The PGA Education Registration Form

Registration

Personal details and contact information - Step 1 of 8

Title *

First Name *

Middle Name

Last Name *

Gender *

Email *

Date of Birth *

Ethnic Origin *

White
Black - Caribbean
Black - African
Black - Other
Asian - Indian
Asian - Pakistani
Asian - Bangladeshi
Asian - Chinese
Asian - Other
White/Black Caribbean
White/Black - African
White and Asian
Other Mixed
Other
Not Known
Information Refused

Have you applied for the University of Birmingham before? *

If yes, please state your ID number

Address Line 1 *

Address Line 2 *

City *

State/Province/Region *

Postal Code *

Country *

Home Number *

Mobile Number *

Name of Employing Golf Establishment

Club Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Club telephone number

Your Handicap *

Maximum Handicaps: Men, 6.4. Women, 8.4.

What is your CDH number?

Please fill out this part of the form unless you have professional status

Please upload your latest CONGU handicap certificate

Click or drag a file to this area to upload.

Please upload your forms here unless you have professional status.

upload your previous 12 months playing history *

Click or drag a file to this area to upload.

Nationality *

If you have dual nationality please state your second nationality

Country of birth *

Country of permanent residence *

UK/EU National only - Have you, apart from holidays, lived in the UK continuously in the UK or EU for the past three years?

If no, in which other countries have you lived? Please give details and dates

If you answered yes to the previous question please put N/A.

If you are a non-EU national with indefinite leave to remain in the UK please attach documentary proof e.g. photocopy of a letter from the Home Office

Click or drag a file to this area to upload.

If you are a non-EU national do you require a Visa to study in the UK?

If yes, please provide your passport number

Please list grades that meet the minimum requirements *

Please upload any academic certificates you have *

Click or drag files to this area to upload. You can upload up to 100 files.

Please select the level of highest academic qualification you currently hold. *

Options 1 to 14 must have been obtained in a higher education setting. Please only select option 20 - Not Known if none of options 1 to 18 apply

If you selected options 15 to 17 Please provide the details of the level 3 qualifications you have obtained in the space below. For each qualfication, please list; Type (e.g. A level, International A level, BTEC Diploma, BTEC Certificate et.), Subject (e.g. English, Maths etc), Year obtained Grade

Please provide the name of the last academic institution you attended *

If this is an institution in the United Kingdom, please also provide the address and postcode of its main campus

Have you ever started a higher education course (Above A Level or equivalent) in the UK before and if so, did you attend this course for longer than 6 months? *

Do any of your parents have any higher education qualifications such as a degree, diploma or certificate of higher education? *

Yes
No
Don't Know
Information Refused

The University of Birmingham and The PGA have long been committed to supporting students with disabilities, including dyslexia and other health conditions. In order to allow us to provide the best available support for you we need to know about the nature of your disability and how it might affect your training. This will not affect judgements concerning academic suitability for the course, and will be treated confidentially. It will enable data to be collected from which the progress of equal opportunities for disable students in higher education can be monitored. Please select the most appropriate from the below: *

None
Specific learning difficulties e.g. dyslexia
Blind or partially sighted
Deaf or hard of hearing
Wheelchair user or mobility difficulties
Personal care support
Mental health difficulties
Unseen disability e.g. diabetes
Multiple disabilities/Special needs
Disability/Special need not listed
Autistic spectrum disorder

Data Protection. I agree that information relating to my training may be released to the University of Birmingham and my employing Professional. *

As a professional body, the PGA takes protection of personal information seriously. We will hold information relating to you and strict accordance with the Data Protection Act 1998. The information we hold on you will be shared with the University of Birmingham and will be used solely for the purpose of your training and will not be sold or passed on to third parties, either by the PGA or the University of Birmingham.

We may share your contact information for marketing purposes with a legitimate third-party organisations that are involved with and/or support the Association. Contact by these carefully selected groups maybe by post telephone fax or email. Would you like to be contacted by these carefully selected groups?

Criminal Records Bureau Check. I agree to the appropriate DBS check been carried out and will forward the necessary documentation within 14 days of receipt of my application acceptance letter. (Please note: DBS reports highlighting policing records cautions reprimands final warnings or convictions may not necessarily by you for entering the Training Programme. *

You are required to complete a disclosure application form for the PGA to undertake an enhanced check (Disclosure and Barring Service (DBS), Protecting Vulnerable Group Scheme or, Garda Vetting as applicable) on your background prior to undertaking the Training Programme. A Criminal Records Bureau Disclosure Application Form and Guidance Notes will be sent to you when your application has been accepted. You are required to complete, sign and return this form together with the necessary enclosures.

Required by the University of Birmingham. *

I declare that the information I have given is true and complete and, being admitted to be a student at the University of Birmingham, promise to obey the Charter, Statutes, Ordinances, Regulations and Codes of Practice to submit to discipline and uphold its honour and credit to the best of my ability, both while a student and if admitted to a degree as a graduate. I understand that any mis-statement by me about my qualifications or circumstances may lead to the termination of my registration as a student. I agree to the University of Birmingham processing personal data obtained as part of online registration, or other data that the University may obtain for me or other sources in accordance with the Data Protection Act 1998. I agree to the processing of such data for any purposes connected with my studies, my health and safety, or any other legitimate reason and to the publication of my degree classification and my studies. I understand that my academic data may be disclosed to organisations acting as my sponsor.

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