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The seven-digit number in the top right-hand corner of the form is for our use only. It is not your application number. UCAS will write to you with your application number after UCAS have processed your form.

UCAS use a computer to read page 1 of the form. Please use BLOCK CAPITALS on this page and try to write inside the boxes like this. 

1 Title/Name/Address

Give your title (for example, Mr or Ms), your surname or family name and your first or given names (the name you are known by) in the spaces provided.

Your postal address is the address where UCAS and your chosen universities or colleges will write to you.

Give your main contact number where UCAS will be able to contact you. Please give your email address if you have one, and a fax number if you have access to a fax machine and permission to use it. If you have an address abroad, remember to include the international dialling code in your number. Please also give your home contact number, fax and email address if they are different to your main contact details.

2 Further details

Please give your date of birth, your sex, and your age on 30 September 2001. This shows universities and colleges how old you will be at the start of the next academic year.

Student Registration Number for vocational qualifications or Scottish Candidate Number (SCN). If you are taking, or have taken, a BTEC diploma or certificate, or a GNVQ with Edexcel, OCR, AQA, BTEC, RSA or City and Guilds, enter your Student Registration Number. If you are taking Scottish qualifications, give your Scottish Candidate Number (SCN). Enter your number from the left, and leave any boxes you do not need blank. Ask your school or college if you do not know your number.

If you have a disability, special needs (including dyslexia) or a medical condition, please select the most appropriate code from the list below and enter it in the box on the form. If you do not have a disability, special needs or a medical condition, use code 0. UCAS collect this information to help monitor progress in equal opportunities in higher education. Universities and colleges do not use this information when they decide whether to make you an offer. If you do not want to give this information now, leave the box blank. You must tell your chosen universities or colleges immediately UCAS write to you with your application number.

If you will need special facilities, support or accommodation, or extra time to complete your course, please explain in section 8 on page 3 of the form. Universities and colleges welcome students with disabilities, and will try to meet your needs wherever they can. UCAS recommend that you make an informal visit to your chosen universities or colleges to discuss your needs, and to make sure you are happy with their facilities. They may ask you for more details to help them plan for you, but they will treat any information you give them as confidential. If you apply to a university or college that cannot provide the facilities you need, you can ask UCAS to change your choice.

You can find out more about access and facilities for students with disabilities from university and college websites and prospectuses. You may be able to get extra financial support or help with care. To find out more, please write to Skill: National Bureau for Students with Disabilities, Chapter House, 18-20 Crucifix Lane, London SE1 3JW or phone free on 0800 328 5050 (voice) or 0800 068 2422 (minicom), or visit the Skill website at www.skill.org.uk

 

Disability, special needs or medical condition codes
0	None.
1	You have dyslexia.
2	You are blind or partially sighted.
3	You are deaf or hard of hearing.
4	You use a wheelchair or have mobility difficulties.
5	You need personal care or assistance.
6	You have mental health difficulties.
7	You have a disability that cannot be seen, for example, diabetes, epilepsy or a heart condition.
8	You have two or more of the above.
9	You have a disability, special need or medical condition that is not listed above.

Student support arrangements

You should say here who will assess you for tuition fees, or how you will pay for your course. Please read the notes below.

You must pay towards the tuition fees for each year of your course (different arrangements may apply in Scotland). Most students can get help towards these fees, and also a loan to help cover living costs, depending on family income.

The local education authority (LEA) will assess how much you need to pay and the amount of loan you should receive, so you should give the name of your LEA (for example, Essex) under student support arrangements. You can find out more about fees and loans from the booklet 'Financial Support for Higher Education Students', published by the Department for Education and Employment (DfEE), which you can find in your careers library. You can get your own free copy by calling free on 0800 731 9133, or you can find it on the DfEE website at www.dfee.gov.uk/support/index.htm

Fee code

Choose one code from the list below and enter it in the box provided, to show how you expect to pay for your tuition fees.

Most applicants from the UK, Channel Islands, Isle of Man and EU will be in category 02. You should use this code if you are eligible for assessment under student support arrangements, even if you think your family income will be too high for you to receive support.

If all, or part, of your tuition fees will be paid by an award from another organisation (for example, a National Health Service bursary, a company sponsor or a training agency), please choose the appropriate code. If you are still applying for sponsorship, give the name of your first choice sponsor in your personal statement (section 10, page 3). You can find out more about company sponsorship from your careers adviser. You should also say on the form if you plan to defer to 2002, if your application for sponsorship this year is not successful.

