Birmingham Application Form

Before you apply please ensure you have the following information ready:

Contact address (and address of parents or guardians if you are under 18).
Latest academic qualification / results.
Your passport

If you have this information the application will take between 5 and 20 minutes to complete.

If you have any questions please email us at BirminghamEnquiries@mpw.ac.uk

or call: 0121 454 9637

Please select the enquirer type that most closely represents you.

Are you a

Hidden Enquiry Fields

Please enter details of the student:

Student Details

Title

First Name(s) (given)

Called Name

Family Name

Student Email

Date of Birth (dd/mm/yyyy)

Gender

Nationality (as passport)

Country of permanent residence

Telephone

Student's Address

Street Line 1

City

State / Province

Postcode / Zip Code

Country

Please enter details of the parents:

Primary Parent's Details

Contact Type

Title

First Name

Family Name

Email

Telephone

Primary Parent's Address

Use Student's Address for Parent?

YesNo

Street Line 1

Street Line 2

City

State / Province

Postcode / Zip Code

Country

Street Line 1

Street Line 2

City

State / Province

Postcode / Zip Code

Country

Secondary Contact Details

Contact Type

Title

First Name

Family Name

Email

Telephone

Secondary Contact's Address

Use Student's Address for Contact?

YesNo

Street Line 1

Street Line 2

City

State / Province

Postcode / Zip Code

Country

Street Line 1

Street Line 2

City

State / Province

Postcode / Zip Code

Country

Please enter details of the fee payer:

Fee Payer's Details

Use the Primary Parent's details for Fee Payer?

YesNo

Contact Type

Title

First Name

Family Name

Telephone

Email

Contact Type

Title

First Name

Family Name

Email

Telephone

Fee Payer's Address

Street Line 1

Street Line 2

City

Postcode / Zip Code

State / Province

Country

Street Line 1

Street Line 2

City

Postcode / Zip Code

State / Province

Country

Street Line 1

Street Line 2

City

State / Province

Postcode / Zip Code

Country

Academic History

School

Name of School/Institution (in full)

School/Institution Address

Street Line 1

City

State / Province

Post Code / Zip Code

Date of study (from) (dd/mm/yyyy)

Date of study (to) (dd/mm/yyyy)

Course of study

Please enter your most recent course(s), with subjects and grades

Details of the course(s) for which you wish to apply

Please pick the programme for which you wish to apply and the preferred start date. Please also state the university name, subject, and study level you are aiming for (undergraduate degree).

Course Details

Programme of study?

Month you want to start the programme?

Year you want to start the programme?

Subject Details

Subject

University Details

University you wish to progress on to?

University degree you wish to progress to e.g. BA (Hons) Business Management

Special Circumstances

Medical Conditions The information disclosed will be kept strictly confidential.

Special Circumstances e.g. Dyslexia

GP Details

Name of GP

Phone Number

Address

Street Line 1

City

State / Province

Post Code / Zip Code

Accommodation Requirements

Do you wish to apply to student accommodation through our subsidiary, Kensington Student Services (KSS)?

YesNo

By ticking yes, you agree to MPW sharing relevant information with KSS, to enable them to contact you and provide you with a service.

Please upload copies of the following documents. If you don't have a particular document, you can send at a later date.

Copy of Passport photo page.
Copies of latest academic transcripts and academic qualification certificates (please add all academic qualification information as one document).

Please ensure you name all documents clearly.

Supporting Documentation

You can upload up to five documents each no more than 25 MB in size.