Soas application history summer_school
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Soas application history summer_school Document Transcript

  • 1. APPLICATION FORM“Year 12 SOAS History Summer School”Tuesday 26 th – Thursday 28 th JuneSOAS, University of London: Russell Square CampusSTUDENT DETAILS (please print clearly)Full Name ……………………………………………………………………………………………………………..Date of Birth…………………………………………………… Male / FemaleHome address (including postcode)………………………………………………………………………..……………………………………………………………………………………………………………………………...Mobile number…………………………………….Email………………………………………………………..APPLICATION STATEMENTPlease write below (in no more than 150 words) why you would like to attend the SOASHistory Summer School:Would you be the first in your family to go to university? Yes / NoEDUCATIONAL DETAILSCurrent school / college………………………………………………………………………………………….Subjects currently studied………………………………………………………………………………………………………………………………………………………………………………………………………………………School at which you took your GCSEs…………………………………………………………………….. Please turn over
  • 2. Please list your GCSE results below: Subject GradePARENT / GUARDIAN AGREEMENTI agree to the student named above attending the summer school.Signed……………………………………………………………………Date………………………………………..Name (printed)………………………………………………………………………………………………………..The UK Data Protection Act (1998) requires us to obtain your explicit consent to process and retainyour son/daughters data. We will process this data in accordance with these principles. We will notgive your details to third parties except where necessary for the fulfilment of this application. We willNOT USE the data provided in this form for marketing purposes.Please tick this box to confirm that you give consent to the above use of this data. PSCHOOL AGREEMENTSignature of supporting teacher……………………………………………..Date…………………………Teacher name (printed) …………………………………………………………………………………………..Phone number………………………………………..email………………………………………………………Please use the space below if you would like to add a brief supporting statement:Please post to Sarah Tucker, ADD, SOAS, Thornhaugh St, Russell Square, London, WC1H 0XGOR email to st47@soas.ac.uk OR fax to 020 7898 4549 Application deadline = Friday 30th March