Enrolment Form

Branch*

Liverpool
Manchester

Course Type*

Face-to-Face
Online
Hybrid

Personal Information

Name*

Surname*

Email*

Phone*

Date of birth*

Gender*

Nationality*

Passport number*

Home Address*

Postcode*

Home Country*

UK address

Emergency Contact Details

Full name*

Phone number*

Relationship to the student*

Email Address*

Does the Emergency Contact speak English?*

If no, what language do they speak?

Medical Declaration

Do you have disability or a medical condition that might require special arrangements or facilities?*

Yes
No

If no, please provide details

Additional Information

Why do you want to study at MC Academy?*

To study at a University (in the UK)
To study at a University (outside the UK)
For exam preparation
To improve my English
To find a job
For fun

If you wish to study at a University, please let us know which University you wish to study at

Payment type*

Sponsored
Self-funded

Did you apply through an agent?*

Yes
No

If yes, please state the name of the agency

Where did you hear about us?*

Declaration

I have read and accepted the school's terms and conditions*

Yes
No

I allow the school to use my photos/videos on the school's website, social media platforms, or for promotional purposes.*

Yes
No

Please write your full name to represent a signature for the declaration*

Date (today)*

Course Information

What course would you like to study?*

When would you like to start?

Please choose a Monday.

How many weeks would you like to study?*

Accommodation

All accommodation options are subject to availability*

Do you require accommodation?*

Yes
No

Which accommodation do you prefer?*

Homestay
Residence

Homestay

Single (Self-Catering)
Twin Room
Single (Half-board) shared facilities
Single (Half-board) ensuite

Subject to availability

Halls of Residence

MCR – Single (up to 10-20 minutes walk from the school)
LIV – Single En-Suite (GOLD)
LIV – Single En-Suite (SILVER)
LIV – Single Studio (GOLD)
LIV – Single Studio (SILVER)

Subject to availability

Do you mind pets?*

Yes
No

Do you smoke?*

Yes
No

Do you require a special diet?*

Yes
No

If 'yes', please specify

Do you have any allergies?*

Airport Transfer

Do you require MC Academy to arrange your airport transfer?*

Yes
No

What airport are you arriving from?*

Manchester
Liverpool

Do you require one-way or return?*

One-way
Return

Submit a copy of your passport*

Name

This field is for validation purposes and should be left unchanged.

Enrolment Form (1)