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{
"title": "Visionary Media Academy (VMA) - Application for Admission (S.4 Leavers)",
"description": "Please complete all sections of the form. Ensure you attach all required documents and provide accurate information.",
"sections": [
{
"title": "Course Selection",
"questions": [
{
"type": "multiple_choice",
"question": "Select the program you are applying for:",
"options": [
"Diploma in Photography & Videography (2 Years)",
"Certificate in Photography (1 Year)",
"Certificate in Video Production (1 Year)"
],
"required": true
},
{
"type": "short_answer",
"question": "Intake Applying For (e.g., January 2026):",
"required": true
}
]
},
{
"title": "Section A: Personal Details",
"questions": [
{
"type": "short_answer",
"question": "Full Name (as on UCE Results):",
"required": true
},
{
"type": "date",
"question": "Date of Birth:",
"required": true
},
{
"type": "multiple_choice",
"question": "Gender:",
"options": [
"Male",
"Female"
],
"required": true
},
{
"type": "short_answer",
"question": "Nationality:",
"required": true
},
{
"type": "short_answer",
"question": "National ID Number (NIN) or Passport No.:",
"required": true
},
{
"type": "paragraph",
"question": "Current Address:",
"required": true
},
{
"type": "short_answer",
"question": "Phone Number:",
"required": true
},
{
"type": "short_answer",
"question": "Alternate Phone:",
"required": false
},
{
"type": "short_answer",
"question": "Email Address:",
"required": true
}
]
},
{
"title": "Section B: Parent / Guardian Information",
"questions": [
{
"type": "short_answer",
"question": "Full Name:",
"required": true
},
{
"type": "short_answer",
"question": "Relationship to Applicant:",
"required": true
},
{
"type": "short_answer",
"question": "Phone Number:",
"required": true
},
{
"type": "short_answer",
"question": "Email:",
"required": false
},
{
"type": "short_answer",
"question": "Occupation:",
"required": true
}
]
},
{
"title": "Section C: Academic Background",
"questions": [
{
"type": "short_answer",
"question": "Name of Last School Attended:",
"required": true
},
{
"type": "short_answer",
"question": "Year of Completion (S.4):",
"required": true
},
{
"type": "short_answer",
"question": "UCE Index Number:",
"required": true
},
{
"type": "grid",
"question": "UCE Results - Compulsory Subjects",
"rows": [
"English Language",
"Mathematics",
"History & Political Education",
"Physics",
"Chemistry",
"Biology",
"Geography"
],
"columns": [
"Distinction",
"Credit",
"Pass",
"Fail",
"Not Taken"
],
"required": true
},
{
"type": "checkbox",
"question": "Select any optional subjects you studied:",
"options": [
"Religious Education (CRE or IRE)",
"Entrepreneurship",
"Kiswahili",
"Pre-vocational subjects",
"Uganda Sign Language",
"Performing Arts (Music, Dance, Drama)",
"Art & Design",
"Literature in English",
"Agriculture",
"Foreign Languages (French, German, Arabic, Latin, Chinese)",
"Local Languages",
"Nutrition and Food Technology",
"Information Communication and Technology (ICT) Skills",
"Technology and Design",
"General Science (for learners with special learning needs)"
],
"required": false
}
]
},
{
"title": "Section D: Personal Statement",
"questions": [
{
"type": "paragraph",
"question": "Briefly explain why you want to study Photography and Videography and why you have chosen the Visionary Media Academy (max 200 words):",
"required": true
}
]
},
{
"title": "Section E: Requirements Checklist",
"questions": [
{
"type": "checkbox",
"question": "Please confirm you have attached the following documents:",
"options": [
"A fully completed and signed admission form",
"Two (2) recent passport-sized photographs",
"A clear photocopy of your UCE Result Slip or Certificate",
"A clear photocopy of your National ID or previous School ID",
"A bank slip as proof of payment for the non-refundable application fee of UGX 50,000/"
],
"required": true
}
]
},
{
"title": "Section F: Declaration",
"questions": [
{
"type": "short_answer",
"question": "Full Name (Declaration):",
"required": true
},
{
"type": "date",
"question": "Date (Applicant's Signature):",
"required": true
},
{
"type": "date",
"question": "Date (Parent/Guardian's Signature):",
"required": true
}
]
}
]
}