application for entry to the undergraduate part-time - University of ...

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QUALIFICATIONS COMPLETED (Examinations for which results are known, including those failed) Month Year Awarding body Subject/unit/module Level Result/ Grade Mont h Year Awarding Body Subject/unit/module Level Result/ Grade PROFESSIONAL QUALIFICATIONS TAKEN OR TO BE COMPLETED Month/ Year of Completion Qualification, Awarding Body and length of Study OTHER POST-SCHOOL QUALIFICATIONS (e.g DEGREE, HND etc) Month Year Awarding body Subject/unit/module Level Result/ Grade Month Year Awarding Body Subject/unit/module Level Result/ Grade ENGLISH LANGUAGE (If you are not a native English speaker, give details of your English Language qualifications below and provide copies of certificates) Month Year English Language qualification e.g TOEFL, IELTS Pass/Grade obtained PREVIOUS STUDY AT THE UNIVERSITY OF STIRLING? Please provide registration number and final year of study: _____________________________ CREDIT Please state whether you wish to be considered for credit for previous qualifications. I wish to be considered for credit for _______________________________________________ (Please include documentation)
EMPLOYMENT Details of Employment to date Nature of Work From To Month Year Month Year PT or FT SPECIAL NEEDS or SUPPORT required as a consequence of any disability or medical condition (see notes) PERSONAL STATEMENT (continue on separate sheet if necessary) Please give further information about your reasons for wishing to undertake university study, and say how you think you would benefit from the programme of study for which you have applied. Please also give any other information you feel may be relevant to your application. REFERENCE - Please pass the enclosed reference form to your referee, to be returned separately to the Undergraduate Admissions Office Name Professional Relationship to Applicant Address Postcode DECLARATION I can confirm that, to the best of my knowledge, the information given in this form is correct and complete and no information requested or other material information has been omitted. I give my consent to the processing of my data. (See Data Protection statement overleaf) I accept that if I do not fully comply with the University’s requirements, the University has the right to cancel my application and I shall have no claim against the University in relation thereto. Applicant’s Signature: ______________________________________________________ Date: ___________________ To help effective advertising in the future we would be grateful if you could state how or where you first heard of the Parttime Degree Programme.
Page 1: APPLICATION FOR ENTRY TO THE UNDERG

application for entry to the undergraduate part-time - University of ...

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