BRITEthink Academy Enrolment

Learner profile

First name^*

Last name^*

Gender^*

Phone number^*

Email^*

Password^*

Password must be at least 7 characters long.

Country of Birth^*

Nationality^*

Birth Date^*

Do you have any medical or learning disabilities we should be aware of?^*

Yes, I have
No, I have not

Please specify^*

Education

Name of your highest previous qualification^*

Name of institution^*

Graduation year^*

Submit your application

Full name^*

Please write your full name here.
This will act as a digital signature.

Terms of this application^*

I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application or interview may result in withdrawal of my application.

I agree to the terms below

Third party data sharing^*

By ticking this box, I also agree that my data can be shared with third party colleges and universities. We pass information at the end of your course to help you gain access to your higher education course.

I agree

Application Date

30th November 2022

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