First Name(s):*

Surname/Family Name:*

Date of Birth:* Day/Month/year (Month needs to be written as letters E.g. 01/January/1990)

Nationality:* - Click to Choose - UK national Afghan Albanian Algerian Andorran Angolan Argentine Armenian Australian Austrian Azerbaijani Bahamian Bahamian Bangladeshi Barbadian Belarusian Belgian Belizean Beninese Bhutanese Bolivian Bosnian Botswanan Brazilian British Overseas Citizen Bruneian Bulgarian Burkinan Burmese Burundian Cambodian Cameroonian Canadian Cape Verdean Central African Chadian Chilean Chinese Citizen of Antigua and Barbuda Citizen of Kiribati Citizen of Madagascar Citizen of Malaysia Citizen of Montenegro Citizen of Niger Citizen of Serbia Citizen of United Arab Emirates Citizen of Vanuatu Citizen of the Dominican Republic Colombian Comoran Congolese (DRC) Congolese (PR) Costa Rican Croatian Cuban Cypriot Czech Danish Djiboutian Dominican Dutch East Timorese Ecuadorian Egyptian Equatorial Guinean Eritrean Estonian Ethiopian Faroese Fijian Finnish French Gabonese Gambian Georgian German Ghanaian Greek Greenlander Grenadian Guatemalan Guinea-Bissau Guinean Guyanese Haitian Honduran Hungarian Icelander Indian Indonesian Iranian Iraqi Irish Israeli Italian Ivorian Jamaican Japanese Jordanian Kazakh Kenyan Kuwaiti Kyrgyz Lao Latvian Lebanese Lesotho Liberian Libyan Lichtensteiner Lithuanian Luxembourger Macedonian Malawian Maldivian Malian Maltese Marshall Islander Mauritanian Mauritian Mexican Micronesian Moldovan Monegasque Mongolian Moroccan Mozambican Namibian Nauruan Nepalese New Zealander Nicaraguan Nigerian North Korean Norwegian Not Known Omani Pakistani Palestinian Panamanian Papua New Guinean Paraguayan Peruvian Philippine Polish Portuguese Qatari Romanian Russian Rwandan Salvadorean Samoan Samoan San Marino Sao Tome and Principe Saudi Arabian Senegalese Seychelles Sierra Leone Singaporean Slovak Slovenian Solomon Islands Somali South African South Korean Spanish Sri Lankan St Kitts and Nevis St Lucia St Vincent Stateless Sudanese Surinamese Swazi Swedish Swiss Syrian Taiwanese Tajik Tanzanian Thai Togolese Tongan Trinidad and Tobago Tunisian Turkish Turkmen Tuvaluan UK national Ugandan Ukrainian United States citizen Uruguayan Uzbek Venezuelan Vietnamese Yemeni Zambian Zimbabwean

Country of Residence:*

Address:*

Address Line 2

Address Line 3

Address Line 4

Zipcode/ Postcode:*

Country:*

Telephone with Country code:*

Fax with Country code:

Email Address:*

Passport Number:*

Your transcript will have been submitted with your application documents. Please enter your GPA (Grade Point Average) or equivalent here:

Classes Applied For:

Must select one from A AND one from B, (otherwise not allowed to submit form) first choice and alternative choice

Group A

First Choice:* - Click to Choose - British Art and Architecture British Culture and Society Exploring Cultural London Introduction to International Business Live Theatre London and its Literature British Sport Culture

ALTERNATIVE Choice:* - Click to Choose - British Art and Architecture British Culture and Society Exploring Cultural London Introduction to International Business Live Theatre London and its Literature British Sport Culture

Group B

First Choice:* - Click to Choose - British Culture and Society Creative Writing in London London: International Finance Centre Multicultural London Museums and Gallerie Provision of Healthcare: The British Model Shakespeare: Reading and Performance

ALTERNATIVE Choice:* - Click to Choose - British Culture and Society Creative Writing in London London: International Finance Centre Multicultural London Museums and Gallerie Provision of Healthcare: The British Model Shakespeare: Reading and Performance

English Qualification (if your first language is not English):

Title (eg. IELTS/ TOEFL):

Score achieved:

You are asked to write a short (350 words is a strict maximum word limit) essay describing the unique academic/personal qualities and cultural background that you will bring to the Kingston University Summer School. The essay is designed to demonstrate your writing skills and to aid our full appreciation of the qualities you can bring to the Summer School.

Personal Statement: * 350 words maximum limit

Student must also email the following documents with their scholarship application to summer@kingston.ac.uk

• Letter of Reference
• Academic Transcripts/worksheet
• Copy of IELTS/ TOEFL Results (where applicable)