Postgraduate Application Form - Faculty of Health and Life Sciences

Postgraduate Programme in RehabilitationAnette Du Plooy, Programme AdministratorOxford Brookes UniversitySchool of Health and Social CareMRG48, Jack Straw’s LaneOxford OX3 0FLENGLANDTel: +44 (0)1865 488111Email: rehabilitation@brookes.ac.ukHome/EU ApplicantsThank you for your enquiry regarding the above named programme that is offered atthe School of Health and Social Care, Oxford Brookes University.To help you through the application process there is a checklist and FAQ sheet inthis pack, which highlights everything that you will need to return to us in order tohave your application processed and be considered for a place.Application formThe postgraduate application form is to be completed and signed, then returned(ideally, with all supporting materials including references and funding statements insealed envelopes) to the University’s Admissions Office. Please make sure that youhave completed all sections you need to complete prior to returning the application tothe Admissions Office.FundingOn the Funding Statement, you will need to fill in the form and tick one of the optionsregarding funding.At http://www.brookes.ac.uk you will find further information about studying at OxfordBrookes University and the School of Health and Social Care. Programmes at theSchool are consistently given high ratings in Quality Assurance Agency reviews. Aswe receive a high volume of applications, we recommend that you read theinformation provided closely and act early in order to avoid disappointment.If you have any specific questions that are not covered in this application pack or onthe web, then please feel free to contact me via email rehabilitation@brookes.ac.uk,making it clear in the Subject heading that you are enquiring about the RehabilitationProgramme or modules therein, or by phone on 01865 488111. My office hours are8.00am – 4.00pm Mon-Thurs, 8.00am – 12.00pm Friday.We hope this programme meets your continuing professional development needsand we look forward to hearing from you and assisting you with the applicationprocess.Kind regards.Anette Du Plooy

EU/UK Checklist of Documents in this Mailing- Postgraduate Programme in RehabilitationItemCovering letterGeneral Course InformationFrequently Asked Questions (FAQ) DocumentApplication Form and Reference Forms for Long CourseFunding StatementChecklist of Documents to Return with your Application to theUniversity Admissions OfficeThe Admissions Office mailing address is printed at the top of the application form.ItemApplication FormTwo Reference FormsCertified copies of Higher Education CertificatesEnglish Language Certificate (to be no more than 2 years old ifIELTS or TOEFL) if English is not your first language for EUapplicants onlyFunding StatementIf you can tick all the above boxes you are ready to return your applicationform.

PGCert, PGDip, MScMSc, PGDip, PGCertRehabilitationNeurologicalPostureManagementMusculoskeletalChoose your ownpathway...This master’s level course is open to all health andsocial care professionals who wish to explorerehabilitation theories and concepts in relation to theirown practice.nurses, occupational therapists, physiotherapists,case managers, orthotists, chiropractors, doctors,social workers, disability workers, and people who work in anarea where rehabilitation is a key focus.We welcome EU and international applicants. The course is open to people whoare not in current clinical practice. Please contact the Programme Administratorfor more information.School of Health and Social CarePromoting Excellence in Continuing Professional Development

REHABILITATIONCourse overviewThe Rehabilitation course offers three pathways, each of which result in anamed award,• Neurological (application code HC83 NEU)• Musculoskeletal (application code HC83 MUS)• Posture Management. (application code HC83 POM)Note: For this pathway you have to enter with 60 CATS credits withthe Posture Management course, taught by the Oxford Centre ofEnablement, Nuffi eld Orthopaedic Centre, Oxford.NeurologicalPostureManagementThese pathways will give you the opportunity to challenge and criticallyevaluate your clinical practice and expertise. You will refl ect on and challengethe knowledge, values and professional strategies of rehabilitation in order todevelop the skills to:• be a clinical leader and evidence-based expert in the fi eld ofrehabilitation• be an effective refl ective practitionerMusculoskeletal • respond to the rehabilitation research agenda• work within an interdisciplinary team, across traditional boundariesand where possible, in extended roles.Additionally, if you undertake the full MSc, you will develop the skills todesign and conduct a research project to further understanding and/or thedevelopment of a specifi c area of rehabilitation practice.Key facts...This course is not practice assessed and does not place students in practice. However, you are encouraged to use your professionalexperience as a source of knowledge, and to integrate new knowledge and skills, developed during the course, within your own practice.You can exit from these pathways at three different points, depending on your particular needs:• Postgraduate Certifi cate - Neurological and Musculoskeletal pathways only(PGCert) (three compulsory modules)normally taken over a 6 months full-time or 12 months part-time. > Worth 60 CATS credits.• Postgraduate Diploma (PGDip) (4 compulsory and 2 acceptable modules)normally taken over a 12 months full-time, or 1 – 2 years part-time. > Worth 90 CATS credits.• Master of Science (MSc) in Rehabilitation (5 compulsory modules and 1 acceptable module)normally taken over 12 months full-time or 2 - 3 years part-time. > Worth 180 CATS credits.The course is comprised of M Level• Single (s) modules worth 20 CATS credits usually requires:200 hours of student effort. 20 hours of university contact time.• Double (d) modules worth 40 CATS credits usually requires:400 hours of student effort. 40 hours of university contact time.• Treble (t) modules Dissertation only - worth 60 CATS credits.Modules run in Semester 1, September start and in Semester 2, January start. You can study full-time, part-time or mixed mode.Note: Oxford Brookes operates the European Credit Transfer System (ECTS) all postgraduate single modules are equivalent to 10 ECTS credits, doublemodules 20 ECTS credits and Treble modules 30 ECTS credits. A full master’s carries 90 ECTS credits.Teaching is delivered at our Marston Road site in Oxford.We offer a range of long award and short course study opportunities in rehabilitation, for practitioners who are working with patients who requirerehabilitation. Go to our website for more details http://shsc.brookes.ac.uk/courses/cpd

