UCL Horizons Year 13 UCAS Application Record 2012-13

Please complete this UCL Horizons tracking survey after you have completed your UCAS application. If you have not yet completed your UCAS application, please do not complete this form. Note: completing this form will not influence the decisions on your UCAS application in any way, at UCL or other universities. We are only asking for this information so that UCL Horizons staff can monitor your progress.

Your full name (as you entered it on the UCAS form:)

Your date of birth (write in numbers in order: month / day / year)

Full name of the school or college you are currently attending:

Your UCAS applicant number:

Date you submitted your UCAS application:

Have you applied to UCL?

If you chose not to apply to UCL, please could you give your reasons:

If you haven't applied to UCL, where have you applied?

If you haven't applied to UCL, what degree subject are you applying for?

If you have applied to UCL, please give the full name of the course:

If you have applied to UCL, please give the UCAS code of the course:

We will be running UCL Horizons Focus Groups in Summer 2013. Would you be interested in taking part?

If you would like us to contact you for the Focus Groups, please enter your current email address:

Thank you for completing our survey! We wish you the best of luck with your UCAS application.

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