Short Courses Application Form

Course

Please list the course(s) you would like to study.



Name/Contact Details

Application Fee

This course requires a £15 application fee. You can pay below, by bank transfer (details available on request), or by cheque made payable to Birmingham Christian College.

Physical Disability / Learning Difficulty / Health

Do you have any physical disability, learning difficulty or health problem that might affect your studies or residential needs? If so, please give details:

Emergency Contact

Education and Training

Please list details below (most recent first) of qualifications you have gained. If you have not yet gained the award, please state in the Name of institution column ’pending’.

Name of institution and address Dates of attendance (From) Dates of attendance (To) Qualification, subject name and awarding body Date of award

Christian Experience

Referees

Please note, we cannot accept family members/relations as referees.

Criminal Convictions


YesNo

Finance

Please remember that all applicants, including those from the UK and EU will be required to pay each semester's fees by the end of the first week of each semester. How do you propose to finance your course? Overseas applicants requiring a study visa will be required to pay their fees in full before an offer letter can be issued.

Declaration



Equal Opportunities Monitoring Information

Information on ethnicity and/or disability will not be used in reaching a decision on the outcome of your application.

Ethnic Origin

WhiteBlack/British CaribbeanBlack/British AfricanBlack (Other)Asian/British PakistaniAsian/British BangladeshiAsian/British IndianAsian/British ChineseAsian (Other)White/Black CaribbeanWhite/Black AfricanWhite/AsianOtherDo not wish to specifyNot Known

Disabilities (tick all that apply)

AutisticBlind/Visually impairedDeaf/Hearing impairedDyslexiaOther Learning DifficultyMental Health needsMobility problemsMultiple disabilitiesUnseen disabilityOther

If you selected 'Other' please specify:

Finding out about Birmingham Christian College

How did you first learn about Birmingham Christian College (please tick)?

Internet SearchChurch/PastorFriendCurrent/Former StudentPress AdvertRadio AdvertOther

If you selected 'Other' please specify:

Additional Information

If you would like to be included on our mailing list to receive information and news about the college, special events and other courses of interest please tick this box.