Wesley House Information and Enquiry Form This form is intended to gather some initial information about you so that we can discuss your interest in Wesley House. It does not commit you to making an application. If you and we agree to proceed we will ask you for further details of your circumstances and academic record. The information you give will be held in accordance with our Privacy notice for Students Your details Title First Name(s) The name you prefer to use Surname Date of birth (dd/mm/yyyy) Home address Email address Nationality Country where you live Visa requirements: I have the right to study in the UK and do not require a student visa.I do not have the right to study in the UK and would require a student visa Are you a Methodist? YesNo Do you have any necessary permissions to study from your church authorities?YesNo What is your current role/work in your church or educational institution? Current qualifications When you start this course, what will be your highest qualification level? Which institution awarded this qualification? What subject is it in? What course of study are you enquiring about? (please complete only one of these) Short term eg Easter School, Pastoral Supervision (please specify) Taught Course eg Masters, Diploma in Theology for Ministry (please specify) Research Degree PhD, MPhil, DProf (please specify) Do you plan to study full-time or part-time? Full-timePart-time Do you need accommodation in Cambridge? YesNo Funding Will you require bursary funding from Wesley House in order to study here? NoYes Wesley House bursaries are limited. We normally direct bursary funding to applicants who a) are Methodists and/or members of a church with historical links to the British Methodist Church b) Are current or potential theological educators c) Have the support of their head of church (Presiding Bishop or equivalent) If you will require bursary funding from Wesley House please tell us how you meet these criteria. Please give contact details for your Head of Church whom we may contact about their support for an application from you Data Consent Wesley House may store my personal data (without this permission we can not progress your request) YesNo Wesley House may send me news, including information about courses. YesNo Wesley House may send me news about the Holiness journal. YesNo
