International Summer School Application

Personal Details
First name(s)*
Family name*
Gender*
Day of Birth*
Month*
Year of Birth*
Nationality*
Passport Number*
Address for Correspondence
First line of address*
Second line of address*
Town or City*
County or District
Postal Code
Country*
Email Address*
Telephone Number (including country code)*
Next of kin details (this should be someone you would like us to contact in the event of an emergency)
Surname*
First Name*
Title*
Relationship to you*
Telephone number (including country code)*
Email address*
Study details of home institution
Name of home university*
Number of years studied at home university*
Department of study at Home University*
Main subject of your present degree course*
Name of Study Abroad Coordinator
Telephone number of Study Abroad Coordinator
Email Address of Study Abroad Coordinator
Name and Address of person or authority that will assist you financially*
During your time at Warwick you will need sufficient funds to cover the cost of travel and accommodation and living expenses. Please confirm that you are aware of this and that you have sufficient financial support.*
English Language Level
How would you describe your competence in:
Written English language*
Spoken English language*
For how many years have you studied the English Language*
Where did you learn the English language (e.g. school/college/university)*
Are you studying English at the moment*
If you answered yes above for how many hours a week do you study English
N.B. We require you to email proof of your English language ability if English is not your first language – e.g. IELTS or TOEFL score test results.
Study details at the University of Warwick
Summer School programme
Special Needs It is helpful to know about any special needs in advance of your study period at Warwick, so we can discuss whether facilities are available at the University of Warwick. Applicants with special needs are encouraged to contact the Disability Co-ordinator here at Warwick, (Tel: 00442476523761) in order to assess their special needs.
Do you have any disabilities/special needs/medical conditions*	Yes No
Are you registered as a disabled person*	Yes No
If you have any special needs, then please tick the boxes, which are applicable to you	Dyslexia Blind/Partially Sighted Deaf/Hearing Impairment Wheelchair User/Mobility Difficulties Need Personal Care Support Mental Health Difficulties Diabetes Epilepsy Asthma Other
If Other please specify
DECLARATION
Name*
Date*
Notes: Please ensure that you attach scanned copies of all the following documentation to this application form. Please do not send any original copies in the post. -A recent official academic transcript -One academic reference written by one of your recent or current university lecturers. -A personal statement on your reasons for choosing Warwick’s Summer School and your interest and commitment to your chosen programme (200 words) -A copy of your English test certificate e.g. IELTS/TOEFL or equivalent -A recent passport-sized photograph WE LOOK FORWARD TO RECEIVING YOUR APPLICATION FOR OUR 2012 SUMMER SCHOOL Submission of an application form does not guarantee acceptance of a place, and you should NOT make arrangements to travel to England until the University of Warwick has informed you of your acceptance for the Summer School.
Supporting Documents*	No files attached yet.

* indicates a required field


Privacy statement	The information submitted in this form will be stored by the University only for up to one year. It will only be used in conjunction with your application to the University and will not be used for any other purposes

Study Abroad » Summer School

International Summer School Application