Request edit access
Burn Radio Academy
Explore the Heights!!
Sign in to Google to save your progress. Learn more
Details of the Applicant:                                                                                                             Surname:     *
Other Names: *
Gender: *
Date of Birth: *
MM
/
DD
/
YYYY
Email: *
Residence: *
Tel: *
Marital Status: *
Occupation: *
Profession: *
Skills: *
Health Status      Allergies if any
Drug Dependecy
Specify areas of interest from this Radio Academy *
Mode of payment preffered *
Payment plan *
How did you know about Burn Radio Academy *
Next of kin:   Name *
Relationship(Next of Kin) *
Tel / email (Next of kin) *
Admission Requirements: *
Required
CERTIFCATION FROM THE APPLICANT / GUIDAIAN :                                                 We accept the process of admission undertaken by the school and I will abide by the decision taken by the school authorities. *
Required
We also understand that the application/registration /wait listing does not guarantee admission to my admission *
Required
I understand that if the information provided by me  in this form is found to be incorrect of false now or later  will automatically be exempted from admission without any correspondence in this regard. *
Required
I understand after training I will be given an opportunity by the Radio Academy to serve or intern on the Academy station for at least three months ,ahead of confirmation in my training. *
Required
We have studied the Radio Academy Rules and Regulation and appreciate the value of this radio. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms