UCAS

Applicant Instructions for Completion of the Record of Prior

Acceptance (RPA)
(EU Applicants)
You should be able to complete most of this form by reading the notes below. You
will, however, need to obtain information from an authorised person at the university
to complete some sections. If you have already applied through UCAS for entry in
2!", you are not eligible to be accepted via a #ecord of $rior Acceptance %#$A& '
the university will be able to access your e(isting application record online. $lease
write clearly in BLOCK CAPIALS.
After you have completed the form, please give it to an authorised representative of
the university.
Please note an incomplete form !ill not "e processed and ma# "e
returned$ !hich !ill result in a dela# !ith the acceptance of #our
chosen course%
&andator# applicant information
itle and 'orename(
)nter the title by which you wish to be address and your first given names
Surname or 'amil# )ame(
)nter the surname*+amily name.
Pre*ious surname(
If you have changed your name since your !,
th
birthday, please enter your previous
surname here.
+ender(
)nter -ale or +emale
,ate of "irth(
Use format ..*--*YYYY
Address(
)nter the address to which you want UCAS and the university to send all
correspondence. .o not write it all on one line ' use a separate line for each part of
your address. .o not include the country name here.
Countr#(
)nter the name of the country for your address.
Postcode(
/his is for U0 addresses only. Any overseas postcode should go on the last line of
your address.
'ee Pa#er(
)nter one of the following to tell the university how your tuition fees will be paid1
$rivate +inance
2ocal Authority %2A&
#esearch Council
.epartment of 3ealth*#egional 3ealth Authority
U0 4overnment 5verseas Award
/raining Agency
5ther Agency
5verseas Agency
U0 Industry*Commerce
5ther Source
Area of permanent residence(
If you live in1
4reater 2ondon, give your 2ondon borough %for e(ample, )nfield&6
A former metropolitan country, give your district %for e(ample, Sefton&6
Scotland, give your district or islands are %for e(ample, Clac7mannanshire&6
)lsewhere in the U0, give your county %for e(ample .erbyshire&6 or
5utside the U0, give your country %for e(ample, Italy&.
Residential cate-or#(
)nter one of the following to describe your residential category1
U0 Citi8en*)U 9ational
U0 #esident
,isa"ilit#(
)nter the statement from the list below the best describes you1
9o disability
2earning difficulty
:lind*partially sighted
.eaf*partial hearing
;heelchair user or mobility difficulties
Autistic disorder
-ental health difficulties
Unseen disability
-ultiple disabilities
5ther disability
Countr# of "irth(
)nter the current name of the country where you were born.
)ationalit#(
)nter your nationality %as written on your passport, if you have one&. If you have
dual nationality, you can enter both.
UK entr# date(
If you were born outside the U0, but now live in the U0, enter the date when you
began living here permanently.
Ethnic ori-in(
If you are a U0 applicant, enter the category from the list below that best describes
your ethnic origin1
;hite
:lac7 ' Caribbean
:lac7 ' African
:lac7 ' 5ther
Asian ' Indian
Asian ' $a7istani
Asian< :angladeshi
Asian ' Chinese
;hite*:lac7 Caribbean
;hite*:lac7 African
;hite and Asian
5ther -i(ed
5ther
9ot given %.om<3ome&
9ot given
9ot given %.om<5verseas&
&andator# Education./ualification Information
Le*el 0 +CSE
A ma(imum of five sub=ects to be recorded, which must include -aths and )nglish
2anguage. /hese must be achieved prior to application.
School or Colle-e name(
)nter the name of the school or college you attend or are currently attending.
If you have been home<schooled for your secondary education, enter >home<
schooled? in the space provided
,ate started.finished(
$lease enter both start and finished dates you attended the school or college.
Include month and year
)nter the @ualification that you have achieved or e(pect to achieve. If you have no
formal @ualifications please indicate this in the first section
/ualification #pe(
)nter in the level of @ualification that have or will achieve e.g. A level, International
:accalaureate, .iploma
Su"1ect(
)nter the sub=ects ta7en e.g. :iology -athematics.
