Short Course Application Form

This form is for use by students/delegates who may wish to attend Cranfield University, but not register for a full taught course, or programme of supervised research that leads to a formal award.

Some examples include:

Students wishing to register for an accredited short course, with assessment, for learning credits

Delegates wishing to register for a short course without assessments

Please complete ALL sections of this form and submit to request a place on your chosen course. This does not confirm your booking. Your place will be confirmed by the Professional and Technical Development Operations team in writing as soon as possible.

If you experience any problems with this form you can contact us by telephone on: +44 (0) 1234 754323 or email: Shortcourse@cranfield.ac.uk


Previous study at Cranfield University

Records of any previous study at Cranfield and Student Number if known:

Course name and student number

COURSE DETAILS

Course Name
Date

Accredited Short Course Option:

If you would like to take this module as an accredited short course - 10 credits per module - please contact our Short Course team on shortcourse@cranfield.ac.uk who will provide you with detailed and relevant information on this option

For information - Taking this module for learning credits means you will be required to take a formal assessment which could be a written piece of work between 3,000 to 5,000 words or to sit an Examination once the teaching has been completed. The Examination may be a number of weeks after the teaching, which will mean you returning to the University to sit the exam.


Do you require Accommodation?

Residential courses only - please see individual descriptions to see if this applies

 Yes
 No

*This is for people wishing to register for an accredited short course with assessments for learning credits

PERSONAL DETAILS

Title
Surname/Family name
First names
Date of birth (dd/mm/yyyy)
Male  
Female  
Nationality
Job title

CONTACT DETAILS

Please ensure that you use contact details which are valid until your proposed date of entry

Email 1
Telephone 1
Telephone 2
Permanent address
Postcode
Country
Please state your current employer

INVOICE DETAILS

Please give exact details to be included on the invoice along with the address it should be sent to:

To
Telephone
Email
Address
Postcode
Country
Contact name
Order No (if applicable)

SPECIAL REQUESTS

Dietary
Access Requirements

DATA PROTECTION

All data held by the University will be treated as confidential and will only be processed for purposes connected with your studies, or your health and safety while on the University's premises, or for other legitimate reasons such as the compilation of statistics by UK government bodies and the Higher Education Statistics Agency. All data is kept and processed in accordance with current UK Data Protection legislation.

I declare that the information on this application form is correct to the best of my knowledge. I understand that the University reserves the right to withdraw or amend an offer of admission if it is found that any information provided when seeking admission was false or was incomplete to the extent that admission was obtained under false pretenses.


HOW DID YOU HEAR ABOUT THIS SHORT COURSE

Please tell us how you heard about this Short Course:

Cranfield Website  
Search Engine  
Word of Mouth  
Other  
If other please specify:

Please confirm you have read and accept the Terms and Conditions of booking by ticking the box below

 

Please tick this box if you do not wish your details to be held by Cranfield University for the purpose of marketing courses, conferences, research programmes and other associated activities
 


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