Short course application form

Course applying for:*

Title:*

Name*

First Name

Last Name

Email*

Phone number:*

Address*

Address Line 1

Address Line 2

City

County/Region

Postcode

Date of birth*

Organistation:

If relevant

Job role:

If relevant

How long have you been in your current role:

If relevant

Admissions requirements
Please confirm you meet the university admissions requirements for the module:

Three A Levels at grade C or above (or equivalent)*

Yes No

Are you a mature student with relevant work experience?*

Yes No

Please provide evidence of your degree qualification:*

No File Chosen

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JPG, PNG, GIF or PDF

Meet the university requirements for international students*

Yes No

Please explain why you would like to attend the course:*

St Mary's aims to provide an inclusive environment for all students, including students with additional support requirements. Do you need additional support?*

Yes No

If yes, it will help us to review your request for support if you can supply us with some more details. You can do that by giving more details here of why you may need support.

Upon acceptance you will be required to pay a £50 deposit to secure your place. The balance can either be paid in full or by three instalments. Please indicate here how you wish to pay:*

In full Three instalments