Guardianship of University & Pathway Students - Apply Now

Student's Information

First name*

Family name*

Gender*

Male

Female

Date of birth*

Nationality

Religion

First language

Do you speak any other languages?

Have you been to the UK before?

Do you have any siblings?

Do you have any relatives in the UK?

Your mobile number

Do you have any special dietary requirements?

Name and address of University/College*

Proposed start date*

Passport number

Visa expiry date

Do you have any special educational needs or learning difficulties?

Length of service required*

Passport Photo

Please supply a passport quality photo. The file must be smaller than 8MB in size.

Accepted file types: jpg, gif, png, Max. file size: 8 MB.

Parents Information

Parent 1

Full name & title*

Home telephone

Mobile telephone*

Email address*

Occupation

Address*

Would you like to add details for another parent?*

Parent 2

Full name & title*

Home telephone

Mobile telephone*

Email address*

Occupation

Address*

Emergency contact if parents cannot be reached

Full name*

Mobile phone number*

Email address

Confirmation

By signing this form, you are confirming that College Guardians may obtain, process and hold personal information about you. This includes sensitive information such as medical details, and that you consent to this for the purpose of assessment, safeguarding and promoting your welfare.

Parent's Signature*

Name*

Payment

Once you have submitted this form an invoice for your fees will be sent to you by our accounts department.

Registered in England 2706656 VAT Reg. No. 927 3349 09

You can pay via BACS or our payment partner Flywire. Details will be provided on the next page.

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University Students Information

Student's Information

Parents Information

Parent 1

Parent 2

Emergency contact if parents cannot be reached

Medical Information

Does you suffer from any of the following? If yes, please give details

Immunisation record

Confirmation

Payment

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