WMAC ACADEMIC COURSE APPLICATION FORM (Martial Arts Programmes)

(Please use BLOCK CAPITALS throughout)

PERSONAL DETAILS

/ APPLICATION NUMBER:
Title: Dr/Mr/Mrs/Miss/Ms / APPLICATION FOR ADDMISSION TO
Surname/Family Name: / UNDERGRADUATE PROGRAMME
Forenames: / POSTGRADUATE PROGRAMME
Correspondence Address: / DISTANCE LEARNING

ACCREDITATION OF PRIOR LEARNING

Do you wish to apply for APL? (Tick box if YES)
Post Code: / Date of Birth:
Telephone:
(Include area and international codes) / If you were not born in the UK but now live here, give the date you became a permanent resident:
Facsimile: / Nationality:
Email Address: / Country of birth:
Home Address (If different from Above): / Area of permanent residence:
Do you have any disabilities or special needs?
Yes
No
If yes please give brief details:
Post Code:
Telephone (Include area and international codes):
Facsimile: / WMAC REGISTRATION NUMBER:
Do you have any unspent criminal convictions excluding motoring offences?
Yes
 No
(If yes provide details on a separate sheet) / Martial arts studied:
Course Title: / Present highest grade:
Intended Start Date: / Date awarded:

Section 1: ACADEMIC, PROFESSIONAL & VOCATIONAL QUALIFICATIONS

(Applicants with no formal qualifications please go to Sections 1(d), 2, 3, 4 and 5).

(a) All examinations or assessments for which results are known.

Award Date
Month Year /
Name of Establishment
/ Awarding Body /
Subject
/
Level
/
Result

(b) Examinations or assessments to be completed or results pending

Award Date
Month Year /
Name of Establishment
/ Awarding Body /
Subject
/
Level
/
Type of Examination

(c) Please detail membership of any professional bodies.

(d) Please detail membership of any martial arts organizations

Section 2: WORK HISTORY

State in date order (most recent first) details of work history, paid or unpaid, that you believe relevant to this application.

Position / Date From / Date To / Brief Description of Responsibilities
If currently employed and applying for a course please supply name and address of sponsor if applicable
Name / Position
Address

Section 3: STATEMENT IN SUPPORT OF YOUR APPLICATION

You are invited to use this opportunity to provide information in support of your application including previous areas of study, areas of research, your reasons for applying for this programme, and how you believe you would benefit from it. You may also include non-academic aspects of your experience, including hobbies, interests, participation in sports, clubs, societies, voluntary community work, and parenting etc.

(Continue on a separate sheet if necessary)

Is English your first language?

Yes

No

If no, state English language qualification TOEFL/IELTS/B1 or B2 Level (CEFR) or equivalent.

Section 4: DECLARATION

I declare, that to the best of my knowledge, the information given on this form is correct. I give my consent to the processing of my data by the World Martial Arts Council.

Signature: / Date:
Section 5: REFERENCE (Required for all courses)
This reference must be provided by a course tutor for applicants that have been in continuous education, or by a senior instructor or employer for martial arts students no longer in education.
Name of Referee: / Telephone:
Position/Occupation
Name and Address of School, College, Institution, Club, Association, or Employer.
* Please remember, under the Data Protection Act applicants can request a copy of written comments supplied as a reference and any other personal information the WMAC or its academic institutions have on record.
Comments:
Signature of Referee: / Date:

For WMAC Office Use Only

Verified by: / Position: / Date:

NOTE: When completed this application should be sent by e-mail to

Accepted applicants will be required to personally attend an Induction, or complete this online, which requires the production of transcripts relating to completed academic courses, and certificates pertaining to martial arts training, including present grade or title if any. The Induction Administration Fee of £30 and the first annual Registration Fee of £30, which includes the WorldMAC International Licence and Record Book, must be paid prior to the Induction. Payment options will be provided on acceptance.