eis / English course application form /2015

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eis / English course application form 2016 10/2015 Before you complete this application, please look at our English for Young Professionals course information, or consult one of our agents / representatives. This application form is for full-time English courses (15 hours+ per week). We can consider your application only if you complete all the required sections of this application and provide all the details and documents that we ask for in each section. If you are in the UK, you can also apply by EIS test and interview; contact 020 8918 7046 / 7305 / 7364 to arrange an appointment. If outside the UK, you should apply at least 4 weeks before your planned start date, earlier if there is a UK holiday period between application and start date. In all cases, you must complete sections A, B, C, D, E & G. Agency use only Agency Contact Name You should also complete Section F if you do not have an IELTS or Cambridge English test score; read section D for information. E-mail section A - your Personal Details Family Name(s) as in passport First Name(s) as in passport Title Mr Ms Miss Mrs Date of Birth DD / MM / YYYY Current Age Nationality Country of Birth City / Town of Birth Country of Residence for last 3 years First Language Passport Number Passport Place & Date of Issue Passport Expiry Date You must send, with your application, a scan / copy of the personal identity page(s) of your passport Your Contact Details Address Line 1 Address Line 2 Address Line 3 City Postcode Country E-mail Telephone Emergency Contact - the person who we should contact if there is an emergency when you are studying with us First Family Name Name E-mail Telephone City Relationship What type of visa do you intend to apply for / use for study? Country Short-Term Student 6 months Short-Term Student - English Language 11 months Tier 5 Other Visa No Visa; EU / EEA national if you need more space to answer any question, please add an extra page 2016, page 1 of 13 eis / English application form

International Office, South Thames College London; Wandsworth High Street, London, SW18 2PP, UK international.office@south-thames.ac.uk telephone: +44 20 8918 7096 www.souththames.ac.uk/international section B - Course Choices Tick Start Date January 2016 April 2016 June 2016 July 2016 September 2016 November 2015 Other Start Date End date We will confirm if these dates are possible; if they are not, we will advise you about alternatives Duration 1 term 2 terms 3 terms 4 terms 4 weeks 6 weeks 8 weeks 10 weeks Other Duration We will confirm if this is possible; if it is not, we will advise you about alternatives Schedule Standard / 15 hours per week Intensive / 20 hours per week with 1 Elective Super-Intensive / 25 hours per week with 2 Electives Combination / 15-25 hours per week Electives For Intensive and Super-Inten sive schedules, which Elective(s) do you want to add? Elective Cambridge Exam Preparation Levels B1+ to C1+ 13:30-14:30 IELTS Preparation Levels B1+ to C1+ 13:30-14:30 Skills for UK University Studies Levels B2 to C1+ 14:45-15:45 Business / Professional English Levels B1+ to B2 13:30-14:30 Presentation, Meeting & Negotiation Skills Levels B2+ to C1+ 13:30-14:30 Writing & Grammar Levels A2 to B2 13:30-14:30 Intensive Pronunciation & Speaking Fluency Levels A2 to B2 14:45-15:45 Experience London & UK Levels A2 to C1+ 14:45-15:45 Preparation for Work Placement & Career Levels B2 to C1+ 14:45-15:45 Skills for Teaching English, with TKT Levels B1+ to C1+ 14:45-15:45 Dates Jan 18 Feb 22 Apr 18 Jun 06 Jul 04 Aug 01 Sep 26 Nov 07 Jan 18 Feb 22 Apr 18 Jun 06 Jul 04 Aug 01 Sep 26 Nov 07 Jan 18 Feb 22 Apr 18 Jun 06 Jul 04 Aug 01 Sep 26 Nov 07 Jan 18 Feb 22 Apr 18 Jun 06 Jul 04 Aug 01 Sep 26 Nov 07 Jan 18 Feb 22 Apr 18 Jun 06 Jul 04 Aug 01 Sep 26 Nov 07 Jan 18 Feb 22 Apr 18 Jun 06 Jul 04 Aug 01 Sep 26 Nov 07 Jan 18 Feb 22 Apr 18 Jun 06 Jul 04 Aug 01 Sep 26 Nov 07 Jan 18 Feb 22 Apr 18 Jun 06 Jul 04 Aug 01 Sep 26 Nov 07 Jan 18 Feb 22 Apr 18 Jun 06 Jul 04 Aug 01 Sep 26 Nov 07 8 weeks = 2 x 4 week modules Jan 18 Apr 18 Jul 04 Sep 26 Professional Work Placement Add-On available to EU / EEA nationals and others with a Tier 5 YMS (Youth Mobility Scheme) Visa I would like to add a professional internship to my English studies STCL English for International Students (EIS) Application Form 2016 Page 2 of 13

