International

Erasmus+ Application Form

First Name *

Middle Name

Family Name *

Date of Birth *

Gender *

Nationality *

Email Address *

Address Line 1 *

Address Line 2 *

City *

Postal Code *

Country *

Phone Number

When will you be studying at Edge Hill? *

Subject Area *

Name of Home Institution

Your address while living at your home institution, if applicable

Address Line 1 (Term-Time address)

Address Line 2 (Term-Time address)

Post Code (Term-Time address)

City - (Term Time Address)

Do you have any disabilities or medical conditions? ✱

Yes

Please provide full details

Do you have any criminal convictions? ✱

Yes

If yes, please provide full details

Ways we can contact you

We would also like to stay in touch with you from time to time about things that we think might interest you including, but not limited to, University news, course information, and student life. If you choose not to tick any boxes, this means that you have opted out of communications from us and you might miss some interesting information in the future.

Email (this is our main method of communication)

Phone

Post

SMS

The next step is for you to email internationaladmissions@edgehill.ac.uk with the following:

► a statement of purpose (no more than 500 words)
► an academic reference
► a copy of your most recent academic transcript (officially translated in English if applicable)
► a copy of the biometric page of your passport

Edge Hill University will process the data that you provide on this form responsibly and in full accordance with the General Data Protection Regulation.

We respect your privacy and your personal data will not be shared with any third party organisations for marketing purposes.

Read our full Privacy Notice for more information about how we responsibly and securely process your data.

I agree to the processing of the data provided in accordance with Data Protection Legislation*

Edge Hill University, St Helens Road, Ormskirk, Lancashire, L39 4QP
+44(0)1695 657122

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edgehill.ac.uk/international

Erasmus+ Application Form

Ways we can contact you

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