College / University Choice

Pre-interview Questionnaire

* Required

Details of Student
   
Full name *
Sex
Nationality
Religion
Date of Birth
Age
First Language
Level of English
Health
   
Home Address *
Postcode
Telephone
Fax
Email *
   
Details of Secondary Education
   
Name of School

 
Attended from (Year)
Attended to (Year)
   
GCSE's or Equivalent  
Subject  
1 Grade Board date
2 Grade Board date
3 Grade Board date
4 Grade Board date
5 Grade Board date
6 Grade Board date
7 Grade Board date
8 Grade Board date
9 Grade Board date
   
Details of Sixth Form Studies you are concidering to study
School or College
1 Grade Board Date
2 Grade Board Date
3 Grade Board Date
4 Grade Board Date
5 Grade Board Date
6 Grade Board Date
   
Extra-Curricular Activities
 
Responsibilities / Position
 
   
Details of Proposed Course of Higher Education
Institution
Level
Main Subject Options
Subsidiary  Subject Options
Year of Entry
   
Person(s) Responsible for College Fees
 
   
Preferred College(s) / University [if known] & outcome of any previous applications
 
   
Preferred Study Location (select more than one if you wish)
 
Study Locations that you would NOT Consider (select more than one if you wish)
 
   
Gap Year Plans
 
 
Further Information
 
Career Search Resources
 
Previous Careers Guidance
Date
   
 

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