National Health Service bursaries (grants) are available to UK applicants only for certain health professional courses (nursing, midwifery, dental hygiene, dental therapy, occupational therapy, orthoptics, physiotherapy, radiography, chiropody, dietetics, prosthetics and orthotics, and speech and language therapy). If a university or college offers you a place on an NHS-funded course, it will send you an application pack for a bursary. You can get more information from the student support booklets previously mentioned. For nursing and midwifery, there is a careers helpline on 0171 391 6200 or 0171 391 6205.

If you want to study in Europe during your course, you can find out more about SOCRATES (an inter-university scheme funded by the European Union) from your chosen university or college.

You should only use code 01 if you are paying all of your tuition fees from private finance and you are not eligible for assessment under student support arrangements.

A small number of universities and colleges do not receive public funding and their students may not get help towards tuition fees under the student support arrangements. These institutions are clearly marked in the 'UCAS Directory'. Please read their prospectuses and 'UCAS Directory' entries for more information.

List of fee payers and codes
01	Entire cost of tuition fees is paid by private finance.
02	Applying for student support assessment by LEA, SAAS, Northern Ireland Education and Library Board, DfEE or Channel Islands or Isle of Man agency.
03	Contribution from DfEE.
04	Contribution from a Research Council.
05	Contribution from the Department of Health or a Regional Health Authority.
06	Overseas student award from the UK government or the British Council.
07	Contribution from a training agency.
08	Other UK government award.
09	Contribution from an overseas agency, government, university or industry.
10	Contribution from UK industry or commerce.
90	Other source of finance.
99	Not known.

Date of first entry to live in the UK

If you were born outside the UK but now live in the UK, please give the date when you began living here permanently.

Residential category

The level of tuition fees you pay (home or overseas) depends on your residential category. Most applicants from the UK, Channel Islands, Isle of Man and EU will be in category A. If you are an international applicant, or you are not sure which category to use, please answer the questions below to find the category that best describes you, and put the code in the box provided. Important words and phrases are explained at the end of the questions.

The code you choose is provisional. The universities and colleges make the final decision on your residential category and they have the right to change your code. UCAS cannot tell you which category you should choose.

Category summaries
A	You are a UK or EU national, live in the Channel Islands or Isle of Man or are the child of a UK or EU national, and have lived in the EEA for three years - but not just for full-time education.
B	You have settled (lived) in the UK for three years, but not just for full-time education.
C	You are a refugee, or have been granted Exceptional Leave to Enter or Remain in the UK, and you have lived in the UK since status was recognised or granted, or you are such a person's husband, wife or child.
D	You are a national or Iceland, Liechtenstein or Norway, you live in the UK and work as a migrant worker (or you are such a person's husband, wife or child), or you live in the EEA but not just for full-time education.
G	You are a UK or EU national or a child of a UK or EU national, and normally live in the EEA but temporarily work outside the EEA.
O	Other.

Questions to help you determine your residential category

(You will find notes 1-5 at the end of the questions.)

1	Are you, or either of your parents, citizens of the UK or another European country (see note 1)?
	a	Yes	Go to question 2.
	b	No	Go to question 5 (see note 2).
2	By 1 September 2001, will you have been living in the UK or elsewhere in the European Economic Area (EEA) (see note 3) for three or more years, apart from temporary absences?
	a	Yes	Go to question 3.
	b	No	Go to question 4.
3	Do you normally live outside the EEA, but currently live in the EEA only for full-time education?
	a	Yes	Your residential category code is O.
	b	No	Your residential category code is A.
4	Have you been living outside the EEA because you, or a parent, husband or wife have been temporarily employed elsewhere?
	a	Yes	Your residential category code is G.
	b	No	Your residential category code is O.
5	Does the UK government recognise you, your husband or wife or a parent as a refugee (see note 4), or have you or they been granted Exceptional Leave to Remain (see note 4) in the UK after applying for asylum?
	a	Yes	Go to question 6.
	b	No	Go to question 7.
6	By 1 September 2001, will the person with this status have been living in the UK continuously (apart from temporary absences or temporary employment abroad) since their refugee status was recognised or since Exceptional Leave was granted?
	a	Yes	Your residential category code is C.
	b	No	Your residential category code is O.
7	By 1 September 2001, will you have been living in the UK for at least three years, apart from temporary absences or temporary employment abroad?
	a	Yes	Go to question 8.
	b	No	Go to question 10.
8	Do you normally live outside the UK, but you currently live in the UK only for full-time education?
	a	Yes	Your residential code is O.
	b	No	Go to question 9.
9	Is the length of your stay in the UK currently limited by immigration control (see note 5)?
	a	Yes	Your residential category code is O.
	b	No	Your residential category code is B.
10	Are you, your husband or wife or either of your parents a national of Iceland, Liechtenstein or Norway?
	a	Yes	Go to question 11.
	b	No	Your residential category code is O.
11	Did you, your husband or wife or one of your parents move to the UK for employment, and has that person been employed since they last entered the UK, apart from brief absences?
	a	Yes	Go to question 12.
	b	No	Your residential category code is O.
12	By 1 September 2001, will you have been living in the EEA for the last three years, apart from temporary absences or temporary employment abroad?
	a	Yes	Go to question 13.
	b	No	Your residential category code is O.
13	Do you normally live outside the EEA, but you currently live in the EEA only for full-time education?
	a	Yes	Your residential category code is O.
	b	No	Go to question 14.
14	If you entered the UK because of your husband's or wife's employment here, are you still in the UK with him or her?
	a	Yes or not applicable	Your residential category code is D.
	b	No	Your residential category code is O.

