Is English the primary language spoken in your home? □YES □ NO If no, what language?
Have you ever been convicted of a criminal offense?
If yes, please attach an explanation on the nature of the offense.
Do you have any medical conditions that will affect the completion of your courses? If yes, please attach information about the nature of the condition.
Do you have any special dietary requirements for religious or health reasons? If yes, please state your food requirement(s)
Emergency contact details (The person to contact in case of an emergency)