LIBT Pre-sessional Application

Pre-sessional English for LIBT students

Please only use this form of you hae been offered a place on a course at LIBT.

LIBT Student Number:*

Which LIBT course have you applied for?*

Proposed LIBT start date: 23rd May 2011
19th September 2011
27th June 2011

What date will you start you LIBT course?

Proposed LIBT start date: 1st March 2010
28th June 2010

The following English Language course options are available to you. Fees include the Brunel English Langauge Test (BrunELT) and a social programme. Accommodation and living expenses are not included in the course fees.

Course Options- 24th Jan LIBT start date* 4th August 2010 to 10th December 2010 (17 weeks) to increase IELTS by minimum 1.0 - £3,655
29th September 2010 to 10th December 2010 ( 10 weeks) to increase IELTS by minimum 0.5 - £2,285

Course Options- 23rd May LIBT start date* 27th October 2010 to 8th April 2011 (19 weeks) to increase IELTS by minimum 1.0 - £4,265
12th January 2011 to 8th April 2011 (11 weeks) to increase IELTS by minimum 0.5 - £2,505

Course Options- 19th September LIBT start date* 4th May 2011 to 9th September 2011 (17 weeks) to increase IELTS by minimum 1.0 - £4,005
15th June 2011 to 9th September 2011 (11 weeks) to increase IELTS by minimum 0.5 - £2,625

Course Options - 27th June LIBT start date* 12th January 2011 to 3rd June 2011 (18 weeks) to increase IELTS by minimum 1.0 - £4,045
9th February 2011 to 3rd June 2011 (14 weeks) to increase IELTS by minimum 0.5 - £3,165

Course Options- 18th Jan LIBT start date 30th September 009 to 11th December 2009 (10 weeks) to increase IELTS by minimum 0.5 - £2,385

Course Options- 17th May LIBT start date 30th September 2009 to 7th May 2010 (27 weeks) to increase IELTS by minimum 1.5 - £6,025
28th October 2009 to 7th May 2010 (23 weeks) to increase IELTS by minimum 1.0 - £5,145
13th January 2010 to 7th May 2010 (14 weeks) to increase IELTS by minimum 0.5 - £3,305

Course Options- 13th September 2009 LIBT start date 22nd April 2010 to 4th September 2010 (19 weeks) to increase IELTS by minimum 1.0 - £4,455
16th June 2010 to 4th September 2010 (11 weeks) to increase IELTS by minimum 0.5 - £2,615

Course Options - 28th June LIBT start date 13th January 2010 to 4th June 2010 (18 weeks) to increase IELTS by minimum 1.0 - £4,225
10th February 2010 to 4th June 2010 (14 weeks) to increase IELTS by minimum 0.5 - £3,305

Course Options - 1st March LIBT start date 30th September 2009 to 19th February 2010 (18 weeks) to increase IELTS by minimum 1.0 - £4,225
28th October to 19th February 2010 (14 weeks) to increase IELTS by minimum 0.5 - £3,305

Course Options - 28th June LIBT start date

Please note there is no teaching between 25th September 2010 and 3rd October 2010, 18th December 2010 and 3rd January 2011, and between 16th April and 1st May 2011. The minimum entry score for all courses is IELTS 5.0 or equivalent.

Name*

First Name

Last Name

Gender* Female Male

Date of Birth*

Nationality*

Are you applying through an Agent* Yes
No

Agent's Address*

City

State/Province

Zip/Postal

Country

Agency email address*

Contact address*

City

State/Province

Zip/Postal

Country

Your Email address*

This should be your personal email address

Agency Phone Number*

Contact phone number*

Which English test have you taken* IELTS
TOEFL
BrunELT
None

English Language Certificate*

please attach a scanned copy of your English Language certificate

IELTS Score (Listening)*

IELTS Score (Reading)*

IELTS Score (Writing)*

IELTS Score (Speaking)*

IELTS Score (Overall)*

Was your Toefl* Paper based
Internet based

Toefl Score (ibt) - Listening*

Toefl Score (ibt) - Reading*

Toefl Score (ibt) - Speaking*

Toefl Score (ibt) - Writing*

Toefl Score (ibt) - Total*

Toefl Score (pbt) - Listening Comprehension*

Toefl Score (pbt) - Structure/Written Expression*

Toefl Score (pbt) - Reading Comprehension*

Toefl Score (pbt) - Total*

Brunelt - Listening*

Brunelt - Reading*

Brunelt - Speaking*

Brunelt - Writing*

Brunelt - Total*

This field is auto calculated

Date test taken*

Place BrunELt taken*

Sorry, but you must hold a valid IELTS, TOEFL or BrunELT English language qualification in order to apply for this course.

To find out more about booking a BrunELT (The Brunel English Langauge Test) please click here.

Sorry, but you must have an offer from LIBT in order to apply for this course.

Find out more about LIBT.

Have you ever studied in the UK before (even if the studies were not completed)?* Yes
No

Which type of course did you study in the UK before* Foundation
Undergraduate
Postgraduate
English
Other

Name of Course*

Start Date*

EndDate*

Declaration* I agree to abide by the Current Rules and Statues ( www.brunel.ac.uk/disclaimer ) of Brunel University and IPLC and understand that once payment has been made, this is non-refundable unless a valid visa refusal letter is produced.



