Lumina 2020 Registration Form
Email address *
School Name *
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Unique School Code (as given to your school) *
Your answer
First Name *
Your answer
Surname *
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Date of Birth *
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Gender *
Equal Opportunities
The Lumina Course complies with equal opportunities legislation and the Race Relations Amendment Act and Data Protection Act 1998 (DPA). Information about your ethnic group will help us to track the extent to which the course combats barriers to achievement and the perceived under-representation of ethnic minorities amongst Oxbridge applicants. The data will be compiled by the course project manager as an anonymous list to be shared with the steering group only.
What is your ethnic group? *
Full Postal Address *
Your answer
Student Mobile Number *
Your answer
Contact Number of Parent or Guardian *
Your answer
Email address of Parent or Guardian *
Your answer
Which of Oxford/Cambridge are you currently leaning towards in your applications to university? *
Intended degree course at Oxford/Cambridge (Please select just one course that best reflects your intentions at this stage. You should select a relevant course from the university of preference you indicated in the previous question. Cambridge courses are listed first followed by Oxford courses.) *
Lumina tutors have expertise in a range of subjects. Please choose the primary subject from this list that is most relevant to your course and interests so that we can assign you to the correct tutorials: *
Lumina tutors have expertise in a range of subjects. Please choose a second subject from this list that is most relevant to your course and interests so that we can assign you to the correct tutorials: *
Lumina tutors have expertise in a range of subjects. Please choose a third subject from this list that is most relevant to your course and interests so that we can assign you to the correct tutorials: *
A-Level Subject 1 *
Your answer
Predicted grade for A-Level Subject 1 *
Your answer
A-Level Subject 2 *
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Predicted grade for A-Level Subject 2 *
Your answer
A-Level Subject 3 *
Your answer
Predicted grade for A-Level Subject 3 *
Your answer
A-Level Subject 4 *
Your answer
Predicted grade for A-Level Subject 4 *
Your answer
A-Level Subject 5
Your answer
Predicted grade for A-Level Subject 5
Your answer
If you are doing an extended project, please provide the title: *
Your answer
If you intend to apply for any of the following subjects: Engineering, Computer Science, Mathematics or Physics (in any combination or jointly with another subject) please list the Mathematics modules you will have covered by the end of this academic year as well as your exam board for Mathematics. If you do not intend to apply for any of these subjects simply enter 'N/A'. *
Your answer
GCSE Subject 1 *
Your answer
Grade achieved in GCSE Subject 1 *
Your answer
GCSE Subject 2 *
Your answer
Grade achieved in GCSE Subject 2 *
Your answer
GCSE Subject 3 *
Your answer
Grade achieved in GCSE Subject 3 *
Your answer
GCSE Subject 4 *
Your answer
Grade achieved in GCSE Subject 4 *
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GCSE Subject 5 *
Your answer
Grade achieved in GCSE Subject 5 *
Your answer
GCSE Subject 6 *
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Grade achieved in GCSE Subject 6 *
Your answer
GCSE Subject 7 *
Your answer
Grade achieved in GCSE Subject 7 *
Your answer
GCSE Subject 8 *
Your answer
Grade achieved in GCSE Subject 8 *
Your answer
GCSE Subject 9 *
Your answer
Grade achieved in GCSE Subject 9 *
Your answer
GCSE Subject 10 *
Your answer
Grade achieved in GCSE Subject 10 *
Your answer
GCSE Subject 11 *
Your answer
Grade achieved in GCSE Subject 11 *
Your answer
GCSE Subject 12 *
Your answer
Grade achieved in GCSE Subject 12 *
Your answer
Please state in no more than 500 words why you wish to study your intended degree course and what you hope to learn at Lumina *
Your answer
Dietary requirements *
Access requirements *
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Any medical conditions *
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Are you, or have you at any time in the last 6 years been eligible for free school meals? *
Are you currently in receipt of a 16-18 Educational Bursary?
By submitting this completed form, you confirm that you accept the following: *
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