summer school application form - The Bournemouth & Poole College

SUMMER SCHOOL APPLICATION FORM
INSTRUCTIONS TO APPLICANTS
1. Please complete this form as fully as possible
2. In support of your application you must attach a copy of your passport details page
3. If you are under 18 on the first day of the course, this form must be signed by your parent/guardian
Part 1: PERSONAL DETAILS
Family Name:
First Name:
Date of Birth: Sex: Male Female
Nationality:
Passport Number:
Address in your home country and post code:
(Please attach a copy of your passport)
Telephone Number:
Mobile:
Email:
Emergency Contact (a friend or family member who we can contact):
Name:
Relationship (e.g. Mother):
Address:
Telephone:
Part 2: COURSE DETAILS
Course Name:
Start Date:
Course Duration (e.g. 2 weeks)
LEARNING DISABILITIES:
Part 3: ACCOMMODATION AND AIRPORT TRANSFER
Do you require College arranged host family accommodation: Yes No
(If yes, please complete an Application for Accommodation Form, which can be found on our website)
Do you require an Airport Transfer (Heathrow, Gatwick): Yes No

Part 4: AGENT/SCHOOL INFORMATION
Agent/School Name:
Part 5: PAYMENT
Payment cay be made in any of the following ways:
1. Bank Draft/Banker’s Cheque.
In £ sterling and drawn from a British based bank only.
2. Bank to Bank Transfer.
Bank charges to be paid by the payer. Please arrange for the credit of
The Bournemouth and Poole College
Lloyds TSB, Branch Name: Bournemouth (309108), Sort Code: 30-91-08, Account No: 03308206,
BIC: LOYDGB21045, IBAN No: GB45 LOYD3091 0803 3082 06.
Part 6: DECLARATION
To the best of my knowledge all the information I have given is correct. I accept that my admission is
subject to the Terms and Conditions of Enrolment and the Fee Payment and Refund Procedures. I have
read and understand them.
Signature of Student:
Date:
Statement of parent/guardian applies where applicant is under 18 on the first day of the course. I will
consent to my son/daughter applying to The Bournemouth and Poole College and if accepted, taking part
in any educational visits, practical placement or community study, and I understand that he /she will be
subject to College Regulations.
Signature of Parent/Guardian:
Date:
Please return this form to:
International Operations, The Bournemouth and Poole College
The Lansdowne, Meyrick Road, Bournemouth, BH1 3JJ, United Kingdom
Or by email to: international@bpc.ac.uk