Degree Enrolment Page

About you - Step 1 of 7

What is the name of the course you are applying for?

Title *

Name *

First

Last

Dropdown *

Date of Birth *

Gender *

Email *

Confirm Email

Password *

Password

Confirm Password

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Do you have a disability, special needs (including dyslexia or another specific learning difficulty) or a medical condition which may require additional support? *

Yes
No
Do not wish to disclose

Select your Ethnicity *

Country of Birth *

Name *

First

Last

Gender *

Please enter your date of birth *

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Nation of Citizenship *

Native Language *

This application is for enrollment for *

Professional Diploma
Post Graduate Diploma or Certificate
Bachelor's Degree
Master or Doctorate

Please select the course you are applying for: *

Which campus do you seek admission? *

Are you currently or have you ever been charged with or subject to disciplinary action for scholastic or any other type of misconduct at any educational institution? *

Extracurricular, Personal and Volunteer Activities

Please add any further information that might help your application.

Extracurricular Activities

List your organizations, position, description of the activity, and hours per week of involvement.

Talents and Awards

List each, a description, the level, and number of years of involvement.

Community Service Work

List the type of work, your role, and hours per week of involvement.

Employment *

List the job, your title, description, hours per week, and dates of employment.

Please upload your CV here *

Click or drag files to this area to upload. You can upload up to 3 files.

Personal Statement *

Please outline your particular reasons for applying for this course and describe your suitability for the course. *Please include any relevant main interests, ambitions and career plans. You can type your personal statement directly into the box provided or alternatively, if you already have a personal statement prepared (for example in Microsoft Word format), please upload it as a document.

Agreement

I understand that this application is for admission only for the term indicated. I agree that I am bound by the College’s regulations concerning application deadlines and admission requirements. I agree to the release of any transcripts and test scores to this institution, including any SAT, Achievement Test, and ACT score reports. I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application or residency statement will result in disciplinary action, denial of admission and invalidation of credit or degrees earned. If admitted, I agree to abide by the policies of the College and the rules and regulations of the College. Should any information change prior to my entry into the College, I will notify the Office of Admissions. I understand that the application fee I submit with this application is a non-refundable fee.I confirm that to the best of my knowledge, all the information I have given on this form is correct, complete and accurate, and no information, whether material or otherwise, has been omitted. I accept that if this is not the case, the College shall have the right to cancel my application and I shall have no claim in relation thereto. I confirm that any copy documents supplied are copies of the original certificates, transcripts or documentation. I consent to the College receiving references from my referees and I understand that these references must be of an academic or professional nature.

Do you understand and agree to the terms listed above? *

Yes, I understand and agree to the terms listed above.

Degree Enrolment Page

Extracurricular, Personal and Volunteer Activities

Agreement

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Longford International College