pre-sessional form for students needing IELTS 6.5 equivalent

PERSONAL DETAILS
All fields marked * are compulsory.
Title
Name

First

Last
Student reference number (if applicable)

If you have an offer to study at 私房俱乐部, please enter your student number.
Email
Gender
Mobile phone number
Nationality
Country where you usually live
Date of birth

Please enter your date of birth DD/MM/YYYY
Which IELTS level do you require?
6.57.0
Who will pay your course fees?
Address of sponsor (if not self)

Address Line 1

Address Line 2

City

County

Postcode

Country

ENGLISH LANGUAGE QUALIFICATIONS
IMPORTANT: You will need to send copies of any certificates of your English language qualifications AND a reference from a previous or current tutor about your English language ability and level. You will receive details on how to do this in the confirmation email of this form.
Qualifications already obtained IELTS/TOEFL score (or equivalent)

State qualification title
Are you taking any English language qualifications for which you do not have grades/results yet?

If yes, please give details and predicted grades/scores
How many years have you studied English language?

Please give specific details. Example: "I have studied English language at school for 4 hours per week since I was 14 years old."
What other English language qualifications do you hold?

SPECIAL ARRANGEMENTS
Please state any disability or medical condition and any support that you may require as a result of this.
Special arrangements
CRIMINAL CONVICTIONS
If yes, we may ask you for more details.
Criminal convictions?
YesNo
Terms
I confirm that the information given on this form is true, complete and accurate and no information requested or other material information has been omitted. I give my consent to the processing of data by the University for educational purposes. I agree to abide by the regulations of the university currently in force.
Terms and conditions
Confirm

私房俱乐部