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Ordination Training
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1
Current:
Personal Information
2
Programme Information
3
Training Information
4
How did you hear about us?
5
Complete
Personal Information
Personal Information
St Mellitus College will be required to collect, store, use and otherwise process information about you for purposes connected with the application process and for reasons deemed necessary in order to take steps prior to you entering into a contractual agreement with the College. See GDPR Article 6(1)(b). For more information about what we will do with your data, please visit www.stmellitus.ac.uk/privacy-policy. Please ensure you have the consent of all third parties (such as referees) before you disclose any of their personal information to St Mellitus College
Form information
In order to complete this application form you will need the following information at hand:
Personal and contact details
Your home church name and address
Your motivation to study
Existing academic and/or professional qualifications (including subject, year and grade)
Character and academic referee details (Please ensure referees have given permission for us to have their details)
Diocese information
Supervisor and placement information (if known/applicable)
Prefix
Select
Mrs
Ms
Miss
Mr
Dr
Revd
Other
If other, please specify
First Name
Known As (if different)
Last Name
Date of Birth (DD/MM/YYYY)
Gender
Male
Female
Prefer not to say
Nationality
?
Ethnicity
Select
White
Gypsy or Traveller
Black or Black British – Caribbean
Black or Black British – African
Other Black Background
Asian or Asian British – Indian
Asian or Asian British – Pakistani
Asian or Asian British – Bangladeshi
Chinese
Other Asian background
Mixed - White and Black Caribbean
Mixed - White and Black African
Mixed - White and Asian
Other Mixed background
Arab
Other Ethnic Background
Not Known
Information Refused
Those international students who need a Visa would need to acquire it before applying for the entirety of the course, as we are unable to offer sponsorship. Do you acknowledge that you have the right to study in the UK for the whole duration of your course?
Yes
No
Marital Status
?
Select
Married
Single
Partnership
Widowed
Prefer not to say
Spouse's name
?
Spouse's name
?
Number of children
?
Select
0
1
2
3
4
5
6
7
8
Ages of children
?
Dietary Requirements (if any)
Do you have a criminal record?
Yes
No
Have you been convicted of any criminal offence during the past four years? If yes, please state the nature and date(s) of the offence(s).
Criminal Record Offences and Dates
Your Contact Details
Your Contact Details
Address
Address Line 1
Address Line 2
City/Town
Post Code
Phone Number
Email Address
Emergency Contact Name
?
Emergency Contact Number
Emergency Contact relationship to you
Home church name and address
Disabilities / Specific Learning Difficulties
Disabilities / Specific Learning Difficulties
Do you have a disability?
?
Select
Yes
No
Not applicable
If yes, what?
Select
Blind/Part Serious Visual impairment
Deaf/Hearing Impairment
Wheelchair User
Mobility Issues
Personal Care Support
Mental Health Condition
Unseen Disability: e.g. Diabetes
Autistic Spectrum/Aspergers
Other
If other, please specify
Please include details of any disability
Do you have a Specific Learning Difficulty (SpLD)?
?
Select
Yes
No
Not applicable
If yes, what?
Select
Dyslexia
Dyspraxia
Attention deficit-hyperactivity disorder (ADHD)
Dyscalculia
Dysgraphia
Visual Stress
Other
If other, please specify
If other, please include details
If you answered yes to the above, have you had a professional diagnosis within the last 5 years?
Select
Yes
No
Not applicable