This questionnaire is vital for the advice and support that we will provide for you.

It will help us

(a) identify the best universities and courses for you

(b) identify strengths that we can use in your application package and

(c) identify any possible weaknesses that need to be addressed before you apply.

It will take you at least an hour to complete - you can create a Save & Return Account (see above) if you want to enter just some information now and return later to finish off.

Please be honest with your answers and answer each question in as much depth as possible. UK universities assess applications very differently from universities in other countries and all the questions are linked to your application package.

When you have completed the form it will become the basis of your initial counselling interview.

Section 1 - Personal Details

First Name *

Family Name *

Address (Street, House/Apartment Number, Block, floor)

City/Town

Please attach a recent photograph of yourself in JPG format

Date of birth +

Age

Gender

Nationality

Current class at school

Email Address *

Mobile phone number *

Home fixed line number

Do you currently use Facebook?

Do you currently use Skype?

Please give your Skype name

Mother's name

Mother's email address

Mother's phone number

Father's name

Father's email address

Father's phone number

Section 2 - Your school and academic achievements

Name of your current school.

Address (Street and Number)

Town/City

What is your séries?

What subjects will you be taking in the Le Bac?

	Subject	Actual or Expected Grade
1.	Subject	Actual or Expected Grade
2.	Subject	Actual or Expected Grade
3.	Subject	Actual or Expected Grade
4.	Subject	Actual or Expected Grade
5.	Subject	Actual or Expected Grade
6.	Subject	Actual or Expected Grade
7.	Subject	Actual or Expected Grade
8.	Subject	Actual or Expected Grade
9.	Subject	Actual or Expected Grade
10.	Subject	Actual or Expected Grade
11.	Subject	Actual or Expected Grade
12.	Subject	Actual or Expected Grade
13.	Subject	Actual or Expected Grade
14.	Subject	Actual or Expected Grade

Average

Have you taken or are you taking any additional English language qualifications?

	Qualification	Date Taken	Grade
1.	Qualification	Date Taken	Grade
2.	Qualification	Date Taken	Grade
3.	Qualification	Date Taken	Grade
4.	Qualification	Date Taken	Grade

Have you taken or are preparing to take any other academic exams? (eg languages or computing qualifications)

	Qualification	Date Taken / To Be Taken	Grade / Mark
1.	Qualification	Date Taken / To Be Taken	Grade / Mark
2.	Qualification	Date Taken / To Be Taken	Grade / Mark
3.	Qualification	Date Taken / To Be Taken	Grade / Mark
4.	Qualification	Date Taken / To Be Taken	Grade / Mark
5.	Qualification	Date Taken / To Be Taken	Grade / Mark

Please state any academic competitions (including debating and public speaking) that you have been involved in during the last 3 years. For 'Level' state school/town/county/national/international.

	Subject	Date (Year Only)	Level
1.	Subject	Date (Year Only)	Level
2.	Subject	Date (Year Only)	Level
3.	Subject	Date (Year Only)	Level
4.	Subject	Date (Year Only)	Level
5.	Subject	Date (Year Only)	Level

Section 3 - Extracurricular activities and your life outside school

Work Experience - Give details of any work experience you have had. You should include paid work (working in a shop, factory, etc) AND any placements to gain an insight into a particular profession.

	What Did You Do?	Dates (Duration)
1.	What Did You Do?	Dates (Duration)
2.	What Did You Do?	Dates (Duration)
3.	What Did You Do?	Dates (Duration)
4.	What Did You Do?	Dates (Duration)

Do you play any sports? Include any non competitive sports such as jogging, walking/hiking etc. How regularly do you do this sport? Are you a member of any teams? Have you ever held any form of leadership role (formal or informal)? Have you helped coach other people?

Are you involved in any voluntary work with an NGO or other organisation? How long have you been involved? have you ever held any form of leadership role (formal or informal)? What activities do you do? Have you helped 'coach' other people? [include any environmental projects / activities]

Do you play a musical instrument or sing? Are you a member of a band, group choir or orchestra? Have you ever composed music or conducted? Have you ever held any form of leadership role (formal or informal)? Have you helped coach other people?

Do you paint, draw, or write for pleasure? If so give details. Has your work ever been published or publicly displayed?

Have you been involved in any other groups inside or outside school? For example, drama or dance groups, computer, science or maths clubs, photography or art clubs, animal/human rights groups, school newspaper/magazine/radio station, Model United Nations, Young Enterprise (Junior Achievement) Duke of Edinburgh, Lions Club etc

What positions of responsibility have you held inside or outside school? Have you been a prefect, member of the school council or head girl/boy? Have you organised any events inside or outside school?

Have you attended any other courses or summer schools inside or outside school? Include anything linked to your hobbies or academic interests.

Do you have any other hobbies/interests? (include reading, listening to music etc)

Section 4 - Studying Abroad

What subjects do you think you might be interested in studying in the UK?

Do you have any ideas about a job/career after university?

Have you read any books (in English or other languages) about the subjects you are interested in studying in the UK which are not school text books? If so, please briefly list the titles.

Have you done any research, or know anything about any particular UK universities? Are there any you would or wouldn't like to apply to? Please give reasons for your answers.

Read the statements and select your preferences.

	Totally Agree	Partially Agree	Disagree
I would like to study in a self-contained campus university near a small town or in the countryside	Totally Agree	Partially Agree	Disagree
I would like to study in a self-contained campus university in or near a city	Totally Agree	Partially Agree	Disagree
I would like to study at an old university in an old small - medium sized city or town	Totally Agree	Partially Agree	Disagree
I would like to study at a large city university (London, Manchester, Leeds, Glasgow, Edinburgh, Bristol, etc)	Totally Agree	Partially Agree	Disagree
I would love to study in London!	Totally Agree	Partially Agree	Disagree

Have you done any research, or know anything about any particular UK countries (England, Scotland, Wales, Northern Ireland), regions or cities? Are there any that you particularly would or wouldn't like to live in?

How did you first hear about Albion International Study?

If 'Other', please state

Confirmation *

I have read and understood Albion International's Privacy Policy *

I agree that the submitted data may be analysed by Albion International staff for statistical purposes *

Optional

I agree to be contacted by Albion International at the given e-mail address or phone number