Eligibility Form
SELECTED PROGRAMME - Global Online MBA (W31609)
MBA Specialism: Marketing & Sales Management
Finance
Entrepreneurship
Health Management
Project Management
Media 
HRM
Events Management
Banking
Hospitality & Tourism Management
Leadership and Innovation
Logistics and Supply Chain Management
PERSONAL DETAILS
Programme Name
Master of Business Administration
(Global Online)
Course Code
Start Date
Jan/May/September
Academic Year
W31609
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 Institution
Year of Leaving (yyyy)
Title of Highest Award
Please provide details of your qualifications, including professional qualifications, most recent first.
Qualification
Subject
Are you currently studying for a qualification
Institution
YES/NO *
Result
Is English your first language
Exam Year (yyyy)
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 (W31609)
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 (W31609)
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 disability? *
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 information I have provided on this Eligibility Form 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
all the information you
have provided is true
Signature:
YOUR TYPED NAME WILL BE ACCEPTED AS YOUR E-SIGNATURE
Date:
FOR SUBMISSION TO [email protected]
Edinburgh Napier University, Craiglockhart Campus, Colinton Road, Edinburgh EH14 1DJ
Edinburgh Napier University is a registered Scottish charity. Registration number SC018373
Eligibility Form © Edinburgh Napier University 2012. All rights reserved