UCCI Short Course Application Form

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Entry Term

Course

Have you been pre-approved for a sponsorship for this course?
*Unless you have a confirmed sponsorship, please select "NO". All sponsorships will be verified by UCCI before being applied to the course.

Please select the sponsor

First Name

Middle Name

Last Name

Birthdate

Email Address

Mobile Phone

Mailing Address

Country

Street

City

Region

Postal Code

Sex

Are you currently employed?

Do you have current health insurance?

Health Insurance

Proof of valid medical insurance must be submitted to verify coverage

Passport

Copy of Passport Photo/Particulars page

Are you Caymanian or have Caymanian Status?

Please upload Acknowledgement of the Right to be Caymanian

Immigration Status

If you are not Caymanian, please upload a copy of your immigration passport page/immigration documentation

In place of your signature, please type your full legal name:

Please note: There is a $25 Application processing fee for UCCI short course applications. To pay, use the link displayed after submitting, or check your email for the application fee payment link to pay online.

Generate PIN

Yes

No

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UCCI Short Course Application Form

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