Student Number (for office use only)
UCAS Record of Prior Acceptance (RPA) Application
Please complete all sections applicable to you in CAPITAL LETTERS. Please remember to include copies of all
transcripts/certificates and an academic reference. WITHOUT THIS INFORMATION ASSESSMENT OF YOUR
APPLICATION WILL BE DELAYED.
If you have already submitted an application via UCAS this year you should not complete the attached application form,
but submit an application through Clearing.
1. PERSONAL DETAILS
Surname/Family Name Other Names (in full) Previous Surname/Family Name (if relevant) Title
Correspondence Address (From …./…... /..… To …./….../….) Permanent Home Address (if different)
date: month: year date: month: year
_________________________________________________ ____________________________________________
_________________________________________________ ____________________________________________
_________________________________________________ ____________________________________________
___________________ Postcode: ____________________ ____________________ Postcode: ______________
Telephone No. Telephone No.
(including area code):_______________________________ (including area code): _________________________
Fax No. (inc. area code): ____________________________ Fax No. (inc. area code): _______________________
Email address: ____________________________________ Email address: _______________________________
Nationality Date of Birth Male/Female First Language (if other than English) Disability Code
date : month : year (see guidance notes)
: :
Country of birth Date of first entry to live in UK Residential Category
(see guidance notes)
2. PROPOSED STUDY
Course Exact title of course to which you are applying UCAS code Date of entry
___________
Level of entry
___________
3. EDUCATION
School, College or University Attended From To
Month Year Month Year
4. QUALIFICATIONS
Date of results of
Examinations
Awarding Result/
Month Year Body Subject Level Grade
5. EMPLOYMENT
PT/
Name and Address of From To FT
Employer Nature of Work Month Year Month Year
6. DECLARATION
I confirm that, to the best of my knowledge and belief, the information given on this form is true, complete and accurate.
I understand that any offer of a place at Swansea University will be based upon the information given in this form or sent
directly to the University in support of my application.
I understand that Swansea University reserves the right to establish the authenticity of my application and to cancel my
application if it transpires that false or misleading information has been provided by me, by my referee or by any other person
acting on my behalf.
If new information becomes relevant I will contact the University's Admissions Office with full details as soon as possible.
☐ I agree to the above declaration and its conditions
Privacy notice:
Please review our Privacy Statement for additional information on how we handle your personal data at:
[Link]
☐ I confirm that I have read and understand the ‘Applicant Privacy Statement’ and I agree to the use of my personal
data in line with the statement and I am happy to continue with my application.
☐ If I have indicated that I have a disability or special need I consent to the use of my data as outlined in the Inclusive
Student Support Services Privacy Statement at : [Link]/inclusivestudentsupport/confidentiality-and-
feedback/
Signature of Applicant: Date:
7. PERSONAL STATEMENT
Please outline your reasons for applying for your chosen course at Swansea University. Please make reference to the specific
elements of the programme that interest you most and to how you feel the programme would benefit your career path.
If this page is not sufficient you may attach additional sheets to your application form
8. REFERENCE
At least one reference is required from all international students that apply for a CAS statement. This is a letter from your
personal tutor or a previous teacher, which explains your skills and experience in relation to the course you are applying for.
This must be written in English and provided on official letter headed paper. We cannot accept references on a plain Word
document.
All references must be recent and preferably academic in nature. If your application was accepted on the basis of your work
experience, then we will accept a reference from your employer in lieu of this.
We are unable to contact referees on behalf of students, therefore it is your responsibility to obtain a reference and send it
directly to us as part of your application for a CAS statement to admissions@[Link]
FOR UNIVERSITY USE ONLY
DEPARTMENTAL DECISION Accept Accept Reject
(please tick box) Conditional Unconditional (please provide reason[s] in Comments box below)
Name of Selector: Signature of Selector: Date:
Conditions/Comments:
When completed, this application should be returned to admissions@[Link] or by post to
Admissions Office, Swansea University, Singleton Park, Swansea SA2 8PP, UK.
Guidance notes
Please attach photocopies of your examination certificates.
An academic reference is required (usually from your last school/college/institution), which should either be sent direct to the
Admissions Office or attached to the application form.
If you have already submitted an application via UCAS this year you should not complete the attached application form (as UCAS
will refuse to process it). Please contact the Admissions Office to discuss the most appropriate procedure.
Disability Codes
A No Disability
B Aspergers/Autism
C Blind or serious visual impairment
D Deaf or serious hearing impairment
E Long term illness
F Mental health condition
G Dyslexia, dyspraxia, ADHD
H Physical impairment/mobility difficulty
I Other disability not listed
J Two or more disabilities
We are collecting this information to ensure that any additional support needs are identified and that the University can assess what
support it can provide. Please note that this information does not form part of the Admission process and will be treated
confidentially.
If you indicate that you have a disability or special need, you will be submitting Special Category data under the General Data
Protection Regulation (GDPR) and we need additional consent from you to store and use the information you have provided.
We would like to assure you that this information will not be used when considering your application in advance of an offer of a
place to study with us. Your information will be shared with the Disability and/or Wellbeing Office within the University's
Inclusive Student Support Services so that they can contact you to discuss any support requirements you might have, please review
their Statement for information on how they handle your data at: [Link]/inclusivestudentsupport/confidentiality-and-
feedback.
If you do not want us to store and share your information with the Disability and/or Wellbeing Office, at this point, please state
“prefer not to say" in the Disability section of the form and we would encourage you to contact the relevant Service as soon as
possible to discuss any support requirements you might have.
Residential Categories
1 UK citizen or EU national
2 EEA or Swiss National
3 Child of a Turkish Worker
4 Refugee
5 Humanitarian Protection or Similar
6 Settled in the UK
9 Other