In which professional sector do you want a placement? I am attaching a short CV / resumé We will confirm if a placement in the sector you want is possible; if it is not, we will advise you about alternatives 1-1 Private Lesson Add-On I want to add 1-1 lessons to my English programme How many 1-1 lessons do you want to add: 2 4 6 8 10 12 14 More how many? I wold like my 1-1 lessons to focus on: Some courses and programmes have English language and special admissions requirements as specified. If you do not meet these requirements at your scheduled program start date, you will not be able to begin the course or programme. STCL reserves the right to cancel a course or make changes to course arrangements without liability if obliged to by circumstances beyond its control or due to low demand. In such cases, STCL would seek to offer alternative arrangements or dates, or refund fees for unused tuition. All fees are based on pricing at time of application; the amount to be paid, and payment details, will be stated on final / unconditional offer and / or invoice. STCL English for International Students (EIS) Application Form 2016 Page 3 of 13

section C - About You Why do you want to take this English study programme?...... What English studies / classes have you taken before now?...... What do you think is your level of English? Tick one only for each skill Writing Elementary Low Intermediate Intermediate High Intermediate Lower Advanced Upper Advanced Reading Elementary Low Intermediate Intermediate High Intermediate Lower Advanced Upper Advanced Speaking Elementary Low Intermediate Intermediate High Intermediate Lower Advanced Upper Advanced Listening Elementary Low Intermediate Intermediate High Intermediate Lower Advanced Upper Advanced Grammar Elementary Low Intermediate Intermediate High Intermediate Lower Advanced Upper Advanced Vocabulary Elementary Low Intermediate Intermediate High Intermediate Lower Advanced Upper Advanced Can you speak another language in addition to your first language and English? No Yes If Yes, give details:..... Employment / Work Experience / Study / Other Activity What is your most recent academic qualification (school / university / college)?.... Details of what you have done for the past 5 years From To Work / Study / Other Activity section D - Visa and Application / Test Information Nationals of EU / EEA countries can apply for and study on any of our courses, without any visa or immigration permission Nationals of non-eea countries can apply for: 1. a Short-Term Student visa - STS - for any level of course, for a maximum of 6 months 2. a Short-Term Student (Child), if you are aged 16-17, for any level of course, for a maximum of 6 months 3. a Short-Term Student visa - 11 months - for any level of English course, if you are aged 18 or over; this must be obtained before you travel to UK If you are a national of Republic of Korea, Japan, Taiwan or Hong Kong, you can apply for a Tier 5 YMS visa; this must be obtained before you travel to UK. If you (will) have another type of visa, for example, dependent, Tier 5 or Tier 2, these usually permit you to study, but you must check. Check UK visa information with your STCL representative / agent, or at www.gov.uk/study-visit-visa/overview or www.gov.uk/tier-5-youth-mobility or www.gov.uk/apply-uk-visa Nationals of some countries, who will study for 6 months or less, can apply on arrival in UK to enter as a Short-Term Student, but must show border / immigration officials documents to confirm studies at an accredited school see www.gov.uk/check-uk-visa. All other visas must be obtained before travel to UK. For all students, if we offer you a place, and you then accept our offer and make fee payment, we will confirm, on an STCL Acceptance for Studies / Visa letter: 1. the level of English you have now, and the level of course that we can offer for you to start at 2. that you have been accepted for a full-time course of study at an accredited school All can apply by using the STCL English test - see pages? to? of this form - or an IELTS, Cambridge English or PTE test. We also require a Personal Statement - in all cases, you must include a Personal Statement - see page 7 STCL English Level Test - answer the grammar / vocabulary questions on pages 5-7 IELTS / Cambridge English / PTE Language Test - we accept: - IELTS (General or Academic) - Pearson Test of English (PTE) Academic STCL English for International Students (EIS) Application Form 2016 Page 4 of 13

- Cambridge: Key or Preliminary English Test (KET & PET), First Certificate in English (FCE), Business English Certificate (BEC), English Advanced Test (CAE) Send us a scan of your IELTS, Cambridge or PTE test; please list details of your scores / grades here Name of Test: Test Centre Date Listening Speaking Reading Writing Overall score We may also need a Telephone / Skype Interview, to confirm your listening & speaking skills, and get more information. If we need this, we will contact your agent or you. Please confirm which English Test you are using for your application: STCL English Level Test IELTS / Cambridge English / PTE Language Test STCL English for International Students (EIS) Application Form 2016 Page 5 of 13

section E - Additional Application Information We need to confirm that a student who we agree to accept for study is able to successfully complete that study programme. UK Visas & Immigration (UKVI) requires us to check the entitlement to study and UK leave to remain of all students. UK Study and Visa History 1. Have you studied in the UK before? Yes No If yes, please answer questions 2 + 3 2. Please list all previous UK periods of study, and visas if these were needed (Tier 4, SVV, ESVV, STS, Visitor or other) Visa Type From To Course Name Level: QCF / CEFR Sponsor / College Qualification In addition to the information in the table above, you must give us: a) a scan of each visa or biometric card b) a scan of each CAS or visa letter issued by your Sponsor or place of study If you have more previous UK visas and periods of study, or need more space, please add a list with all the required details 3. Please provide a document to confirm your % attendance at your current or most recent school / college attached 4. Do you have any failed immigration or visa applications? Yes No If yes, give details: Financial Situation 6. How do you plan to pay your course fees and living expenses in the UK? We may ask for documents to confirm these finances Own Finances Family Savings / Sponsorship Other Sponsorship Amount: / GBP Amount: / GBP Amount: / GBP 7. How much do you plan to bring with you for living expenses? / GBP Personal and Family Situation 8. Do you plan to bring dependents with you to the UK while you study? Yes No If yes, who? 9. Is there any medical or personal condition or situation which may affect your ability to study or to successfully complete the study programme in the specified duration, or which may require special consideration, support or facilities? All conditions must be notified to us in advance. Yes No If Yes, please give a short description (we may ask for more details) Medical / Personal Conditions and Additional Support The College is able to help learners with a range of support requirements, such as dyslexia, autism and asperger s syndrome, attention deficit and hyperactivity disorder, a physical disability, epilepsy, mental health issues, or who are deaf or partially hearing, blind or partially sighted. There will probably be extra costs for this additional support. Students aged 16-17 Before we can accept a student under 18 years of age, parents must confirm UK guardianship details, complete a medical information form and sign a consent form to authorise nominated STCL staff to act on behalf of the parent ( in loco parentis ) in an emergency. No acceptance / visa letter will be issued until these forms have been completed, signed and returned to STCL. General 10. Do you have relatives or friends in the UK? Yes No If yes, where do they live? (specify town / city) 11. Do you plan to stay with relatives or friends when you arrive? Yes No STCL English for International Students (EIS) Application Form 2016 Page 6 of 13

If Yes, give the full postal address: If you stay a long distance from STCL, travel can take a long time, be expensive, and affect your punctuality and attendance; you must arrange accommodation closer to STCL. 12. Have you lived away from home, or in another country, before? Yes No If yes, give details STCL English for International Students (EIS) Application Form 2016 Page 7 of 13

section F - STCL eis / English Level Test You can use this STCL test, or send us details of your results in one of the international English tests listed in section D on page 3. Send this and your Personal Statement (page 8) to us, with the other pages of this application form. There are 5 parts in this test. part 1. Choose the best answer, A, B or C 1. My friend.. in a school. A work B working C works 2. What time..? A start the lesson B does the lesson start C is start the lesson 3. Where.. your father live? A do B does C is 4. I. sport. A no like B not like C don t like 5. That s.. nice house. A a B an C some 6. Here s my sister, we can ask A him B she C her 7. My birthday is. Monday. A at B on C in 8... 20 people in the room. A There is B It is C There are 9. This book is than this one. A more big B bigger C the bigger 10. She s hungry because she her breakfast. A not eaten B didn t ate C didn t eat 11. That s my father, he... next to my mother. A sitting B sit C s sitting 12. You re right. I... with everything you said. A am agree B am agreeing C agree 13. I... to Paris last weekend. A went B have been C go 14. She has booked a holiday. She... to Spain. A will go B goes C s going 15. There s someone at the door. I... answer it. A m going to B ll C m going 16. There... coffee left. A are no B isn t any C is any 17. He... when I arrived. A was left B had already left C leaving 18. There... information about this course. STCL English for International Students (EIS) Application Form 2016 Page 8 of 13

A is few B isn t many C isn t much 19. Hi Maria! Where...? A are you going B you going C do you go 20. I watched the sun... this morning. A go up B rise C rised part 2 Choose the best answer, A, B, C or D 21 She has two..., a boy and a girl. A childs B childrens C sons D children 22. Smoking is forbidden. You... smoke here. A mustn t B don t have to C mustn t to D don t have 23. What... in your country at this time of year? A does the weather B is weather C s the weather like D s the weather 24. The book I m reading... by a Spanish writer. A is writing B was written C was wrote D is written 25. We are... eat in the classroom. A mustn t B not have to C not allowed D not allowed to 26. The plane arrives... Heathrow at 7.0 p.m. A in B on C to D at 27. He s much... me. A more tall than B higher than C taller as D taller than 28. I don t think he s here, he... in a meeting. A could to be B might being C might to be D might be 29. If you heat ice, it... A melt B melts C is melt D is to melt 30. She wanted to know where... A had he gone B he gone C he s gone D he had gone 31. I wish I... a big house. A d have B have C had D did have 32. I... since 2001. A am living here B live here C am live here D ve lived here 33. He used to live in Poland,... A didn t he? B isn t he? C isn t it? D wasn t it? 34. I ll tell him when... him. A I ll see B I seen C I m seeing D I see 35. He doesn t want... to the party. A me going B me to go C that I go D I go 36. If... harder, I d have passed the exam. A I was working B I worked C I d worked D I d have worked part 3: Fill in each gap with a suitable word: STCL English for International Students (EIS) Application Form 2016 Page 9 of 13

