Section 2 of 5
Immigration Details
Must be completed by all applicants
Passport Expiry Date *
If yes, please provide details (country, reason, dates, length of stay)
If yes, provide details of the visa refusal reason
Section 3 of 5
Education & English Language
Current and Previous Education
List all qualifications, starting with the most recent
English Language Competency
If English is not your native language, provide details of your highest English language qualification:
Speaking Score
Next: Employment & Statement
Section 4 of 5
Employment & Personal Statement
Current and Previous Employment
Please outline work experience you have had (both paid and unpaid)
Duties
Duties
Personal Statement
Please provide your reason(s) for wishing to take this course and the benefits you expect to gain. Max 500 words.
Your Personal Statement *
Next: Declaration & Submit
Section 5 of 5
References, Declaration & Equality Monitoring
References
Two references required. Wherever possible, one should relate to current/recent work, and one to current/recent study.
Declaration
The information I have given on this form is true, complete and accurate. If I have given false or inaccurate information, the college can withdraw my application or offer which may lead to the withdrawal of my student study visa sponsorship provided by the College.
The College may, at any time, ask me to provide more information about my application (e.g. proof of identity or qualifications). If the College does not receive information by the requested date, or if the information is not satisfactory, the College may cancel my application. I understand the College will not be liable for any delays and/or any loss or damage resulting from the delay if I have delayed in providing information.
I understand that it is my responsibility to ensure that I meet the requirements to make a valid study visa application. I am aware that I must comply with the conditions attached to my visa. I hereby confirm that I authorise the Impel College of London to release any personal information regarding my immigration status or immigration history to the Home Office. I also authorise the Home Office to release any information regarding my immigration status or immigration history to the Impel College of London.
I will abide by the rules and regulations of the College if I become a student. I understand and accept the College’s refund terms and conditions. I understand that my application is a contract between myself and the College. No one else can enforce any part of this contract under the terms of the Contracts (Rights of Third Parties) Act 1999 or any other legislation. Please note there is a non-refundable administration fee of £500 if your visa is refused.
Equality & Diversity Monitoring
This information is used for monitoring purposes only and will not influence your application.
Ethnic Origin
Select…
White (British)
White (Irish)
White (Scottish)
Irish Traveller
Other white background
Black or Black British – Caribbean
Black or Black British – African
Black other
Asian or Asian British – Indian
Asian or Asian British – Pakistani
Asian or Asian British – Bangladeshi
Chinese
Asian other
White & Black – Caribbean
White & Black – African
White & Asian
Other mixed background
Other ethnic background
Information refused
Disability
Select…
No disability
Dyslexia
Blind/partially sighted
Deaf/hearing impairment
Wheelchair user/mobility disability
Require personal care support
Mental health difficulties
Unseen disability (e.g. diabetes, asthma)
Multiple disabilities
Autistic Spectrum Disorder
Other (please specify below)
Please indicate any support we can provide to help you in your studies or examinations
Electronic Signature (type your full name) *
Date *
Important: Required Documents
Please email the following to info@impelcollege.co.uk along with your applicant name:
Copies of certificates and transcripts for your qualifications
A copy of your passport (cover page AND photograph page)
Any current UK visa (if applicable)
2 recommendation letters
