRANSCRIPTS.
CERTIFIED* COPY OF PASSPORT.
Students who are not from the UK must also include the following evidence
CERTIFIED* COPIES OF CURRENT AND PREVIOUSLY ISSUED VISAS.
CERTIFIED* COPIES OF CURRENT AND PREVIOUSLY ISSUED CAS STATEMENTS.
IELTS certificates from a UKVI approved IELTS centre (where English/Welsh is not the first language).
*A Certified Copy is a photocopy signed by a solicitor/lawyer/notary to confirm that it is an authentic copy.
Thank you for completing this form. Registry Admissions will now complete an online application form on your behalf and
using your e-mail address, will create an account that will give you access to the University's applicant portal (only
applicable to certain programmes).
If you do not wish for your e-mail address to be used for this purpose, please tick this box.
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