Course philosophyThe rehabilitation course is founded on a beliefthat rehabilitation is a philosophy of care aswell as a process. As a philosophy it callsfor professionals to use strategies that areempowering and enabling with the client at thecentre. As a process it needs to be active anddynamic, responding to the client’s needs.Rehabilitation needs to begin at the onset ofan individual’s health care experience withvarying levels of intensity. It is dependent on acollaborative team approach with interventionswhich should focus on the individual’s changingneeds, experiences and personal priorities atany one time. Each individual’s experience will beinfl uenced by their personal, cultural and spiritualbeliefs as well as by their previous experience ofhealth, illness and personal crisis.The course team recognises the potentialphysical, psychological, spiritual and socialimpact of disability on individuals and their carers.This is in keeping with the School of Health andSocial Care’s strong commitment to fosteringa culture of inclusion and diversity in all of itsactivities. These include employment practices,student recruitment and support, curriculumdevelopment, teaching, assessment andresearch.The aim of rehabilitation is to enable individualsand their carers to adjust and cope effectively.For rehabilitation to be effective it must be basedon on-going assessment, planning and evaluationand involve a partnership between the individual,their social network and the health care team.REHABILITATIONPractice focusStudent supportA key feature of the course is the practicefocused sessions, which are led by clinicians,researchers or others who are expert in their fi eldwith a focus on a specifi c rehabilitation issue orskill. These sessions give you the opportunity torefl ect on and improve your expertise and skills,to discuss issues with practitioners in the fi eldand relate theoretical perspectives to practice.Oxford is considered a key location forrehabilitation professionals:• The Nuffi eld Orthopaedic Centre is a centre ofexcellence for orthopaedic, rheumatologicaland rehabilitation services. This includes theOxford Centre for Enablement, which providesa wide range of specialist services for peoplewith long-term conditions and disability,including rehabilitation, neurological conditions,specialist equipment and prosthetic limbs.• John Radcliffe Hospital, part of theAs a school we are committed to developing lifelonglearners who can develop their professionalskills and their ability to innovate in their areaof practice throughout their careers. We offera very friendly and supportive environment inwhich to learn. We have excellent teachingfacilities including state-of-the-art AVA classroomand lecture theatre facilities, dedicated clinicalskills suites and simulation resources, and fullynetworked computer rooms. We also haveexcellent library resources, accessible boththrough the web and through a range of locallybased facilities on University and NHS sites.All our courses adopt a student-centredapproach to teaching and learning and arestrongly focused on encouraging you to attainyour full potential as a lifelong learner. There isa range of support mechanisms for students,such as personal tutors and dedicated Universitysupport services.The Upgrade service is designed to support youwith advice on study skills such as planning andwriting essays, assignments and dissertations,research, or preparing for an exam. It also givesadvice on statistics and maths.There is also a dedicated Student DisabilityService, which provides support for studentswith disabilities including sensory and mobilityimpairments, dyslexia and other specifi c learningdiffi culties. It offers advice and support on a rangeof issues, including physical access, funding,alternative assessment arrangements and liaisonwith teaching staff to ensure that they are awareof your requirements.If you are an EU or international student, thereis a bridging programme to orientate you tothe culture of the university and the school.The programme also helps you to develop theappropriate academic skills required.Oxford Radcliffe Hospitals NHS Trust,with a focus on cardiac rehabilitation,stroke rehabilitation and children’s services.The teaching teamSally DavisAn experienced nurse whose focus ison rehabilitation theories and conceptsand has written numerous publicationsin these subject areas.Dr Farzaneh YazdaniCourse LeaderFarzaneh’s background is OccupationalTherapy (OT) with particular focus onpsychosocial aspects. Applying the Model ofHuman Occupation (MOHO), her researchstudies focussed on students’ subjectivewellbeing. She was a visiting scholar at theMOHO clearing house, University of Illinois, andwas designated as the MOHO representativefor the Middle East. Her interest in internationaldimensions of rehabilitation, and the broaderremit of ‘rehabilitation without borders’ hasincluded critical discussion of the concept ofrehabilitation among street working children inAfghanistan, ‘Therapy as justice’ in Jordan, andhow MOHO can be related to creativity andEarly Childhood Education in Kuwait.Dr David PorterAn experienced researcher who iscurrently leading a team of researchers,undertaking studies focused on childrenwith cerebal palsy.Tim AinslieAn experienced physiotherapist, whois leading on the physiological basesto musculoskeletal and neurologicalrehabilitation.Kati Eidenbenz-ChamberlainAn experienced occupational therapist,whose professional expertise includesneurological rehabilitation, older peopleand hand rehabilitation.

