Fillable Summer School Application Form (University of Plymouth)

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Summer School Application Form (University of Plymouth)

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Summer School Application Form
Enjoy a mixture of academic adventures and social activities on our University summer school: the perfect way to
visit Plymouth and to get your first taste of university life in the UK.
Which summer school are you applying for (please select one):
University of Plymouth Summer School (20 July - 17 August 2020) £2,700*GBP
International Business Summer School (27 July - 17 August 2020) £2,025*GBP
Art, Design & Architecture Summer School (03 - 17 August 2020) £1,750*GBP
Personal Details
Family Name:
(exactly as written in your passport)
First Name(s):
(exactly as written in your passport)
Title:
(Mr / Ms / Miss / Mrs / Other) Gender:
Male Female
Country of Birth: Nationality:
Date of Birth (dd/mm/yyyy):
You must be over 18 years of age at the start of the summer school.
*Discounts are available for partner institutions, please contact us for more information.
Contact Information
Correspondence Address:
(if applying via an agent please put agency address)
Home Address:
(if different from correspondence address)
Personal Email: Personal Telephone Number:
Agent Email (if applicable): Agent Telephone Number (if applicable):
English Language Requirements
Minimum English Language requirement apply to all summer schools.
If you have a formal English language qualification (IELTS, TOEFL etc) please give details here:
Your Degree Course
Title of current degree course: Current academic institution (place of study):
Funding
Fees include all academic content, organised social activities, accommodation and a meal package.
Who will pay your summer school fees?
You or your family Government body Employer
Other
Disability
Please tell us if you have a disability, medical condition or dyslexia. Please tell us about any disability - even if you
do not think it will affect you while you are at the University so we can know how best to help you enjoy and benefit
from your studies as much as possible.
Details of disability:
Dietary Requirements
Please tell us if you have any important dietary requirements (including allergies).
Details of dietary requirements:
Emergency Contact Information (Next of Kin)
In the unlikely event that you have an accident or are unwell during your stay in the United Kingdom, who would you
like us to contact? This can be a parent, family member, friend or anyone else you choose.
Name of person to contact: Relationship to you:
Full telephone number (home): Full telephone number (mobile):
Contact email address:
Declaration and Signature of Applicant
If applying via an agent: I confirm that the University can correspond with my agent (regarding my summer school
application) as appropriate. I also confirm that this agent is the sole agent I will use to facilitate my application to,
and subsequent preparations to, study at the University of Plymouth.
I understand that I may be requested to submit further documentation in support of my application.
I confirm that, to the best of my knowledge, the information given in this application form is complete and correct,
and that the submitted documents are genuine.
Applicant Name:
Applicant Signature:
(or electronic signature; re-type full name here)
At the University of Plymouth we would like to send you exciting news about our courses and student life that we
hope you would like to hear about. We will use your information to predict what you might be interested in and we
will always treat your data with respect. You can stop receiving updates at any time.
How to submit your application
Please email the completed form and all supporting documents to:
summerschoool@plymouth.ac.uk
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Summer School Application Form (University of Plymouth)

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Completed 14 October 2020

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