apply_now_form - Kingsley Institute of Management

Title

Mr MRs Miss Other

First Name

Last Name

Mobile (with Country Code)

Date Of Birth

Gender

Male Female Binary Prefer not say

Nationality

Country Of Birth

Contact Address

Area/Road/ House NO.

Postcode

Country

Telephone No

Home Adress

If different to contact address

Area/Road/ House NO. (Home Address)

Postcode (Home Address)

Country (Home Address)

Course Details

Level Of Study

Undergraduate Postgraduate Short Professional Courses Research

Mode Of Study

Full Time Part Time

Full Course Title

Start Month and Year

Course Details

Please include all education courses (including Higher Education and Secondary Education) with the most recent first, including your current course if appropriate.

Level e.g. BA/ A Level (1)

Subject (1)

Grade/ CGPA (1)

Name of Institution(1)

Date (Form /to) (1)

Level e.g. BA/ A Level (2)

Subject (2)

Grade (2)

Name of Institution(2)

Date (Form /to)(2)

Level e.g. BA/ A Level (3)

Subject (3)

Grade (30

Name of Institution(3)

Date (Form /to) (3)

Personal Statement

Please provide a 500-word commentary that outlines:
a) Your reasons for applying for your chosen course at Kingsley Institute of Management.
b) A statement about your current practice.
c) Why do you think you are a suitable candidate to join the cohort.

Personal Statement

Equality and Diversity Information

Any information about a disability/medical condition that you disclose will be treated in the strictest confidence. It is important for us to collect this information for the following reasons:

To enable staff to support your application and learning, as appropriate
Your own health and safety
The health and safety of staff and other students

Please choose the option below that best describes your disability status:

Are you in receipt of Disabled Student’s Allowance?

Yes NO

To help monitor equal opportunities in the higher education sector and support higher education institutions in meeting their obligations under the Equality Act 2010, you are invited to select the category that most adequately describes your ethnic group. This information will be kept confidential, and you are not obliged to answer and may choose ‘Prefer not to say’:

Declaration
I understand that by signing this form I certify that the information I have provided is complete and accurate.

Contact Address

Home Adress

Course Details

Course Details

Personal Statement

Equality and Diversity Information

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