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Application Form - Self Taught Academy
Home
Application Form - Self Taught Academy
Course Program Application Form
A) APPLICANT’S DETAILS:
Instructions: Fill out the details. Fields in Asterix* are mandatory.
1. Title*
2. Gender*
Male
Female
Non-binary
3. Age:
Date of Birth*
4. Do you have any disability?*
Yes
No
5. Identification:
6. Contact Details:
Physical Home Address
Social Media Profile
7. Previous Education:
Highest Level of Education
—Please choose an option—
Primary School
High School
College
University
Start Date
End Date
Grade/Results
Upload Certificate/ Transcript
8. Professional Qualification:
Date of qualification
Upload Certificate/ Transcript
9. Emergency Contact Details:
Name of emergency contact*
10. Applicant's signature (Use mouse to draw signature)*
B) COURSE DETAILS:
Instructions: Select one school option per application.
Fill in the sections accurately by confirming from the your preferred course page.
1. Institution Name*
—Please choose an option—
ZLH German Language School
Ashleys Hair and Beauty Academy
Cascade Institute of Hospitality
Commonwealth College of Medical & Related Studies
Docawood College and Vocational Training Center
Dundori Vocational Training Centre
Eldama Ravine Technical Training Institute
Embulbul Education and Counselling Centre
Excel Global College
Finetune School of Music
2. Course*
3. Qualification*
—Please choose an option—
Short Course
Certificate
Diploma
Advanced Diploma
Bachelor Degree
4. Duration of Course:
a) Type of Course*
—Please choose an option—
Part Time
Full Time
b) Intake Period
5. Any other course you may be interested in?
6. Motivation Letter (less than 400 words)*
How did you hear about us?*
Facebook
Twitter
Instagram
LinkedIn
WhatsApp
Family/ Friends
Referral
Other
×
Refundable Amount
Refund Reason
*
Payment Details
*
Please fill the required fields*
Submit Refund Request
