Apply for UK Guardianship

UK2LEARN GUARDIANSHIP STUDENT PROFILE FORM

Please complete all 7 pages and then click submit on the final page when you are happy

What level of UK2Learn Guardianship care would you like? *

How do you find out about UK2Learn? *

YOUR PERSONAL INFORMATION

What is the name of the school you will be attending in the UK? *

First name: *

Surname/Family name: *

Chosen name/nickname *

Date of birth: *

Age: *

Gender: *

Nationality *

Mobile phone number: *

E-mail address: *

Home address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Religion:

How many brothers and sisters do you have? *

First language: *

Other languages:

What are your hobbies and talents? *

What are your favourite subjects at school? *

What else can you tell us about your family and life?

Profile picture upload: *

Click or drag a file to this area to upload.

Please upload a recent picture of yourself so that we can see your face clearly

YOUR PASSPORT DETAILS

What is your passport number? *

Where was your passport issued? *

What is your passport expiry date? *

Do you need a VISA to enter the UK? *

What is your VISA number?

Please leave blank if you are unsure

When is your VISA valid until?

Please leave blank if you are unsure

Passport picture upload: *

Click or drag a file to this area to upload.

Please upload a picture of your passport photo page

YOUR MEDICAL INFORMATION

Do you have any medical problems? *

Please provide details of your medical problems

Do you currently take any regular medication? *

Please provide details of your regular medication

Do you have any medical allergies? *

Please provide details of your medical allergies

Do you have any food allergies? *

Please provide details of your food allergies

Do you have any special dietary requirements? *

Please provide details of your special dietary requirements

Is there any other medical information that you think we should know about you? *

For example, emotional problems

Please provide details of any other medical information that you think we should know about you

YOUR INSURANCE

Have you taken out any insurance to cover you and your belongings whilst you are living in the UK? *

Insurance certificate(s) upload:

Click or drag a file to this area to upload.

Please upload a picture of your insurance(s) certificates

YOUR SCHOOL IN THE UK

What is the name of your school in the UK? *

What is the name of the person you have contact with at the school?

What is the email address of the person you have contact with at the school?

What date will you be starting school? *

What year or form will you be going into when you start school? *

Have you ever been suspended or expelled from school? *

Please provide details of your previous suspension or expulsion

Do you have any special learning difficulties? *

For example, ADHD or Dyslexia

Please provide details of your special learning difficulties

ADDITIONAL BACKGROUND INFORMATION

Please provide details of anything else that you think we would need to know in order to provide you with the best care possible.

INFORMATION ABOUT PARENT(S) AND/OR LEGAL GUARDIAN

1st parent or legal guardian

What is your relationship to the applicant? *

First name: *

Surname/ Family name: *

Occupation: *

Do you live at the same address as the applicant? *

Address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Home phone number:

Work phone number:

Mobile phone number: *

24 hour emergency number: *

E-mail address: *

2nd parent or legal guardian

What is your relationship to the applicant?

First name:

Surname/ Family name:

Occupation:

Do you live at the same address as the applicant?

Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Home phone number:

Work phone number:

Mobile phone number:

24 hour emergency number:

E-mail address:

INFORMATION ABOUT ANY UK CONTACTS

Do you have a contact in the UK?

For example, a family member or friend

First name: *

Surname: *

What is their relationship to the applicant? *

Address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Contact number: *

E-mail address: *

PARENTAL CONSENT

Do you consent to UK2Learn acting "in loco parentis" in respect of the pastoral, educational and physical welfare of your child? *

Do you consent to all medical and dental treatment as deemed necessary by a recognised doctor or dentist to your child if you cannot be contacted in an emergency? *

Do you consent to the administration of mild medication such as paracetamol, cough mixture or eye drops in the event of a minor aliment to your child? *

Do you consent to your child travelling by any form of public transport and/or in a motor vehicle driven by a responsible adult who is duly licensed and insured to drive a vehicle of that type? *

Do you consent to your child going swimming under adult supervision? *

Do you consent to your child taking part in other activities, such as water sports or riding fairground rides under adult supervision? *

Do you consent to photographs and/or videos of your child being taken during their time with UK2Learn and potentially used for social media and marketing purposes? *

Do you consent to UK2Learn contacting you via e-mail about future educational programmes and/or any other UK2Learn information that is not directly related to your child but may be of interest to you? *