Application for Admission to the Semester/Year Abroad Programme

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*
Type of Course *

Single Semester AbroadFull Year Abroad
Home Institution *
Course of Study *
Proposed Date of Entry *
Study Abroad Coordinator or Programme Advisor*
Study Abroad Coordinatory or Programme Advisor's Email *

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

YESNO
If "Yes", please specify:
Do you have a Specific Learning Difficulty (such as dyslexia)?

YESNO
Educational Information
Current Programme *
Programme Start Date: *

MonthDayYear
Date
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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 Team at admissions@nazarene.ac.uk .
Is English your first language? *

YESNO

Relevant Experience

Please briefly list any relevant employment/ministerial/voluntary experience.
1.
2.
3.

Statutory Checks
1. Do you have a criminal record or have you ever been cautioned by the police? *

YesNo
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?*

YesNo
If yes, please specify:

Personal Statement

Please provide a note (max 250 words) indicating why you are interested in studying abroad at NTC.
Personal Statement:

0/250

Referee
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.
Name:*
Job Title *
E-mail:*

Declaration and Submission
By affixing your electronic signature, you certify that the above information is correct to the best of your knowledge, and consent to your personal data being transferred outside of the EU to enable your academic record to be transferred back to your home institution at the end of your studies.
Name of Applicant *
Should be Empty:

Personal Information