I love driving but I find (37)... difficult to drive in a big city like London. You can t really go (38)... high speed and if you do you can find yourself in trouble (39)... the police. If you drive at more (40)... 30 miles per hour (41)... a town you may have to pay a fine which may be as much (42)... 100. Parking is also really difficult and if you park (43)... a double yellow line you will get a parking ticket. Petrol (44).. a fortune in England too. Sometimes I think it s not really (45).. having a car, but I do love my Ferrari! part 4. Change these sentences so that your new one means the same as the original, but using the word in bold in your new sentence. You can use a maximum of 5 words in each space. Example: Alice lived here in the past but she doesn t now. used Alice... live here (answer = Alice used to live here) 46. He almost never goes to the cinema. hardly He... goes to the cinema 47. I don t think you should go, she said not She advised him... 48. I ve never been to Prague before time This is the... to Prague 49. Although it was raining they went to the park despite..., they went to the park 50. His parents allowed him to stay up late for his birthday let His parents.. for his birthday part 5. your Personal Statement Write a statement of 250-300 words, in English, or as much as you can, on the next page (8); use additional pages if necessary. Write without help from another person or the internet, with only a little preparation, correction or help from a dictionary. Please explain why we should offer you a place and: - Tell us about you and your background, and give information about your interests and activities - Tell us what you have done for at least the past 5 years, and outline your career plans and ambitions - Explain why you want to take these studies, and what you plan to do when you finish them - Explain why you want to study at South Thames College London and why you chose to apply to STCL - Describe the challenges you expect to face, on the course and by coming to the UK, and how you plan to deal with them Sign Here I did this test and the personal statement myself, without any help from another person or from the internet. Signature.. Date.. STCL English for International Students (EIS) Application Form 2016 Page 10 of 13

Personal Statement; Your Name:.. STCL English for International Students (EIS) Application Form 2016 Page 11 of 13

section G - Complete your Application Checklist Tick 1) Are all your personal contact details, especially e-mail and passport, correct and clear? (section A) 2) Enclose a scan or copy of the ID page of your passport (section A) 3) Complete ALL required sections of this Application Form 4) Provide all documents required in sections B, C, D & E 5) If you are using the STCL English test, enclose your completed test answers (section F) 6) If you are using IELTS, PTE or a Cambridge English test, enclose a scan of your certificate (section D) 7) Include your Personal Statement 8) Sign below; if you are aged 16-17, also obtain the signature of your parent or guardian Declaration(s) Please read the following statements, then sign below to accept them: I confirm that all information I have given (on this form and on any additional documents) is complete, accurate and up-to-date. I will inform STCL if any of this changes I confirm that any work provided as evidence is my own, and that the certificates and documents I have provided are genuine I confirm that there is no medical or personal condition or situation which may affect my ability to study or to successfully complete the study programme in the specified duration. I will inform STCL if any of this changes I understand that if the above statements are false, STCL may transfer me to an alternative course / level if this is possible or may cancel my enrolment, and may cancel my acceptance / visa letter and / or cancel its sponsorship of a study visa. I recognise that STCL cannot be responsible for any problems that may result I understand that STCL has no obligation to offer me a place, to enrol me as an STCL student, or to accept me for studies I understand that STCL will decide which course or level is appropriate for me, and that STCL may move me to a different course or level following assessment at the start of my studies if STCL considers that a change is appropriate (non-eea students) I confirm that if STCL offers me a place, I am able and ready to apply for a visa for the study programme offered if this is required I understand that information about me may be given to UKVI and other official bodies on request or as required by regulation I accept these terms, and apply for admission to study English at South Thames College London - STCL Signature Date If you are aged 16-17, your parent or guardian must also sign below: I support this application and confirm the declaration made above I confirm that I will be responsible for course fees and other expenses I confirm that there will be someone in the UK who will be responsible for the applicant and that, if a place is offered, details of this UK guardian, with a scan of passport, will be provided to STCL so that details can be included on a visa / acceptance letter First & Family Name Signature Relationship to Applicant Date South Thames College London, MMXV Send your completed application to: International Office, South Thames College London E-mail: international.office@souththames.ac.uk Wandsworth High Street London, SW18 2PP telephone: +44 20 8918 7096 UK www.south-thames.ac.uk/international Do not send payment now - we will ask for fees if we offer you a place. STCL English for International Students (EIS) Application Form 2016 Page 12 of 13

STCL English for International Students (EIS) Application Form 2016 Page 13 of 13