London School of Social and Management Sciences

Application Form

All the information you give us is confidential

Programme applied for

Start date

Date of application

Full Time Part Time

Personal Details

First Name

Last Name

Date of Birth

Preferred Name

Place of Birth

Do you regard English as your second language

If yes, what is your first language

Contact Details

Home Address

How long have you lived at this address?

Postcode

Telephone No

Mobile No

Your Occupation

Please state who is intending to pay your fees:

Where did you hear about the course?

9. Qualifications

Please give details of any qualifications already obtained, exams still to be taken or courses completed. Predicted grades to be entered by school/college referee

Subject or course

Level (GCSE, A Level etc.)

Start date

End date

Grade achieved (If course completed)

Grade predicted (If results not yet known)

Higher Education/Training

Start date

End date

Establishment (Name, Town, Country)

Qualifications gained (Name, Town, Country)

Voluntary Work

Start date

End date

Position held & nature of work

Name & address of employer

Employment

Employment From

Employment To

Position held & nature of work

Name & address of employer

Supporting statement/experience relevant to course applied for:

Interests/hobbies:

Please help us to monitor our Equal Opportunities policy by completing this section

I consider my ethnic origin to be

learning difficulty or any specific extra support requirements?

do you want to discuss your learning needs with a member of staf

Do you have a disability or any specific extra support requirements?

Please state any specific extra support you may require:

Residency status

Have you been permanently resident in the UK or EU for three years prior to 31st August (prior to course start date)?

Please complete all relevant details:

British National

EU/EEA Resident

Indefinite leave to remain

Country of residence

Date of entry to UK/EU/EEA (if applicable) :

Visa

Visa type

Visa Start date

Visa End date

Visa condition

Nationality

12. Employment status

All Learners

If employed, please state for how long

If unemployed, please state for how long

Application Form

Application Form

Personal Details

Contact Details

Your Occupation

9. Qualifications

Higher Education/Training

Voluntary Work

Employment

Residency status

Please complete all relevant details:

12. Employment status

Partner Universities for Progression from ATHE Level 3 Diploma to Bachelor's Degrees