	Pre-sessional English for LIBT students Please only use this form of you hae been offered a place on a course at LIBT.
	LIBT Student Number:*
	Which LIBT course have you applied for?*
	Proposed LIBT start date: 23rd May 2011 19th September 2011 27th June 2011 What date will you start you LIBT course?
	Proposed LIBT start date: 1st March 2010 28th June 2010
	The following English Language course options are available to you. Fees include the Brunel English Langauge Test (BrunELT) and a social programme. Accommodation and living expenses are not included in the course fees.
	Course Options- 24th Jan LIBT start date* 4th August 2010 to 10th December 2010 (17 weeks) to increase IELTS by minimum 1.0 - £3,655 29th September 2010 to 10th December 2010 ( 10 weeks) to increase IELTS by minimum 0.5 - £2,285
	Course Options- 23rd May LIBT start date* 27th October 2010 to 8th April 2011 (19 weeks) to increase IELTS by minimum 1.0 - £4,265 12th January 2011 to 8th April 2011 (11 weeks) to increase IELTS by minimum 0.5 - £2,505
	Course Options- 19th September LIBT start date* 4th May 2011 to 9th September 2011 (17 weeks) to increase IELTS by minimum 1.0 - £4,005 15th June 2011 to 9th September 2011 (11 weeks) to increase IELTS by minimum 0.5 - £2,625
	Course Options - 27th June LIBT start date* 12th January 2011 to 3rd June 2011 (18 weeks) to increase IELTS by minimum 1.0 - £4,045 9th February 2011 to 3rd June 2011 (14 weeks) to increase IELTS by minimum 0.5 - £3,165
	Course Options- 18th Jan LIBT start date 30th September 009 to 11th December 2009 (10 weeks) to increase IELTS by minimum 0.5 - £2,385
	Course Options- 17th May LIBT start date 30th September 2009 to 7th May 2010 (27 weeks) to increase IELTS by minimum 1.5 - £6,025 28th October 2009 to 7th May 2010 (23 weeks) to increase IELTS by minimum 1.0 - £5,145 13th January 2010 to 7th May 2010 (14 weeks) to increase IELTS by minimum 0.5 - £3,305
	Course Options- 13th September 2009 LIBT start date 22nd April 2010 to 4th September 2010 (19 weeks) to increase IELTS by minimum 1.0 - £4,455 16th June 2010 to 4th September 2010 (11 weeks) to increase IELTS by minimum 0.5 - £2,615
	Course Options - 28th June LIBT start date 13th January 2010 to 4th June 2010 (18 weeks) to increase IELTS by minimum 1.0 - £4,225 10th February 2010 to 4th June 2010 (14 weeks) to increase IELTS by minimum 0.5 - £3,305
	Course Options - 1st March LIBT start date 30th September 2009 to 19th February 2010 (18 weeks) to increase IELTS by minimum 1.0 - £4,225 28th October to 19th February 2010 (14 weeks) to increase IELTS by minimum 0.5 - £3,305
	Course Options - 28th June LIBT start date Please note there is no teaching between 25th September 2010 and 3rd October 2010, 18th December 2010 and 3rd January 2011, and between 16th April and 1st May 2011. The minimum entry score for all courses is IELTS 5.0 or equivalent.
	Name* First Name Last Name
	Gender* Female Male
	Date of Birth* Day Month Year
	Nationality*
	Are you applying through an Agent* Yes No
	Agent's Address* City State/Province Zip/Postal Country
	Agency email address* Correspondance will be sent to this address
	Contact address* City State/Province Zip/Postal Country
	Your Email address* This should be your personal email address
	Agency Phone Number*
	Contact phone number*
	Which English test have you taken* IELTS TOEFL BrunELT None
	English Language Certificate* please attach a scanned copy of your English Language certificate
	IELTS Score (Listening)*
	IELTS Score (Reading)*
	IELTS Score (Writing)*
	IELTS Score (Speaking)*
	IELTS Score (Overall)*
	Was your Toefl* Paper based Internet based
	Toefl Score (ibt) - Listening*
	Toefl Score (ibt) - Reading*
	Toefl Score (ibt) - Speaking*
	Toefl Score (ibt) - Writing*
	Toefl Score (ibt) - Total*
	Toefl Score (pbt) - Listening Comprehension*
	Toefl Score (pbt) - Structure/Written Expression*
	Toefl Score (pbt) - Reading Comprehension*
	Toefl Score (pbt) - Total*
	Brunelt - Listening*
	Brunelt - Reading*
	Brunelt - Speaking*
	Brunelt - Writing*
	Brunelt - Total* This field is auto calculated
	Date test taken* Day Month Year
	Place BrunELt taken*
	Sorry, but you must hold a valid IELTS, TOEFL or BrunELT English language qualification in order to apply for this course. To find out more about booking a BrunELT (The Brunel English Langauge Test) please click here.
	Sorry, but you must have an offer from LIBT in order to apply for this course. Find out more about LIBT.


	Have you ever studied in the UK before (even if the studies were not completed)?* Yes No
	Which type of course did you study in the UK before* Foundation Undergraduate Postgraduate English Other
	Name of Course*
	Start Date* Day Month Year
	EndDate* Day Month Year
	Declaration* I agree to abide by the Current Rules and Statues ( www.brunel.ac.uk/disclaimer ) of Brunel University and IPLC and understand that once payment has been made, this is non-refundable unless a valid visa refusal letter is produced.