Application for Admission to the Semester/Year Abroad Programme

Before you fill in this form, is important for you to know why we ask you for your personal data, and what we do with it. Please click on the link to our NTC Fair Processing Notice for all the details of what we do with your data.
Full Name *
COURSE TITLE (Please select the course to which you are applying)
Type of Course

Single Semester Abroad Full Year Abroad
Home Institution (Please identify your home institution, and the course of study for which you are registered at that home institution)
Home Institution *
Course of Study *
Study Abroad Coordinator or Programme Advisor *
Study Abroad Coordinatory or Programme Advisor's Email *
PROPOSED DATE OF ENTRY
Month *
Year *
*Note: Enrolment for this programme may take place in September or January.

FINANCIAL INFORMATION
What financial arrangements have you made to meet the fees for the course?
Specify what financial obligations you will have apart from your fees while in College:

MEDICAL INFORMATION
Do you have any physical, mental or emotional disability which might adversely affect the successful completion of your course of study?

YES NO
If "Yes", please specify:
Do you have a Specific Learning Difficulty (such as dyslexia)?

YES NO
If "Yes", has it been clinically diagnosed?

YES NO

EDUCATIONAL BACKGROUND
Semester/Year abroad students should supply an academic transcript or course audit from their home institution (an unofficial version will suffice). This may be uploaded below, or emailed directly to the NTC Admissions Officer, Robert Rae at rrae@nazarene.ac.uk
NAME OF INSTITUTION:
FIRST ATTENDED:

Month Day Year
Date
LAST ATTENDED:

Month Day Year
Date
COURSE OF STUDY
UPLOAD CURRENT TRANSCRIPT HERE:

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Cancel of
2. English Proficiency
Is English your first language?

YES NO
If "no", please attach TOEFL/IELTS documentation here:
TOEFL or IELTS Score:
* NOTE: A TOEFL score of 550 or IELTS score of 6.0 is required for undergraduate study at NTC for those students for whom English is not their first language.

RELEVANT VOLUNTARY EXPERIENCE (Please list Nature of Experience/Name of Organisation/Dates of Experience):
1.
2.
3.

POLICE RECORD CHECK
1. Do you have a criminal record or have you ever been cautioned by the police?

Yes No
If yes, please specify:
2. Have you in any way had dealings with the police in regard to issues relating to offences against children or young people?

Yes No
If yes, please specify:

PERSONAL STATEMENT
Please provide a "personal statement" (max 250 words) in the box below indicating why you are interested in studying abroad at NTC.
Personal Statement:

REFERENCES
Please supply the name and contact details of ONE academic referee able to comment on your suitability for this programme. This referee should be a member of the academic staff from your home institution willing to support your application. When your application is received, NTC will contact your referee with the appropriate forms to submit.
Referee Contact Details
Name: *
Address:
E-mail: *

DECLARATION
I certify that the above information is correct to the best of my knowledge.
I hereby give consent for my personal data to be transferred outside of the EU to be
Name of Applicant
Date

Month Day Year
Date
Should be Empty: