CSST

5 - 10 July 2010

Name:
Age & Gender
Full-Time Student? Yes or No:
Students: to qualify for the student rate, you must be enrolled in full time education. Please supply the name of your institution.
Students: please supply the name and email address of an academic reference who can verify your enrollment status.

Telephone:
Mobile:

Email Address:

Educational Background - highest qualification obtained or studying for:

Work Experience - current job for those in employment:

Referee Information - Please include the name and email address of a pastoral worker who knows you well.
Have you been on a Christian Heritage course before? If so, which one and when?

Referral Method -
How did you find out about this course?

If accepted, will you need accommodation at Westminster College?

Do you have any mobility or dietary restrictions? Please be specific:

We will contact you regarding payment once we have accepted your application.

Rachel Thorpe, 05/11/2009