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Student Application Form
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Caspian School of Academics
Student Application Form
Step 1 of 9
The fields marked as * are mandatory.
Personal Details
*Title:
-Select-
Mr
Dr
Mrs
Miss
Ms
Other
*First Name:
Middle Name:
*Last Name:
*Gender:
-Select-
Male
Female
Maritul Status:
Single
Married
*Date of Birth:
--Select--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--Select--
January
February
March
April
May
June
July
August
September
October
November
December
--Select--
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
*Birth Country:
--Select--
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua And Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burma (Union Of Myanmar)
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Congo, Democratic Replublic Of
Costa Rica
Côte D'ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong (Special Administrative Region Of China)
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, People's Democratic Republic Of
Korea, Republic Of
Kosovo
Kuwait
Kyrgyzstan
Laos, The Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao (Special Administrative Region Of China)
Macedonia, Former Yugoslav Rep. Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia, Fed.States Of
Moldova, Republic Of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occ
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts And Nevis
Saint Lucia
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St Vincent & The Grenadines
Stateless Exc Hk/Palestine, 1954 Conv
Stateless Refugee 1951 Conv
Stateless Refugee Other
Sth Georgia & Sandwich Isl.
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Timor-Leste
Togo
Tonga
Trinidad And Tobago
Tristan Da Cunha
Tunisia
Turkey
Turkish/Rep Of Nrth Cyprus
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
Union Of Soviet Socialist Republics (Ussr)(Until 1991)
United Arab Emirates
United Kingdom
United States
Uruguay
Us Minor Outlying Islands
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
*Nationality:
--Select--
Afghan
Albanian
Algerian
American
Andorran
Angolan
Antiguans
Argentinean
Armenian
Australian
Austrian
Azerbaijani
Bahamian
Bahraini
Bangladeshi
Barbadian
Barbudans
Batswana
Belarusian
Belgian
Belizean
Beninese
Bhutanese
Bolivian
Bosnian
Brazilian
British
Bruneian
Bulgarian
Burkinabe
Burmese
Burundian
Cambodian
Cameroonian
Canadian
Cape Verdean
Central African
Chadian
Chilean
Chinese
Colombian
Comoran
Congolese
Congolese
Costa Rican
Croatian
Cuban
Cypriot
Czech
Danish
Djibouti
Dominican
Dominican
Dutch
Dutchman
Dutchwoman
East Timorese
Ecuadorean
Egyptian
Emirian
Equatorial Guinean
Eritrean
Estonian
Ethiopian
Fijian
Filipino
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Greek
Grenadian
Guatemalan
Guinea-Bissauan
Guinean
Guyanese
Haitian
Herzegovinian
Honduran
Hungarian
Icelander
I-Kiribati
Indian
Indonesian
Iranian
Iraqi
Irish
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakhstani
Kenyan
Kittian and Nevisian
Kuwaiti
Kyrgyz
Laotian
Latvian
Lebanese
Liberian
Libyan
Liechtensteiner
Lithuanian
Luxembourger
Macedonian
Malagasy
Malawian
Malaysian
Maldivan
Malian
Maltese
Marshallese
Mauritanian
Mauritian
Mexican
Micronesian
Moldovan
Monacan
Mongolian
Moroccan
Mosotho
Motswana
Mozambican
Namibian
Nauruan
Nepalese
Netherlander
New Zealander
Nicaraguan
Nigerian
Nigerien
Ni-Vanuatu
North Korean
Northern Irish
Norwegian
Omani
Pakistani
Palauan
Palestinian
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Polish
Portuguese
Qatari
Romanian
Russian
Rwandan
Saint Lucian
Salvadoran
Samoan
San Marinese
Sao Tomean
Saudi
Scottish
Senegalese
Serbian
Seychellois
Sierra Leonean
Singaporean
Slovakian
Slovenian
Solomon Islander
Somali
South African
South Korean
Spanish
Sri Lankan
Sudanese
Surinamer
Swazi
Swedish
Swiss
Syrian
Taiwanese
Tajik
Tanzanian
Thai
Togolese
Tongan
Trinidadian or Tobagonian
Tunisian
Turkish
Tuvaluan
Ugandan
Ukrainian
Uruguayan
Uzbekistani
Venezuelan
Vietnamese
Welsh
Welsh
Yemenite
Zambian
Zimbabwean
NI Number:
Tel Day:
Tel Evening:
Mobile:
Fax:
Email:
*Ethinic Origin:
--Select--
White
White - (31) English/Welsh/Scots/Northern Irish/British
White - (160) English/Scottish/Welsh/Northern Irish/British
White - (32) Irish
White - (166) Irish
White - (33) Gypsy or Irish Traveller
White - (163) Gypsy or Irish Traveller
White - (168) Roma
White - (179) Any Other White Background
White - (44) Any Other White Background
Mixed - (35) White and Black Caribbean
Mixed - (36) White Black African
Mixed - (37) White Asian
Mixed - (140) White/White British and Asian/Asian British
Mixed - (141) White/White British and Black African/Black African British
Mixed - (142) White/White British and Black Caribbean/Black Caribbean British
Mixed - (38) Any Other Mixed Multiple Background
Mixed - (159) Any Other Mixed or Multiple Ethnic Background
Arab - (180)
Arab - (899) Any Other Ethnic Background
Asian - (39) Indian
Asian - (103) Indian or Indian British
Asian - (40) Pakistani
Asian - (104) Pakistani or Pakistani British
Asian - (41) Bangladeshi
Asian - (100) Bangladeshi or Bangladeshi British
Asian - (42) Chinese
Asian - (101) Chinese or Chinese British
Asian - (43) Any Other Asian Background
Asian - (119) Any Other Asian Background
Black - (120) African or African British
Black/African/Caribbean/Black British - (44) African
Black - (121) Caribbean or Caribbean British
Black/African/Caribbean/Black British - (45) Caribbean
Black/African/Caribbean/Black British - (46) Any Other Black Background
Black/African/Caribbean/Black British - (47) Arab
Black - (139) Any Other Black Background
Prefer not to Disclose
Prefer not to Say - (998)
Not known
Other
*Disability:
--Select--
Yes
No
*Have you ever been convicted of a criminal offence, have pending prosecutions or current court proceedings?:
--Select--
Yes
No
Religion:
--Select--
No religion
Bahai
Buddhist
Christian
Christian - Church of Scotland
Christian - Roman Catholic
Christian - Protestant
Christian - Other denomination
Hindu
Jain
Jewish
Muslim
Sikh
Spiritual
Any other religion or belief
Information refused
Prefer not to say
Sexual Orientation:
--Select--
Asexual
Bi/Bisexual
Gay man
Gay woman/lesbian
Heterosexual/straight
Queer
Information refused
Other
Gay or lesbian
Prefer not to say
Parental Education:
--Select--
Yes
No
No response given
Not known
Prefer not to say
Care Leaver:
--Select--
Care leaver
Care experienced
Self-declared care experience but not confirmed
No experience of care
Not known
Prefer not to say
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