Thank you for your interest in our programme. Please complete the form below and pay an administrative fee of SGD95/- to process your application. Programme Application Form "*" indicates required fields X/TwitterThis field is for validation purposes and should be left unchanged.PERSONAL INFORMATIONName* FAMILY NAME, Given Name Gender*SelectMaleFemaleDate of birth* DD dash MM dash YYYY Upload your passport sized photo* Drop files here or Select files Max. file size: 256 MB. Country of birth*Nationality*Passport number*Email (please use a Gmail account)* Contact/ WhatsApp number*How did you hear about us?Select an option…Search EngineSocial MediaFriend/ColleagueNewsletter mailerOtherMAILING ADDRESS (Required for certificate mailing)Address*Address 2*CityState / Province / RegionPostal codeCountry*EDUCATIONAL QUALIFICATIONSHighest qualification attained*SelectSecondary school / GCE Ordinary LevelHigh school / IB / GCE Advanced LevelDiplomaBachelor's degreeMaster's degreePhD / EdDOthersCertificates and Transcripts*Please attach your highest relevant qualification certificate with transcripts. For non-native English speaker, please attach your highest English language proficiency results * Drop files here or Select files Max. file size: 256 MB. EMPLOYMENT HISTORYCurriculum Vitae*Please attached your recent CV. Drop files here or Select files Max. file size: 256 MB. COURSE PROGRAMME APPLYINGSelect programme*SelectIACT Practising Licence Programme: Special Needs Educational TherapistIACT Practising Licence Programme: Behaviourial TherapistIACT Practising Licence Programme: Reading TherapistIACT Practising Licence Programme: Dialogic-Diagnostic Arts TherapistIACT Practising Licence Programme: Special Needs Community PractitionerAETS Allied Membership Programme: Special Needs Educational Therapist (Chinese Programme)Advanced Licentiate in Inclusive and Special EducationLicentiate in Psychoeducational TherapyLicentiate in Diagnostic Projective Drawing and TherapyLicentiate in Child & Adolescent Counselling & TherapyLicentiate in Adolescent Development, Assessment & Intervention (Youth Work)Certificate Programme: Autism Spectrum Disorder 1 – IntroductionCertificate Programme: Autism Spectrum Disorder 2 – Assessment & TreatmentCertificate Programme: Autism Spectrum Disorder 3 – Key DomainsCertificate Programme: Counselling Students with Special Needs 1Certificate Programme: Counselling Students with Special Needs 2Certificate Programme: Special Needs Vocational Assessors 1Certificate Programme: Special Needs Vocational Assessors 2Certificate Programme: Special Needs Vocational Assessors 3Certificate Programme: Disability & Social Care Management 1 – Diagnostic CategoriesCertificate Programme: Disability & Social Care Management 2PERSONAL STATEMENTExplain why you want to take up the programme you have chosen*Minimum 500 words requiredDECLARATIONPlease review and accept the Terms and Conditions.*I declare that I have read and understood all the information provided by Merlion Academy (“Academy”) in this application and that all of the information I have supplied in the application form, to the best of my knowledge, that are true and correct. I acknowledge that my application for enrolment is subject to acceptance by the Academy which has the right to impose conditions. I further acknowledge that in the event that my application for enrolment is accepted by the Academy and in consideration of the provision of educational resources by the Academy, I will be bound, by the provisions of the student handbooks, regulations and policies of the Academy, and will be subject to the lawful instructions of the Academy. I understand that information contained on this form is collected for enrolment and administrative purposes. Personal information will not be passed onto any other external bodies without my authorisation unless a valid legal request has been made. I consent to the collection, use and disclosing of personal data by the Academy for the purpose of processing my application for study, administration and funding purposes (where applicable), subject to the provisions of the Personal Data Protection Act (“PDPA”). I consent to the reproduction and publication of any of my pictures or comments, taken by Merlion Academy in campus or in other events organised/co-organised by the Academy to be used for marketing purposes. I agree to the Terms and Conditions and understand that administrative fees are non-refundable. Course materials will be provided upon enrollment.