Arts and Trauma Healing Application Form

Arts and Trauma Healing Application Form

Residential Application Only
This application is STAGE 2 and must only be done once you have completed STAGE 1 of the application process and have been accepted by the Dallas International University. See the Arts and Trauma Healing course page for more details.
Name*

TitleFirst NameLast Name
Address:*

Street Address

Street Address Line 2

Town / CityCounty / State / Province

Postal / Zip CodeCountry
Telephone:*
Please enter a valid phone number.
Date of Birth:*

DayMonthYear
Date
Mobile:*
Please enter a valid phone number.
Email:*
I agree to being contacted about this application on the above email address*

Yes
Nationality:*
DIU Registration Number:*
This is your Dallas International University Registration Number
Special Dietary Requirements:
How did you hear about the course?
Please tick here to join the All Nations mailing list:

Yes
I will pay the total amount of £375 for accommodation and meals at the end of this application form:*

Yes

Our Application forms are built on Jotform - All personal data will be processed in accordance with our Website Privacy Notice and Data Protection Policy

Want to finish your form later? Click on the 'Save' button below and click 'Skip create an account' when you see this popup.
You will then be prompted for an email address to send the form link to.

All Nations Christian College collects and processes personal data in order to provide services to students, manage its operations effectively, and meet legal requirements. It is only disclosed to third parties on a need-to know basis, if we are legally obliged to do so or with your permission. All data disclosed will be stored in compliance with the Data Protection Act 2018. See our website to read All Nations Data Protection Policy and Student Privacy Notice which explains the storage and disclosure of personal details in greater detail.

• I agree to the College processing personal data contained in this form, or other data which the College may obtain from me or other sources, for any purpose connected with my studies, health, welfare, safety or for any other legitimate purpose. I understand that without this agreement, the College is unable to process my application.

• I hereby make a formal application to study at All Nations Christian College and confirm that to the best of my knowledge the information given in this application and in the supporting documents is accurate and complete. I am in good physical and psychological health to undertake this training. I accept that if any of the enclosed information is found to be untrue or misleading All Nations Christian College reserves the right to either refuse entry or dismiss me from the course.
I agree*

Clear
Please verify that you are human*

Should be Empty: