Application Form – Małopolska Wyższa Szkoła im. J.Dietla w Krakowie

Application Form

"*" indicates required fields

Name*

Title First Name Surname

Gender*

Date of Birth*

Mobile*

Email*

Emergency Contact*

National Insurance Number*

Have you been a UK resident for 3 years or more ?

First Line of Address*

Second Line of Address*

City*

Country*

Postal Code*

Previous Qualification Level*

Country of birth*

Nationality*

Ethnicity*

Visa Status*

Share Code

Date of Arrival*

Which course are you applying for?*

When would you like to start study?*

Preferred Study Centre Location*

Employment Status*

Name of Employer

Date of Employment*

Length of Employment*

Length of Unemployment*

Have you ever applied for student finance ?*

If yes, please specify when and for what course ?

Do you have any spent/unspent criminal conviction?*

If other, please give details

Disclose any disability/medical condition*

If other, please give details

Are you in receipt of any benefits?

Yes

No

If yes, what type of benefits you are recieving

Passport / National ID (No Driving Licence)

Drop files here or

Max. file size: 4 MB, Max. files: 1.

ID Back Picture

Drop files here or

Max. file size: 4 MB, Max. files: 1.

Qualification/Work reference letter, P60

Drop files here or

Max. file size: 4 MB, Max. files: 1.

Qualification/Any Certificates/Transcripts you may have

Drop files here or

Max. file size: 4 MB, Max. files: 1.

Proof of address

Drop files here or

Max. file size: 4 MB, Max. files: 1.

Proof of address (two proofs required)

Drop files here or

Max. file size: 4 MB, Max. files: 2.

Right To Work

Drop files here or

Max. file size: 10 MB, Max. files: 1.

National Insurance Number

Drop files here or

Max. file size: 10 MB, Max. files: 1.

CV

Drop files here or

Max. file size: 10 MB, Max. files: 1.

Work Ref

Drop files here or

Max. file size: 10 MB, Max. files: 1.

ADRES

Małopolska Wyższa Szkoła
im. Józefa Dietla w krakowie

ul. Legnicka 5
31-216 Kraków

Rektorat czynny

poniedziałek - piątek 9:00-15:00

sobota (w terminach zjazdów) 9:00-13:00

UK ADDRESS

Unit 2.1 Clarendon business park Nottingham (UK)

Unit 2.1,
Clarendon Business Park,
Nottingham NG5 1AH

OFfice Hours

Monday - Friday: 9:00-17:00

Saturday (on session dates): 9:00-13:00

KONTAKT/CONTACT

Polski telefon

+48 888 019 624

UK Telephone

+44 7440 550789

E-mail

[email protected]
[email protected]
[email protected]

Created by www.wpdevstar.com

Copyright dietl.pl