Specifi c entry requirementsPostureManagementAccess to the Rehabilitation courses is open topractitioners who meet the following criteria.You must:• Normally be a registered health or social careprofessional, with a registration acceptable tothe relevant United Kingdom Professional Body• Be able to produce evidence of the abilityto study at your proposed level of entry ifrequested.• Normally have at least 1 years’ ofprofessional practice experience.• Meet the English language requirements,outlined in the Oxford Brookes Universitypostgraduate regulations www.brookes.ac.uk/international/courses/postgraduate/apply• Be successful in the selection process forthis course (interview or other).REHABILITATIONNeurologicalMusculoskeletalIf you meet these criteria, your next step is tocontact the Programme Administrator for anapplication pack – see How to apply.Course feesFunding arrangements vary across the country.Oxford Brookes University has a contract with theSouth Central Strategic Health Authority coveringthe geographical areas of Oxfordshire, Berkshire(East and West) and Buckinghamshire.Self-funding students are also welcome to apply.International applicants should contact theProgramme Administrator, see How to applyfor more information. Oxford Brookes offersa limited number of scholarships to home/EU and international applicants. Please email:shscspgscholarship@brookes.ac.uk for details.Details of your funding arrangements will berequired when you apply.How to applyIf you would like an application form or moreinformation about the course, please contact theProgramme Administrator. When you submit yourapplication form, you will be required to forwardall the necessary documents such as references– please see the application pack where you willfi nd a: ‘Checklist of Required Documents.’Applications are dealt with on a fi rst come,fi rst served basis. Please act early to avoiddisappointment.Programme AdministratorTelephone: +44 (0)1865 488111Email: rehabilitation@brookes.ac.ukSchool of Health and Social Care, OxfordBrookes University, Jack Straw’s Lane,Marston, Oxford, OX3 0FL, UKFor general information about the school, visit ourwebsite: http://shsc.brookes.ac.ukWhy study at Oxford Brookes?• Oxford Brookes University continues to improve its position in the leaguetables due to good graduate prospects and stron student satisfactionratings. (The Times Good University Guide 2010)• Our courses are open to a wide range of health and social careprofessionals providing highly fl exible continuing professionaldevelopment (CPD) study opportunities with part-time, full-time andmixed mode options (increasing opportunities for e-learning, blendedand distance learning)• The school supports multi and interprofessional learning and teaching,and many of our courses are either fully multiprofessional or offer excellentopportunities for shared learning.• All our lecturers are experienced in their specialist practice area andmaintain excellent links with those areas locally or across the region.A number of our lecturers also have extensive national and internationallinks.• The school has a strong research profi le, with experienced researchersworking in established areas including Rehabilitation and Enablement;Supportive Cancer Care; and Public Health and Psychosocial Wellbeing(including Children, Young People and Families)• Oxford Brookes is rated internationally excellent across a broad range ofsubjects in the 2008 Research Assessment Excercise (RAE). 70% of ourresearch in Allied Health Professions and Studies was rated as being ofinternational signifi cance and of this, 10% was rated as world-leading.• Oxford Brookes is a student centered institution that is fully committed toeach individual achieving their potential. To support this, both the schooland the university offer a broad range of student support schemes tofacilitate learning and development (www.brookes.ac.uk/studying/brookeslife/support)• The school has been awarded the highest commendation possible, for allits programmes and courses, by the Quality Assurance Agency, followingtheir Major Review of the school’s educational provision in 2006.• We have a large and dedicated building in Oxford (Marston Road) and acampus in Swindon (Ferndale) with state-of-the-art classroom and clinicalskills simulation resources.• We have our own Osteopathic Clinics: Mill Court in Headington, Oxfordand at our Ferndale Campus in Swindon offering a very wide range ofosteopathic treatments to university students, staff, NHS staff and thegeneral public (http://shsc.brookes.ac.uk/osteoclinics).• Prior learning and experience from practice can be used as entry credit.• We have an excellent track record of high levels of student satisfaction, lowstudent attrition rates and high employability.To obtain a large-print copy of (or sections of) this publication or to enquire about other formats,please contact +44 (0) 1865 484848 or email query@brookes.ac.ukOxford Brookes University and the School of Health and Social Care actively support equality in education and welcome applications from allpeople representative of our diverse community.For more details please visit www.brookes.ac.uk/services/hr/eod or phone +44 (0) 1865 485929.091016_2606

Postgraduate Programme in RehabilitationUK / EU FAQ SheetIs there any funding available?Yes. The John Henry Brookes Scholarship is available to a select number ofapplicants. The selection is made by key members of the School and one individualfrom another School/Department within the University. Information about this and anapplication form can be found at:http://www.brookes.ac.uk/schools/shsc/students/scholarships.htmlFor those working for the NHS in the following counties, the likelihood is that thetuition fee will be covered by the South Central Strategic Health Authority. Pleasecheck with your Line Manager:• Berkshire• Buckinghamshire• OxfordshireWe therefore advise those not to apply for the Scholarship.There are also other funding opportunities. Please refer to the University’s webpages relating to this, staff within the Student Support Office will be able to assist:http://www.brookes.ac.uk/studying/finance/support/pg_homeDirect telephone no.: +44 (0)1865 483172Is the Postgraduate Programme mainly for those who are medically qualified?No. Students come from a variety of backgrounds:• From all clinical and non-clinical disciplines and professional groups withinhealth and social care organisations, as part of their continuing professionaldevelopment• Environmental workers• Volunteers• Those who have recently graduated with a 2:1 or above

How regularly will I have to attend the University for Lectures?We recognise the fact that the majority of UK students are combining study withwork, and so we try, wherever possible, to have modules running on one day, in themorning and afternoon. Lectures for modules run for a half-day.• Part-time students can expect to attend lectures once per-week.• Full-time students can expect to attend lectures two to three times per-week.Duration of Study• Part-time students are expected to complete their full Programme within threeyears from their date of enrolment.• Full-time students are expected to complete their full Programme withintwelve months from their date of enrolment.When do the Semesters run?The general rule is that Semester 1 runs for a twelve-week period from September toDecember and Semester 2 runs for a twelve-week period from late January to earlyMay. More detailed information can be found at:http://www.brookes.ac.uk/studying/teaching/calendarWhen completing the Postgraduate Application Form, do I need to indicatewhich career path I’m interested in?Yes, this would be helpful and can be hi-lighted in your Personal Statement.What should I write in my Personal Statement?The aim is to provide the Course Leader with information regarding your careerobjectives/plans and how your previous training and relevant work experience makesyou a suitable candidate, and what your future career aspirations are. Please writebetween 600 and 800 words.Will I be able to bring credits across from another Higher EducationInstitution?Yes, but this must be discussed on an individual basis with the Course Leader.How will I be assessed?The mode of assessment for the modules varies from discursive written assignmentsof 3,000 words or more, to examinations and group presentations. Furtherinformation is available from the Administrator and Course Leader.Where does the teaching take place?The majority of the teaching takes place at the School of Health and Social Care,Jack Straw’s Lane. Please go to the following link for the maps:http://www.brookes.ac.uk/schools/shsc/reachus.htmlParkingThere is no parking available either at the School, or on the Headington Campusbecause it’s situated in a residential area, and so we ask you to make use of theBrookes Bus, or the Park & Ride Facilities that are on offer:http://www.brookesbus.net/http://www.brookes.ac.uk/travel/buses/parkandrideAny other questions? You have the Administrator’s number on the cover letter,so give them a ring!

Postgraduate Application Form:notes for guidancePlease Note: This application form is for taught postgraduate courses only. If you wish to apply for a Research Degree (MPhil or PhD), the PGCE,a Graduate Diploma or any other named Diploma in Advanced Study - information about how to apply for these courses, as well as other postexperiencecourses is given in the postgraduate prospectus. Additional paper application forms can be downloaded from the University’s website orthe CD-ROM course prospectus. An electronic copy can be completed and submitted online; there is a link to the online application form from theUniversity’s website www.brookes.ac.uk/postgraduate/applicationPlease check the relevant course information on the current postgraduate prospectus CD-ROM, particularly entry requirements, before completing theapplication form. Copies of the prospectus are available from the Student Liaison Enquiry Centre, tel: +44 (0) 1865 484848, fax: +44 (0) 1865 483616,email: query@brookes.ac.uk. Postgraduate course information is available on-line at the following website: www.brookes.ac.uk/postgraduate1 Course DetailsPlease supply the name of the course to which you are applyingand the level of study (ie Master’s, Postgraduate Diploma orPostgraduate Certificate);Start date is usually September, but some courses have morethan one start date, or start at a different time of year – pleasecheck course information in the postgraduate prospectus or onlineat www.brookes.ac.uk/postgraduateUnder mode of study, tick the appropriate box – you must checkthat the course is offered in the mode which you have selected.2 Personal DetailsYou must complete all relevant sections, including nationality andcountry of domicile.For applicants not born in the UK or the European Union (EU),please indicate the date when you first entered the UK/EU; thedate when you most recently entered the UK/EU; and if relevant,the date on which you were granted permanent residence in theUK or EU. You will need to present your passport or other officialdocumentation which verifies residency at the time of registration.If you have never been to the UK/EU or you do not havepermanent residence in the UK/EU please leave this section blank.3 Your Education (including professional qualifications andtraining courses)Give the dates of attendance, name of institution, subject(s)studied and the result/qualifications obtained or expected (eg BAHons 2:1) for all your current or previous post-secondary andsecondary education. Include details of degrees or otherqualifications which you expect to obtain before attending theprogramme at Oxford Brookes University;If appropriate, give details of professional qualifications, includingdate when awarded, and details of membership of professionalbodies. If appropriate, give information on relevant trainingcourses, including length of course, dates, and awards.Please Note: If you are a non-UK applicant, you mustenclose a certified copy of your degree certificate or atranscript of your academic record to date.4 Your Employment / Professional Experience / UnpaidOccupationsDescribe any paid or unpaid work, which you have undertaken,and/or professional experience, which you have gained, givingdates, names of employers, job title and main responsibilities. Ifapplicable, give details of any voluntary work experience andunpaid occupations, eg raising a family.5 Your English Proficiency (Only fill in this section if English is NOTyour first or main language.)Please tell us about your qualifications and proficiency in English – ifyou do not already hold a recent acceptable qualification in English(eg IELTS or TOEFL), you must obtain one or successfully completea University Pre-Sessional course (UPS) before you can be admittedto a postgraduate course at the University. It is very important thatyou are able to understand and use English well, so that you canbenefit fully from your time at Oxford Brookes University.If you have any queries regarding acceptable English languagequalifications or would like to know more about UPS courses, pleasecontact ICELS, the University’s International Centre for EnglishLanguage Studies on tel: +44 (0) 1865 483874, fax +44 (0) 1865484377 or email: icels@brookes.ac.uk (www.brookes.ac.uk/go/ups)Please Note: You must enclose certified copies of anyEnglish Language Certificates, as evidence of your Englishproficency.6 Personal StatementPlease indicate why you are applying to this particular course.This should include: your motivation for wanting to take thisparticular course and what it is you expect to gain from thecourse; how the course relates (if at all) to your previouseducation; what you hope to achieve in terms of careerdevelopment by taking the course; what has influenced you topursue a postgraduate qualification; what you consider to be yourkey academic strengths and weaknesses; and a description ofyour ability to work independently and with others.7 Disability or Special Needsa) Disability or Special NeedsIn the box, please enter the code, which is the most appropriateto you from the list of statements below. Describe your conditionin the space provided and where it is not obvious (ie with unseendisabilities), indicate whether you have special needs.Disabilities/Support Required0 None.1 You have a specific learning difficulty (for example, dyslexia).2 You are blind or partially sighted.3 You are deaf or hard of hearing.4 You use a wheelchair or have mobility difficulties.T You have Autistic Spectrum Disorder or Asperger Syndrome.6 You have mental health difficulties.7 You have a disability that cannot be seen, for example, diabetes,epilepsy or a heart condition.8 You have two or more of the above.9 You have a disability, special need or medical condition that isnot listed above.continued over page...

