CBT Undergraduate Taster Course Application Form

CBT Undergraduate Taster Course Application Form
ref:202605
Which year in May, would you like to start the UG Taster Course?
- Name
  
  First NameLast Name
- Date of Birth
  
  DayMonthYear
  2 digit day, 2 digit month, 4 digit yearDate
- Address
  
  Street Address
  
  Street Address Line 2
  
  Town/CityCountry
  
  Postcode
- Telephone
  Please enter a valid phone number.Format: (07000) 000-000.
- Landline
  
  Area CodePhone Number
- Email
  example@example.com
- Church Denomination or tradition (if applicable):
- How did you hear about this Taster course?
- Why do you wish to study at Queen’s?
- Have you studied at Queen’s previously, and within the last 5 years?
- Student ID:
- Review the Queen’s website and consider the areas of study most interest to you here: https://www.queens.ac.uk/study/admissions/non-sponsorsed
- What are you hoping to study after completing the UG Taster Course? Please tick
- Mode of study
- Education gained so far (from Colleges, Universities etc)
  Please include the following: Dates of Attendance, Colleges/Universities Attended, Subject, Awarding bodies/exam boards, Levels or Grades and Dates of Awards
- Additional experience (Include ministries, involvement with your church, local community, and voluntary work)
  Please include the following: Date from and Date to
- Do you have any additional learning needs that you would like us to be aware of? Please explain in brief:
- Are there other life experiences or circumstances that are relevant to this application that you would like to share?
- The Taster Course costs £50. If, after successful completion of the Taster course and application process, how might you fund your HE studies? Please tick the method that best describes your intent.
- Other (please specify)
- I confirm that to the best of my knowledge, the information given on this form is correct and complete. I give my consent for my personal data to be processed within the terms of the General Data Protection Regulation (GDPR).
- Signature
  
  Please use your mouse to add your signature
- Date
  
  DayMonthYear
  2 digit day, 2 digit month, 4 digit yearDate
- Should be Empty: