Online application for Routes 3 and 4

ENGLISH LANGUAGE QUALIFICATIONS
IMPORTANT: Please send copies of any certificates of your English language qualifications AND a reference from a previous or current tutor about your English language ability and level.
Qualifications already obtained IELTS/TOEFL score (or equivalent)

State qualification title
Are you taking any English language qualifications for which you do not have grades/results yet?

If yes, please give details and predicted grades/scores
How many years have you studied English language?

Please give specific details. Example: "I have studied English language at school for 4 hours per week since I was 14 years old."
What other English language qualifications do you hold?

ENGLISH LANGUAGE COURSE DETAILS
Please tick which course/s you wish to apply for.
Academic Year 2018 - 2019
(for Academic Courses starting in January/February) Please select a course
Route 3
Pre Sessional D (5.5-6.0) 8 Oct 2018 - 9 Nov 18 (5 weeks)Pre Sessional E (6.0-6.5) 12 Nov 2018 - 14 Dec 18 (5 weeks)
Route 4 (For students who require 6.0 and are already at level 5.0 or 5.5)
Pre-Sessional C (5.0 – 5.5) 8 Oct 2018 – 9 Nov 18 (5 weeks)Pre-Sessional D (5.5-6.0) 12 Nov 2018 – 14 Dec 18 (5 weeks)
Which academic course at DMU do you hope to enrol for after your English language course (if any)?

SPECIAL ARRANGEMENTS
Please state any disability or medical condition and any support that you may require as a result of this.
Details

ACCOMMODATION REQUIREMENTS
Accommodation
I shall be living at home/with relativesI will arrange my own accommodationI would like a place in halls for the duration of my language course
Expected arrival date

Terms
I confirm that the information given on this form is true, complete and accurate and no information requested or other material information has been omitted. I give my consent to the processing of data by the University for educational purposes. I agree to abide by the regulations of the University currently in force.
Confirm

I confirm that the information given on this form is true, complete and accurate and no information requested or other material information has been omitted. I give my consent to the processing of data by the University for educational purposes. I agree to abide by the regulations of the University currently in force.