First Day

Branch*

Liverpool
Manchester

Course Type*

Face-to-Face
Online
Hybrid

Personal Information

Name*

Surname*

Email*

Phone*

Date of birth*

Gender*

Nationality*

Home Address*

UK address (Street Name)*

City*

Postcode*

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)*

Email

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

MC Academy

First Day – Form

Personal Information

Emergency Contact Details

Medical Declaration

Additional Information

Declaration