Learn English at the University of Brighton

English for Academic Study (EAS)

Apply online

Notes

  1. Please complete this form and attach the relevant items as appropriate.
  2. Applications should be made as early as possible. Any applications made less than one week before the start date of this course must be scanned and emailed to us at learnenglish@brighton.ac.uk. We reserve the right not to accept late applications.
  3. We require a £500 deposit to reserve your place on a course and/or for accommodation. Enrolment cannot be confirmed until the deposit has been received.

Which course are you applying for?


Please choose from one of the options below

2013/2014
 
 
 
 
 


Personal details


First name *

Surname/family name *

Student number (if known)

Gender *
 
 

Date of birth (dd/mm/yyyy) *

Nationality *

Passport number *

Issue date (dd/mm/yyyy) *

Expiry date (dd/mm/yyyy) *

Permanent home address *

Country *

Postcode/zip code *

Correspondence address (if different)

Country

Postcode/zip code

Telephone *

Fax

Email *


Do you have any disabilities? *
 
 

If yes, please give details here

We will use this information to make appropriate arrangements to support your studies.


Do you have a criminal conviction in your own country? *
 
 

If yes, please give details here

To help reduce the risk of harm or injury to students and/or staff caused by the criminal behaviour of other students, you must inform us about any criminal convictions that you may have.


Accommodation


Accommodation in halls of residence provides the option of catered (breakfast and evening meal Monday–Friday during term time) or self-catered accommodation (no meals provided). Halls accommodation costs start at £123 per week. Accommodation with a host family breakfast also provides the option of catered (breakfast and hot meal in the evening seven days a week) and non-catered accommodation (no meals provided). Host accommodation starts from £105 per week.

Do you require accommodation? *
 
 
 

If host-family, do you have any special food requirements or allergies and do you have any additional requirements, for example, prefer no pets, non-smoker? (give details)

Please give details here


Writing sample


Please write around 150 words in English, telling us about yourself and your plans for the future.

Writing sample (150 words)


English language exams


Have you ever taken an English language exam? If so, which one and what was the result? You must attach a copy of your results to this application.

Upload a copy of your results


Payment details


Your £500 deposit to reserve your place on a course and/or for accommodation can be made by bank transfer or credit card. The deposit is part of your fee and is refundable if you cancel your place on the course. Applications cannot be processed without payment. Cancellation note: If you decide to cancel your place, you must give a minimum of 14 days' notice in writing before the start of the course if your deposit is to be refunded.


I wish to pay by
 

Please transfer to University of Brighton, Barclay's Bank PLC, North Street, Brighton, East Sussex, UK. Account no: 40157325, Bank code: 20-12-75, Swift code: BARCGB22, Iban no: GB83-BARC-2012-7540-1573-25. Please include reference 'BLI' and your family name. Note: please attach a copy of the bank transfer document to your application.

Upload a copy of your bank transfer document

Amount transferred

Transfer date (dd/mm/yyyy)


I wish to pay by
 

If you are paying by credit card, please call +44 (0)1273 642740 and provide details of your full name, address for correspondence, contact telephone number, email address, credit card details and course details (start date, language course length).


Additional information


Upload a copy of your University of Brighton degree course offer letter (if applicable)

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