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Warwick Gateway to HE
Warwick Gateway to HE Application Form
We are accepting applications for our next Gateway course, starting April 2018. Please complete all sections and attach a word document outlining your experiences and why you want to study this course. Please pre-prepare this statement to upload it with the rest of your application.
If you are successful at interview, you will need to provide an original academic or professional reference before a offer of a place can be made.
Please note that your application will be used to assess your suitability for interview.
Previous Surname (if applicable):
Date of Birth dd/mm/yy:
How did you hear about the course?
Please provide details of all schools and colleges you have attended
Include name of institution and date of attendance
Please provide details of academic qualifications (O-Levels, GCSEs, A-Levels etc)
Include subject, date and grade
Please provide details of any training or professional course
Include course, awarding body and date of attendance
Details of employment (if applicable)
What is your current status?
If employed, please provide job title, dates and brief description
Please provide details of previous employment, including job titles, dates and employers
Please write a statement explaining why you would like to study for the gateway. You should cover the following areas:
Why you have chosen this course.
How your work or other experiences have prepared you for HE study.
How you can demonstrate your motivation to complete a course of Higher Education.
Whether you have done any reading relevant to the course.
It would also be interesting to know about your interests and hobbies. Please feel free to include details of these in your statement.
Please attach your statement
No files are currently attached.
The University of Warwick and its partner colleges are committed to a policy of equal opportunities and will not discriminate against any applicant or student on the basis of gender, nationality, ethnicity or religion. Please help us to make our equal opportunities policy more effective by ticking the boxes below.
Ethnic origin (please select as appropriate)
Asian or Asian British-Bangladeshi
Asian or Asian British-Pakistani
Asian or Asian British-Indian
Black or Black British African
Black or Black British Caribbean
Gypsy or Traveller
Mixed- White and Asian
Mixed – White and Black African
Mixed – White and Black Caribbean
Other Asian background
Other Black background
Other ethnic background
Other mixed background
Prefer not to disclose
Any other religion or belief
The following question is about your parents’ level of education. This includes natural parents, adoptive parents, step-parents or guardians who have brought you up.
Do any of your parents (as defined above) have any higher education qualifications, such as a degree, diploma or certificate of higher education?
We welcome applications from candidates with additional needs and consider them on the same academic grounds as those of other applicants. It is helpful to know in advance if you have any special requirements and the Senior Tutor’s Office will be pleased to help assess your needs (024 765 23761).
Are you registered disabled?
Do you have a disability/ additional needs/medical condition?
If yes, please tick the relevant boxes:
Autistic Spectrum Disorder
Mental health difficulty
Personal care support required
Wheelchair user/ mobility difficulties
A specific learning difficulty, eg dyslexia
An unseen disability (eg Diabetes, epilepsy, asthma)
Other additional needs (please specify below)
Other additional needs
Declaration of Criminal Record
The University asks all its applicants whether they have any criminal convictions. If you have a criminal record, we can still consider you for a place but the University will ask for details of the offence. Depending on the nature of the conviction, the University may give further consideration to your admission before confirming any offer. You are not required to disclose spent convictions.
Do you have any criminal convictions?
By submitting this application you are confirming that the information you have provided is accurate to the best of your knowledge.
indicates a required field
This form will be used to manage an application for a course. Your details will be kept on file to administer the course. Your details and the data will be used to inform you of future courses but will not be passed to any third parties.
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