Albion International Student questionnaire

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 many 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)

City/ Town

Country

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?

Yes

No

Do you currently use Skype?

Yes

No

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)

City/ Town

What subjects AS/A level subjects have you taken or intend to take?

	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

What GCSE/IGCSE qualifications do you currently have or will be taking?

	Qualification	Date Taken	Grade
1.	Qualification	Date Taken	Grade
2.	Qualification	Date Taken	Grade
3.	Qualification	Date Taken	Grade
4.	Qualification	Date Taken	Grade
5.	Qualification	Date Taken	Grade
6.	Qualification	Date Taken	Grade
7.	Qualification	Date Taken	Grade
8.	Qualification	Date Taken	Grade
9.	Qualification	Date Taken	Grade
10.	Qualification	Date Taken	Grade
11.	Qualification	Date Taken	Grade
12.	Qualification	Date Taken	Grade
13.	Qualification	Date Taken	Grade
14.	Qualification	Date Taken	Grade

What other English qualifications (e.g. IELTS or TOEFL) do you currently have or expect to have?

	Qualification	Date Taken	Grade / Mark
1.	Qualification	Date Taken	Grade / Mark
2.	Qualification	Date Taken	Grade / Mark
3.	Qualification	Date Taken	Grade / Mark

Have you taken or are preparing to take any other exams at school? (eg ECDL)

	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 - Extracurrcular activities and your life outside school

Work Experience - Give details of any work experience (paid or unpaid) you have had.

	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, hiking etc. How regularly do you do this sport? Are you in a team? 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? Have you been involved in school community action projects? 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 another language) 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