Notes
1	The European Union includes the following countries. Austria, Belgium, Denmark (not including the Faroe Islands and Greenland), Finland, France (including the French overseas departments of Guadeloupe, Martinique, French Guyana, Reunion, Saint-Pierre et Miquelon), Germany (including Heligoland), Greece, the Republic of Ireland, Italy, Luxembourg, the Netherlands, Portugal (including the Azores and Madeira but not Macao), Spain (including Ceuta, Melilla, the Balearic Islands and the Canaries), Sweden and the United Kingdom (with Gibraltar).
2	If your answer to question 1 is 'no' and your category code is 'O', but you or either of your parents are later granted EU citizenship, you should immediately tell the universities and colleges you have chosen.
3	The European Economic Area includes the countries of the EU plus Iceland, Liechtenstein and Norway.
4	The Home Office will have sent you a letter confirming your status if you are officially recognised as a refugee or if you have been granted Exceptional Leave to Enter or Remain in the UK.
5	If your answer to question 9 is 'yes' and your category code is 'O' but you are granted British citizenship or Indefinite Leave to Remain, on or before 1 September 2001, the universities or colleges you have chosen may reconsider your residential category. You should tell them immediately if this happens.

Area of permanent residence

If you live in:

• Greater London, give your London borough (for example, Enfield);
• a former metropolitan county, give your district (for example, Sefton);
• Scotland, give your district or islands area (for example, Clackmannanshire);
• elsewhere in the UK, give your county (for example, Derbyshire); or
• outside the UK, give your country (for example, Italy)

3 Applications in 'UCAS Directory' order

List the courses you have chosen in the order they appear in the 'UCAS Directory', not in your order of preference.

Please put each choice on a separate line. Start at the top, and do not leave gaps between choices, even if you are only choosing two or three. If you want to apply for more than one course at the same university or college, you must put each course on a separate line.

You can choose up to six courses. If you are applying for medicine, dentistry, veterinary medicine or veterinary science, you can only choose four. If you give more than four choices for medicine courses (codes A100, A101, A103, A104 and A106), dentistry courses (codes A200, A203, A204, A205 and A206) or veterinary medicine or science (D100, D101), UCAS will not process your application. UCAS will ask you to reduce your choices in these subjects to four but this will delay your application and you could miss the deadline. However, you can still use your other two choices for different subjects if you want to.

There is an early closing date - 15 October 2000 - if you apply for medicine, dentistry, veterinary medicine or veterinary science, and to Oxford and Cambridge Universities. If you are applying to Oxford or Cambridge, you should only make your entry for that university on one line.

If you are applying for medicine, dentistry, nursing and midwifery and certain other health courses, UK health authorities recommend you should be immunised against Hepatitis B when you start training. Institutions may also ask you for certificates to show that you are not infected. If you are applying for one or more of these subjects, you should check the immunisation requirements with the universities and colleges you have chosen.

You cannot apply to both Oxford and Cambridge unless:

• you are applying for an organ award; 
• you already have a degree (or you will have gained a degree before September 2000); or 
• you are also applying to Homerton College, Cambridge, for a BEd course.

4 Secondary education, further education and higher education

Tick the boxes if you have a National Record of Achievement or Progress File (or both). Do not send them to UCAS.

6 Additional information

UCAS use this information to monitor application rates and equal opportunities. UCAS do not give this information to universities or colleges until after the selection process.

A Occupational background

If you are under 21, please give the occupation of your parent, stepparent or guardian who earns the most. If he or she is retired or unemployed, give their most recent occupation. If you are 21 or over, please give your own occupation.

B Ethnic origin (UK applicants only)

Please give the code from the table below, which most closely describes your ethnic origin.