International Application | Loughborough College

Step 1 - Your Details

Personal Details

Title*

Given Name(s)*

Family Name*

Date of Birth*

Email*

Landline*

Mobile*

Skype

Home Address

Address Line 1*

Address Line 2

Town/City*

Country*

Other Please Specify*

Postcode/ZIP Code

Correspondence Address

Same as Home address

Address Line 1*

Address Line 2

Town/City*

Country*

Other Please Specify*

Postcode/ZIP Code

Other Details

Do you hold a current passport?*

Passport No.*

Expiry Date*:

Country of Birth*

Other Please Specify*

Nationality*

Other Please Specify*

Country of Residence*

Other Please Specify

Have you been convicted of any criminal offence in the UK or any other country?*

The International Office will contact you to provide further information

Do you have a disability and / or learning difficulty?*

The International Office will contact you to provide further information

Will you need additional support with your studies?*

The International Office will contact you to provide further information

Parent / Guardian Information

Are you over 18?*

Please provide details of your Parent / Guardian below

Title*

Given Name(s)*

Family Name*

Address Line 1*

Address Line 2

Town/City*

Country*

Other Please Specify*

Postcode/ZIP Code

Telephone*

International Application Form

Step 1 - Your Details

Personal Details

Home Address

Correspondence Address

Other Details

Parent / Guardian Information

Please provide details of your Parent / Guardian below