) Criminal ConvictionsTo help us reduce the risk of harm or injury to our students causedby the criminal behaviour of other students, we must know aboutany relevant criminal convictions you have.Relevant criminal convictions are only those convictions for offencesagainst the person, whether of a violent or sexual nature, andconvictions for offences involving unlawfully supplying controlled drugsor substances where the conviction concerns commercial drugdealing or trafficking. Convictions that are spent (as defined by theRehabilitation of Offenders Act 1974) are not considered to berelevant and you should not reveal them (but see the next paragraph).If you are applying for courses in teaching, health, social work andcourses involving work with children or vulnerable adults, you musttell us about any criminal convictions, including spent sentencesand cautions (including verbal cautions) and bindover orders. Forthese courses, you may need an ‘enhanced disclosure document’from the Criminal Records Bureau or the Scottish Criminal RecordOffice Disclosure Service. We will send you the appropriatedocuments to fill in.Courses in teaching, health, social work and courses involvingwork with children or vulnerable adultsFor these courses, you must tick the box if any of the followingstatements apply to you.a I have a criminal conviction.b I have a spent criminal conviction.c I have a caution (including a verbal caution).d I have a bindover order.e I am serving a prison sentence for a criminal conviction.If statement e applies to you, you must also give the prison addressas your postal address on page 1 of your application and a seniorprison officer must support your application.All other coursesFor these courses, you must tick the box if either of the followingstatements apply to you.a I have a relevant criminal conviction that is not spentb I am serving a prison sentence for a relevant criminal conviction.If statement b applies to you, you must also give the prison addressas your postal address on page 1 of your application and a seniorprison officer must support your application.Convictions that are spent (as defined by the Rehabilitation ofOffenders Act 1974) are not considered to be relevant and you shouldnot reveal them.If you enter a tick in the box you will not be automatically excludedfrom the application process. However, we may want to consideryour application further or ask for more information before making adecision.If you are convicted of a relevant criminal offence after you haveapplied, you must tell us. Do not send details of the offence, simplytell us that you have a relevant criminal conviction. We may ask youfor further information.You may find the following website useful: Criminal Records Bureauwww.crb.gov.uk8 Names and Addresses of TWO RefereesPlease fill in Section 1 on TWO copies of the PostgraduateReference Form and send these to the TWO people you havenamed on the application form. Both referees should be able tocomment on the quality and standard of your recent academic orprofessional work;The referees should send the completed forms directly to OxfordBrookes University.9 FinancePlease indicate how you intend to finance your postgraduate courseand living expenses, including any scholarships to which you haveapplied and the results, if known.10 DeclarationPlease read the declaration on the application form carefully. Youmust sign it or we cannot process your application. When yousign the form, you agree to follow these conditions:a) The information you have given is complete and accurate.b) You have the right to cancel, withdraw or suspend your applicationthrough us. You can do this by writing to us within 10 working daysof the date of our official offer letter to you.c) Your application will normally be confidential between:■ you, your referees and the appropriate staff at the university;■ your school, college or training organisation and your examboard or awarding body;■ your student support assessment body, and/or The StudentLoans Company, if relevant;■ in the case of international applicants, the British Council orappropriate agency.However, we try to detect and prevent fraud, and have the right togive outside organisations, including the police, the Home Office,local authorities, exam boards or awarding bodies and the BenefitsAgency, relevant information from your application form.d) If we believe that you or your referee have left out any information orgiven false or misleading information, we may take any necessarysteps to check whether it is accurate or complete.e) We may, at any time, ask you, your referee or your employer toprovide more information about your application (for example, proofof identity, status, qualifications or employment history).f) We may use information from your application form to collectstatistics. We will not tell any other organisation or publish anyinformation that could identify you.g) If you accept an offer of a place from the University, you must acceptthe terms and conditions in our prospectus (under ‘Conditions ofAcceptance’) or in the contract we sent you with or before the offerof a place. You must read these terms and conditions carefully.Please return your completed application and additional relevant documentation to the address given at the top of the application form.

Application noPostgraduate Application FormPlease return to:Read enclosed notes before filling in this form. Please write in BLOCK CAPITALS, using black ink.1 Programme DetailsAdmissions Office, Oxford Brookes University, Headington Campus, Oxford OX3 0BP UKIf you wish to receive confirmation of the arrival of your application form, please complete your name andaddress on the receipt acknowledgement slip provided with this form.Postgraduate Taught Course: Master’s Degree Postgraduate Diploma Postgraduate CertificateTitle of Course:Proposed start date (month-year): Mode of study: Full-time Part-timeDistance/open learning (where available)Give details of your preferred choice of options where appropriate2 Personal DetailsTitle (eg Mr/Ms/Miss/Mrs etc):Country of birth:Surname/Family name:Country of domicile/Area of permanent residence:First name(s):Previous surname, if changed:Male Female (tick one)Date of birth (day-month-year):Nationality:Applicants not born in the European Union please stateif appropriate,Day Month YearDate of first entry to the EU:Date of most recent entry to the EU:Date from which you have beengranted permanent residence in EU:Address for correspondence:Telephone number (include country and city code):Daytime:Evening (if different):Email:(please print clearly as email is our preferred method of communication)Fax number:Home/permanent address (if different from above):Telephone number (include country and city code):Daytime:Evening (if different):Fax number:Email:

3 Your Education (secondary and post-secondary) including professional qualifications and training coursesDates (from - to) Institution (include location) Subject(s) Result (eg BA Hons 2.1)month/year - month/yearContinue on a separate sheet, if necessary4 Your Employment / Professional Experience / Unpaid OccupationsDates (from - to)month/year - month/yearBrief details (eg job title, company name, main responsibilities)Continue on a separate sheet, if necessary5 Your English ProficiencyIf your first or main language is NOT English, the University requires evidence of your level of ability in spoken and written English. If you donot already hold a recent acceptable qualification in English (eg IELTS or TOEFL), you must either obtain one or successfully complete a UniversityPre-sessional course (UPS) before you can be admitted to a postgraduate course at the University.Please tell us about any English language qualifications which you hold and enclose copies of certificates with your application form.a) IELTS score (the normal minimum requirement is 6 or 6.5, depending on the programme. Test score: ........................Date of test:.......................Certificate no:....................b) TOEFL score: The normal minimum requirement is 550 or 575 (paper based),or 213 or 232 (computer based) depending on the programme. Test score: ........................Date of test:.......................Certificate no: ...................c) Any other English qualification which you hold, or are about to take: Test name: ................................................................................Test score: ................................. Date of test:.......................If you do not hold an acceptable English Language qualification you can apply to attend a University Pre-sessional course. If you would like to takethis course please tick here.Details of the course are available from www.brookes.ac.uk/go/ups, or email: icels@brookes.ac.ukor telephone +44 (0) 1865 483874.

