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Short Courses Application Form

Please complete this form by entering the information in the boxes provided or marking the relevant check box.

If you have any questions or technical issues, please contact studentrecruitment@nua.ac.uk.

Your details

Email address * ( Already registered? Click to login )

What course are you applying for? *

Start Date *

Title

If other, please specify *

First name *

Last name *

Contact Address *	Address Line 2
City / Town *	County / Region / State / Province *
Post / ZIP code *	Country *

Do you wish to provide an alternative home address?

Address Line 1 *	Address Line 2
City / Town *	County / Region / State / Province *
Post / Zip Code *	Country *

Telephone *

Date of Birth *

Nationality *

What is your immigration status? *

Do you intend to study this distance learning course from within the UK? *

If other, please specify; *

Gender *

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:

Disability or Medical Information *

If other, please specify *

Are you in receipt of Disabled Students' Allowance? *

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’:

Ethnic Origin *

Education

Please list your three highest 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 *

Subject *

Grade *

Name of Institution / School *

Date From / To *

Do you have more qualifications to provide?

Level e.g. BA / A Level *

Subject *

Grade *

Name of Institution / School *

Date From / To *

Do you have more qualifications to provide?

Level e.g. BA / A Level *

Subject *

Grade *

Name of Institution / School *

Date From / To *

Current Occupation (if applicable)

Job Title

Employer Name and Address:

Your Communications

We would like to keep you up-to-date with course information, event invitations and advice and guidance on joining us at NUA. Please select your preferred method(s) of contact below. You can leave the options blank if you do not wish to receive any further information from NUA. You can change these at anytime should you wish.

Email (recommended)

Post

SMS

Phone

Your data will be held by Norwich University of the Arts in order to process your application to study with us. We may also provide you with important updates and information that we feel would be of interest and importance to you during your application period. Your data shall never be shared with external organisations, other than those acting as agents for the University. Information held about you is held securely and may include sensitive personal data which is necessary to process your application.

Please follow this link to read a full copy of the Norwich University of the Arts Applicant and Student Privacy Notice.

Please click here to confirm that you have read our Privacy Notice - linked above.*

Study at NUA

Your time to learn the power of art

Norwich University of the Arts, Francis House, 3-7 Redwell Street, Norwich, NR2 4SN, United Kingdom +44 (0)1603 610561 info@nua.ac.uk

Your details

Education

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

Current Occupation (if applicable)

Your Communications

Study at NUA

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