Academy Application Form

Collect everything an academic institution needs to process a new applicant — personal details, contact information, prior education history, course preference, and referee information — in one online application.

Use this template

In the Claude connectors directory

Title (Mr/Mrs/Miss/Ms/Other)

Full Name

First Name

Last Name

Gender

Male Female Prefer Not to Say

Birth Date

Nationality

Country of Birth

Have You Been Resident in the UK/Other EU Member State for the Last 3 Years?

Mobile Number

Telephone Number

Present Address

Street Address

City

State / Province

ZIP / Postal Code

Permanent Address

Street Address

City

State / Province

ZIP / Postal Code

E-mail

Emergency Contact Person

Relationship

Emergency Contact Address

Name of Course

Mode of Study

Full-time Part-time Online Distance Learning

Proposed Start Date (Month, Year)

If You Are Applying for Advanced Entry (APL) Please Indicate Proposed Year

Year 1 Year 2 Year 3 Not Applicable

Who Is Expected to Pay Your Fees?

Myself Family Employer Sponsorship

Name and Address for Invoice (If Different From Above)

Have You Previously Studied in the UK?

Yes No

Are You Intending to Undertake English Language Studies With ZCBC College Before Commencing Your Degree Programme?

Yes No

Type a Question

Name of Referee 1

Organization

Relationship to You

Reference Enclosed/Reference to Follow

Name of Referee 2

Organization

Relationship to You

Reference Enclosed/Reference to Follow

Please Tell Us Where You Found Out About This Course

Do You Have a Disability, Medical Condition, or Require Learning Support?

Yes No Prefer Not to Say

If Yes, Please Name and Give Brief Details

Do You Have Any Unspent Criminal Convictions?

Yes No

Informational Text

Company

Contact Person

Telephone Number

Informational Text

Signature of Applicant

Sign here

Date

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