2ear O"tained(
)nter the month and year that you certificated the @ualification.
+rade.Point.Result(
)nter the level of achievement gained.
3alidation Bod#(
)nter the name of the Awarding :ody e.g. AAA, )de(cel
&andator# Course Information
Course information(
UCAS Course code and course name
Campus
2ear of entr#
Start date
Complete these items with the help of a person from the university.
Additional Information
Pre*ious surname(
If you have changed you surname since your !,th
elephone num"er(
)nter the telephone number you wish to be contacted on
&o"ile(
-obile or cell phone optional
Email address(
)nter your email address if you have one. If not write 959)
BEC re-istration num"er(
If you have ta7en or are ta7ing a :/)C 9ational .iploma, Certificate of Award or
3igher 9ational .iploma or Certificate, you should enter your registration number
here.
Student support arran-ement(
You should state who will assess you for tuition fees or who will pay for your course.
If the university need you to complete this section, they will tell you how to do so.
Pre*ious application num"er(
If you have previously applied to the university where you now have a place and you
can find out your UCAS application number, please enter it here.
Rele*ant criminal con*ictions(
/o help the institution reduce the ris7 of harm or in=ury to their students caused by
the criminal behaviour of other students, they must 7now about any relevant criminal
convictions that an applicant may have. If you have a relevant criminal conviction,
please tic7 the bo(.
#elevant criminal convictions are only those convictions of offences against the
person, whether of a violent or se(ual nature, and convictions of offences involving
unlawfully supplying controlled drugs or substances where the conviction concerns
commercial drug dealing or traffic7ing. Convictions that are spent %as defined by the
#ehabilitation of 5ffenders Act !BCD& are not considered to be relevant and you
should not reveal them.
You must tic7 the bo( if either of the following statements applies to you.
You have a relevant criminal conviction that is not spent.
You are serving a prison sentence for a relevant criminal conviction.
If you enter a tic7 in the bo( you will not be automatically e(cluded from the
application process. 3owever the university concerned may want to consider the
application further or as7 for more information before ma7ing a decision.
You should be aware that for courses in teaching, health, social wor7, veterinary
medicine, veterinary science or courses involving wor7 with children or vulnerable
adults, any criminal convictions, cautions %including verbal cautions&, reprimands,
final warnings and bind<over orders are e(empt from the #ehabilitation of 5ffenders
Act !BCD. If you are applying for these courses, the universities will as7 you to agree
to have a criminal record chec7. You may also need an >enhanced disclosure
document? form the Criminal #ecords :ureau or the Scottish Criminal #ecords 5ffice
.isclosure Services. /his means that if the criminal record chec7 identifies that you
have had a conviction, caution, reprimand, final warning or bind<over, this
information will be made available to the university considering your application.
Care(
3ave you been a loo7ed after child under the care of Social Services either within a
residential setting or +oster Care
In care duration(
If Yes, state the length of time in care
'urther details(
/he university will tell you if you need to enter anything in this section.
Li*e at home !hile stud#in-(
)nter Yes if you plan to live at home while you study or 9o if you intend to live away
from home during your course.
,efer entr#(
)nter Yes if you want to start your course in 2!2 or 95 if you want to start your
studies in 2!2.
Parental occupation(
If you are under 2! years old, enter the =ob title of your parents, step<parents or
guardian who earns the most. If you are 2! or over, enter your own =ob title.
Parent 4i-her Education Attendance(
If you are a U0 applicant, enter the category from the list below that best describes
your parent?s attendance to 3igher )ducation1
Yes
9o
.on?t 7now
I prefer not to say
,eclaration(
You must now read the declaration before signing and dating the section in blac7 in7
to confirm your agreement.
Applicant si-nature(
$lease sign the form in blac7 in7.
;hen you sign the declaration, you are committed to ta7e up a place on the course
entered in the -andatory course information section of your form. It represents your
ac7nowledgement that you will not enter into discussions with any other UCAS
member university or their agents in this year?s application cycle about a place on
any alternative programme of study within the UCAS scheme.
)o! ta5e or send #our ori-inal completed form to an authorised
person at the uni*ersit#%