Starter sign-up - EuropaMedicine

Please fill in the below form, and we will be in touch by to notify of your eligibility against our most up-to-date database of over 50 universities we apply to. We can discuss options that are suitable for you to help you achieve your dreams.

First name

Surname

Age

Address

Term-time address (if different, otherwise write 'N/A')

Your Email address

Your telephone/mobile number. Include international dialling code if outside the UK

We recommend installing the new Google Duo app for your iPhone or Android phone. Otherwise we will call the standard way.

What is your Nationality?

If non-British or non-EU, what is your Citizenship?

Are you fluent in English?

Are you fluent in German?

Do you have at least 6 GCSEs at grade A* - C, including Maths AND English?

Please select the status of your A-Levels

Do you have (or will you have in the August 2017), 3 A-Levels including Chemistry AND Biology?

Have you re-taken any of your A-Levels? (This question is not asking about re-sitting modules, rather it is asking if you have re-taken A-Levels beyond the standard 2 years for AS/A2)

What are your A-Level grades? (Insert predicted grades if currently studying A-Levels)

Where did you hear about us? (required)

Please indicate your availability for a call

We will look at your data and will get back to you a list of universities that are still taking applications for Feb and Sept/Oct 2017 entry AND have entrance requirements suitable to your grades. We can also discuss other options suitable for you.