MCWILMCohort2 Student info form — UCAN | UK Church Administrator Network

This form will collect the required personal information for your ILM registration. Your submission will be emailed to Andrew Bagwell and will be used for the purposes of course administration only. You can read UCAN’s privacy policy here: https://www.churchadministrators.net/privacy-policy

Full name

Confirm your name as you wish it to appear on your formal ILM registration and course certificate

First Name

Last Name

Your preferred contact phone number

Emergency Contact - name

Emergency contact - relationship to you

Emergency Contact - telephone number

Date of Birth (- American format MM DD YYYY!)

Month first, then date, then year

YYYY

Home Address incl. postcode

This needs to be your personal address for ILM purposes, not your work address

Would you like to be invited to a WhatsApp group for cohort communication

Yes

If yes, what mobile number should we use for WhatsApp?

UCAN is the United Kingdom Church Administrators Network, a not for profit company limited by guarantee no. 10660800. Our registered office is 27 Old Gloucester St., London, WC1N 3AX. | info@churchadministrators.net | Tel: 0300 302 1887 | Privacy Policy