Glyndwr University International Application Form 12'13

INTERNATIONAL STUDENT APPLICATION FORM 2012/13
FOR OFFICE USE ONLY
Course: .
Decision: Unconditional
Conditional Offer
Reject
Admissions Tutor: .
Please state condition.

Please state reason.
(The International Office will ensure that financial and English language entry conditions are satisfied)
Signature: ...
Date:
1. Personal & Contact Details

Boxes marked with an asterisk * are required fields. If any boxes marked with an asterisk * are not completed the application will not be considered and will be returned to you
for completion.
First Name: *
Middle Name: *
Surname / Family Name: *
Date of Birth: *
Age: *
Sex: * (Please Circle)

Male
Female
Passport Number:
Country of Birth: *
Nationality: *
Email Address: *
Mobile Phone:
Home Phone:
Home Address Please use one box per letter, please include spaces in between words
Address Line 1
Address Line 2
Address Line 3
Town / City
State / Province
Country
Postcode / pin *
Correspondence Address If different from the above address (e.g. agent address)
Address Line 1
Address Line 2
Address Line 3
Town / City
State / Province
Country
Postcode / pin *
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2. Education & Training

Please list your academic qualifications, your most recent should be at the top. Please attach copies of original certificates to this
application as proof. If the original language is not English, please include certified translation of your documents. Without copies of
original certificates Glyndr University is unable to process your application.
Name of Institution *
Years attended
(from to) *
Completed
(Yes / No) *
Name of qualification & grade

obtained *
Language of
instruction *
Completed
(Yes / No)

obtained
Language of
instruction
Completed
(Yes / No)

obtained
Language of
instruction
Name of Institution
Years attended
(from to)
Name of Institution
Years attended
(from to)
3. English Language Proficiency

If English was the language of instruction in your secondary school, higher secondary or University, please provide further details:
Name of Institution
Level of Study (e.g. secondary)
Years attended (e.g. 3 years)
1.
2.
3.
Please visit www.ielts.org or www.ets.org/toefl for further information on how to obtain a recognised English language qualification.
Please quote Glyndrs TOEFL number 8719 when sitting your TOEFL test. Please attach copies of original certificates to this
application. Without copies of original certificates Glyndwr University is unable to process your application:
Type of Qualification (e.g. IELTS)
Test Date
Test Score (e.g. IELTS 6.0)
4. Course Preference
Please list your preferred course in descending order and include course code if known. Your first preference will be processed first; second
and third preferences will only be processed if your first choice application is unsuccessful.
No.
Year of Entry *
(e.g. Year 1)
Course (e.g. BEng Aeronautical & Mechanical Engineering) *
1.
2.
3.
Year of entry to Glyndr? (Please circle) *
September 2012
February 2013
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5. Employment Details
Should you have any past or present employment position which may be of relevance to the program which you are applying for,
please attached to your application your CV along with a detailed description of your work experience, including written evidence
from your employer.
6. Personal Statement
Please tell Glyndr University something about yourself. It should include details about your previous studies, why you want to study with us
and what your career and life plans are after graduation. Please complete on a separate sheet if necessary.
.
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.
..
.
......
.
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.
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..
.
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8. Tuition Fee + Accommodation Packages

Our fee packages include the cost of tuition for the 2012/13 academic year and the cost of accommodation for the 2012/13 academic year.
Please select which tuition fee + accommodation package you would prefer. For further details about the accommodation packages we offer
please refer to the International Student Accommodation Guide which is available online at www.glyndwr.ac.uk.
8.1
Please choose your preferred fee package by ticking the relevant box:
OPTION 1
OPTION 2
OPTION 3
OPTION 4
TUITION FEE + STANDARD

ACCOMMODATION
TUITION FEE + SUPERIOR

ACCOMMODATION
TUITION FEE + PREMIUM

ACCOMMODATION
TUITION FEE ONLY
This option includes:
1) The cost of your tuition fees for

the academic year.

the academic year.

the academic year.
2) Standard accommodation from

September 2012 to June 2013.
2) Superior accommodation from

2) Premium accommodation from

UG: 8,450*
PGT (1 year course): 9,900
MBA (1 year course): 10,450
UG: 8,950*
UG: 7,950*

1) The cost of your tuition fees
for the academic year.
UG: 6,950*
8.2
You may change your tuition fee + accommodation package selection up to the point of deposit payment. Once you have paid your
deposit you cannot change your selection.
8.3
Although we endeavor to match your selection preference at all times this may not always be possible. We will notify you in writing if
we cannot match your selection preference.
8.4
If no option is selected, the option by default will be Option 2
* All undergraduate students must pay 7,950 in each subsequent academic year of study to cover the cost of their tuition fees,
regardless of which fee package option they choose in year 1.
* Please be aware that in subsequent years of study on undergraduate courses your tuition fees do not include the cost of
accommodation.
8.5
500 discount may be offered as partner scholarship to students from our partner institutions.
STANDARD ACCOMMODATION *
SUPERIOR ACCOMMODATION *
PREMIUM ACCOMMODATION *
- Off-Campus
- On-Campus
- On-Campus (new accommodation)
- Single or Shared Bathroom
- En suite Bathroom
- En suite Bathroom
- Shared Kitchen facilities
- Free Welcome Pack on Arrival (includes
a mattress cover, duvet, duvet cover,
pillow cover and bed sheet)
* For further details about the accommodation packages we offer please refer to the International Student Accommodation Guide which is available online at www.glyndwr.ac.uk.
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9. Additional Needs
Do you have any disabilities, health related conditions or special educational needs? If yes please give brief details including medical
evidence and any special provision you think may be required.
10. Criminal Convictions

Do you have any relevant criminal convictions?
YES
NO
(If yes please provide further details)
Relevant criminal convictions are those for offences against the person, whether of a violent or sexual nature, or for offences involving supplying controlled
drugs or substances where the conviction concerns commercial drug dealing or trafficking. You must also tick this box if you are currently serving a prison
sentence for a relevant criminal conviction. If you fail to disclose a relevant conviction, any offer that has been made to you will be withdrawn from the
University.
7. How did you find out about Glyndr University?

Family or Friend
Education Exhibition
School/College/University
Glyndr Website
Education UK Website
Recruitment Agent
Current Student
Other
11. Declaration
I certify that the details I have provided and any other supporting papers are true and accurate. I understand that the information on this
form is confidential, but may be passed to official UK government bodies to assist them in their duties if requested. I confirm that I have
read, understood and fully Glyndr Universitys International Fee Regulations 2012/13 policy.
Signed. ....
Date.........................................................................................................................
Submitting your application to the University

There are three ways in which you can submit this application form to us:
1.
Post the completed application form, including all supporting documents, to us at: International Office, Glyndr University, Plas Coch,
Mold Road, Wrexham, Wales, United Kingdom, LL11 2AW.
2.
Email a scanned copy of the application form, including all supporting documents to: international@glyndwr.ac.uk.
3.
Submit your completed application form, including all supporting documents, to an official Glyndr University representative in your
home country. Details of our representatives can be found at http://www.glyndwr.ac.uk.
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INTERNATIONAL STUDENT APPLICATION FORM 2012/13

FOR OFFICE USE ONLY

Please state condition.

1. Personal & Contact Details

Surname / Family Name: *

Sex: * (Please Circle)

2. Education & Training

Name of qualification & grade

Name of qualification & grade

Name of qualification & grade

3. English Language Proficiency

Level of Study (e.g. secondary)

Years attended (e.g. 3 years)

Test Score (e.g. IELTS 6.0)

Course (e.g. BEng Aeronautical & Mechanical Engineering) *

8. Tuition Fee + Accommodation Packages

TUITION FEE + STANDARD

TUITION FEE + SUPERIOR

TUITION FEE + PREMIUM

TUITION FEE ONLY

This option includes:

This option includes:

This option includes:

1) The cost of your tuition fees for

1) The cost of your tuition fees for

1) The cost of your tuition fees for

2) Standard accommodation from

2) Superior accommodation from

2) Premium accommodation from

This option includes:

If no option is selected, the option by default will be Option 2

- On-Campus (new accommodation)

- Single or Shared Bathroom

- Shared Kitchen facilities

- Shared Kitchen facilities

- Shared Kitchen facilities

- Free Welcome Pack on Arrival (includes

- Free Welcome Pack on Arrival (includes

- Free Welcome Pack on Arrival (includes

a mattress cover, duvet, duvet cover,

a mattress cover, duvet, duvet cover,

a mattress cover, duvet, duvet cover,

pillow cover and bed sheet)

pillow cover and bed sheet)

pillow cover and bed sheet)

10. Criminal Convictions

(If yes please provide further details)

7. How did you find out about Glyndr University?

Submitting your application to the University

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