Eligibility Form

selected programme
Global Online MBA (W39641)

personal details
Programme Name Master of Business Administration Course Code W39641
(Global Online)

Start Date Jan/May/September Academic Year

Title
Surname
First Name(s)
Date of Birth (dd/mm/yyyy)
Gender

Home Address Line 1

Home Address Line 2
Home Address Line 3
Home Address Line 4
Home Address Postcode
Permanent Domicile
Length of Stay at above (yrs) (months)
Home Country
Country of Birth *
Nationality *
Home Telephone Number
Mobile Telephone Number
Email Address
* as shown on Passport
education
Last Instituion
Year of Leaving (yyyy)
Title of Highest Award

Please provide details of your qualifications, including professional qualifications, most recent first.
Qualification Subject Institution Result Exam Year (yyyy)

Are you currently studying for a qualification YES/NO * Is English your first language YES/NO *
* Delete as applicable. Applicants whose first language is not English must provide evidence of recent formal
qualifications they hold to prove English language skills.
 Eligibility Form (continued)
selected programme
Global Online MBA (W39641)

employment
Please provide details of your Employment. List your present or most recent job first.
Employer/Company Job Title From (mm/yy) To (mm/yy) Full/Part Time

personal statement
It is important that applicants submit a Personal Statement with their application. This is used to tell us why you are
interested in the MBA programme. In your statement, please include information describing your academic interests,
relevant work experience and reasons for applying to Edinburgh Napier University.
 Eligibility Form (continued)
selected programme
Global Online MBA (W39641)

work experience
Please enter the details of your referee. This should be an individual who is capable of commenting on the relevance
of your work experience in relation to your capacity to cope with the academic demands of the MBA programme.
Please submit evidence of this work experience from your employer.

supplementary details
These details do not form any part of your application/decision process. However, we are unable to make a final offer
to you without this information.

Your Ethnicity
Have you studied in Higher Education before? * YES / NO
Name of Institution
Country of Institution
Do you have a disablity? * YES / NO
Do you have a relevant criminal conviction? * YES / NO

* Delete as applicable

submission
Where did you find out about the study opportunities at Edinburgh Napier University? Please select from the list.

Advert (Press) Edinburgh Napier website

Advert (online) Website (other)
British Council University/College
Employer International Representative/Agent
Prospectus Word of Mouth
Recruitment Event Other

declaration
I certify to the best of my knowledge and belief that the infomation I have provided on this applcation is correct. I understand that
a false declaration could lead to my withdrawal from the University. I confirm that I have read and understood the Data Protection
section of the form which outlines the purposes for which my data may be processed in accordance with the Data Protection Act
1998. I consent to Edinburgh Napier University and Southpoint Education International processing my personal data on this form
or other data obtained from me whilst an applicant or student for these purposes.

Please sign to confirm that Signature:

all the information you
have provided is true Date:

Edinburgh Napier University, Craiglockhart Campus, Colinton Road, Edinburgh EH14 1DJ
For help and assistance please email admissions@seidegrees.com

Edinburgh Napier University is a registered Scottish charity. Registration number SC018373 Eligibility Form © Edinburgh Napier University 2012. All rights reserved