6 Personal StatementThis is an important section and the admissions staff will pay particular attention to what you write here. You should explain why you are applyingfor this postgraduate programme, what you expect to achieve from it, and how it relates to your academic and career development.(See notes for guidance).

7 Disabilities or Special Needsa) Disabilities or Special NeedsIf you have a disability, special needs or a medical condition which might affect your studies please give details below, and indicate thedisability category in the box. (See notes 7a)Disability or Special Needs Details...................................................................................................................................................................................................................................................................................................................................................................................b) Criminal ConvictionsIf you have a relevant criminal conviction, tick the box.Please see notes for guidance for a definition of relevant criminal convictions.8 Names and Addresses of TWO Referees (You must send enclosed reference forms to referees named below)(i) Name:Address:(ii) Name:Address:Tel:Fax:Email:Tel:Fax:Email:9 Finance9a UK/EU students only: 9b International students only:How do you expect to pay your tuition fees?How do you expect to pay your tuition fees?Research Council Sponsored by Employer Government grant Sponsored by Employergrant/studentshipYourself Other Yourself Other9cAll students: If you hope to obtain a grant or sponsorship, or funding from other sources,please give details (eg name of funding body/sponsor):10 DeclarationI confirm that the information on this form is complete and accurate and that no information requested or other material information has beenomitted. I give my consent to the processing of my data by Oxford Brookes University. I have read the Notes for Guidance and I undertake to bebound by the conditions set out therein.Signature: ................................................................................................................... Date: .............................................................................Office Use OnlyUnconditional Offer (date) .......................................................................................Agent Code/Stamp:Conditional Offer (date) ..........................................................................................Condition ...............................................................................................................Reject (date) ...........................................................................................................Reason ...................................................................................................................CSMS Course Code:Fair/Event Code:

Application noPostgraduate Source Questionnaire2006/07Oxford Brookes is constantly trying to improve the service it offers to prospective students.Please help us continue to do so by filling in the attached questionnaire and returning it with your application.Simply tick the appropriate boxes or fill in the spaces as required.Q1 Are you: Male FemaleQ2Q3How old are you?Please state which course you are applying for at Oxford Brookes:Q4a Before applying to Oxford Brookes University which of the following sources of information did you useto find out about the course you are applying for? (Please tick all relevant boxes in column a)Q4b For each source of information you used please indicate how satisfied you were with the quality of theinformation provided (please tick the relevant box in column b)The Oxford BrookeswebsiteThe Oxford BrookesPostgraduate ProspectusThe Oxford BrookesInternational GuideAn open evening atOxford BrookesA recruitment/highereducation fairAn internationalrepresentativeAn advert in amagazine/newspaperA radio advertThe British Councilabused very satisfied neither dissatisfied verysatisfied satisfied nor dissatisfieddissatisfiedQ5If you were Dissatisfied or Very Dissatisfied with the quality of the information providedplease say why below:

Q6How important were the following in making your decision to apply to Oxford Brookes?(Tick one box only in each row)very reasonably not particularly not at all not applicableimportant important important importantCourse contentCourse reputationCourse lengthThe course beingprofessionally accreditedReputation of the universitySocial lifeLearning support quality(eg computers/libraries)Facilities and support forpostgraduate studentsLocation (in Oxford)Personal recommendationContact with OxfordBrookes staffAwareness of academic’swork in chosen SchoolCampus tourEmployment prospectsPossibility of a scholarshipOverall costQ7 Have you considered applying to any other universities? Yes NoQ8If Yes, which one(s):Q9Which of the following websites did you look at (tick box if relevant)www.prospects.co.ukwww.findamasters.comwww.gradschools.comhttp://studylink.com/www.postgrad.hobsons.comwww.hotcourses.comwww.educationuk.org (British Council) Other (please specify) ___________________Q10 Which of the following is your home region (tick one box only)UK European Union Other European CountryAustralasia Far East Middle EastNorth America Central/South America AfricaQ11 If you hold a first degree, in which year did you/will you graduate? (eg 2005)Thank you for taking the time to fill in this questionnaire,your views are very much appreciated.Please return this questionnaire along with the attached application form.

Application noPostgraduate Reference FormPlease return to:Admissions Office, Oxford Brookes University, Headington Campus, Oxford OX3 0BP UKSection 1. To be completed by the applicant:Full name of applicant:Postgraduate taught courses: Master’s Degree Postgraduate Diploma Postgraduate CertificateTitle of course:Mode of study: Full-time Part-time Distance/open learning (where available)Section 2. To be completed by the referee:Note to referee: your honest and forthright assessment of the above named applicant is a necessary part of the application process to postgraduateprogrammes at Oxford Brookes University. When writing personal comments about an applicant, please remember that, underthe UK’s Data Protection Act, the applicant can ask for a copy of the reference and any other personal information that the University holdsabout them.We realise providing a reference requires time and effort and we greatly appreciate your assistance. Please print or type your response, and whencomplete, please return it to the address stated at the top of this form. If you have any questions, please contact the Postgraduate Taught CoursesAdministrator on pgt-admin@brookes.ac.uk or telephone +44 (0)1865 483713.How long and under what circumstances have you known the applicant?What do you consider to be the applicant’s strengths?What do you consider to be the applicant’s weaknesses?Continued over page...

Using the chart below, please rate the applicant relative to other students or employees whom you have known in a similar capacity.Please indicate the group with whom you are comparing the applicant (eg students, co-workers, etc): .................................................Outstanding(Top 5%)Excellent(6-20 %)Good(21-30 %)Average(31-40 %)BelowaverageUnableto rankAcademic potentialAbility to work with othersAbility to work independentlyInitiativeMaturityMotivationWritten communication skillsOral communications skillsCommitmentCreativityAnalytical skillsPlease comment on your rankings indicated above, making any additional statements concerning the applicant’s academic development to date andpresent performance; expected examination results/qualification (if appropriate); interpersonal skills; and if the applicant is from overseas, indicateyour understanding of their ability to study at postgraduate level in English.Please continue on a separate sheet, if necessaryReferee’s Name:Position/Title:Referee’s Signature:Date:Organisation:Address:City/Town:Postal Code:Telephone No:Country:Email:Fax No.

Application noPostgraduate Reference FormPlease return to:Admissions Office, Oxford Brookes University, Headington Campus, Oxford OX3 0BP UKSection 1. To be completed by the applicant:Full name of applicant:Postgraduate taught courses: Master’s Degree Postgraduate Diploma Postgraduate CertificateTitle of course:Mode of study: Full-time Part-time Distance/open learning (where available)Section 2. To be completed by the referee:Note to referee: your honest and forthright assessment of the above named applicant is a necessary part of the application process to postgraduateprogrammes at Oxford Brookes University. When writing personal comments about an applicant, please remember that, underthe UK’s Data Protection Act, the applicant can ask for a copy of the reference and any other personal information that the University holdsabout them.We realise providing a reference requires time and effort and we greatly appreciate your assistance. Please print or type your response, and whencomplete, please return it to the address stated at the top of this form. If you have any questions, please contact the Postgraduate Taught CoursesAdministrator on pgt-admin@brookes.ac.uk or telephone +44 (0)1865 483713.How long and under what circumstances have you known the applicant?What do you consider to be the applicant’s strengths?What do you consider to be the applicant’s weaknesses?Continued over page...

Using the chart below, please rate the applicant relative to other students or employees whom you have known in a similar capacity.Please indicate the group with whom you are comparing the applicant (eg students, co-workers, etc): .................................................Outstanding(Top 5%)Excellent(6-20 %)Good(21-30 %)Average(31-40 %)BelowaverageUnableto rankAcademic potentialAbility to work with othersAbility to work independentlyInitiativeMaturityMotivationWritten communication skillsOral communications skillsCommitmentCreativityAnalytical skillsPlease comment on your rankings indicated above, making any additional statements concerning the applicant’s academic development to date andpresent performance; expected examination results/qualification (if appropriate); interpersonal skills; and if the applicant is from overseas, indicateyour understanding of their ability to study at postgraduate level in English.Please continue on a separate sheet, if necessaryReferee’s Name:Position/Title:Referee’s Signature:Date:Organisation:Address:City/Town:Postal Code:Telephone No:Country:Email:Fax No.

Application noEthnic Origin FormPlease state your ethnic origin in the box using the codes provided. However, this sectionshould be completed only by applicants whose area of permanent residence (see section 2of the application form) is in the UK.WhiteWhite 11BlackBlack Caribbean 21Black African 22Other black background 29AsianIndian 31Pakistani 32Bangladesh 33Chinese 34Other Asian background 39MixedWhite and Black Caribbean 41White and Black African 42White and Asian 43Other mixed background 49Other ethnic backgroundOther ethnic background 80Please return this form with your completed application.This information WILL NOT be made available to Admissions Tutors for selection purposes

Please fill in your name and address in the box below.Application noThank you for applying to study on our postgraduate programme at OxfordBrookes University. Your application has been forwarded to the relevant courseteam and a decision will be taken as soon as possible.If you have any queries regarding the progress of your application, please contactthe Admissions Office, email admissions@brookes.ac.uk, quoting your applicationnumber above.www.brookes.ac.uk/postgraduate

Name:UK FUNDING STATEMENT TO BE RETURNED WITH THE APPLICATION FORM(please complete ALL sections)Practice area (eg cardiology/GP surgery/community):Your name must appear here identically to how it doeson your health care registration, including middle namesif you have used them.Hospital/Institution (eg John Radcliffe Hospital):Professional body registration number:e.g. NMC PIN, HCP registrationCertificates of attainment cannot be given unless wehave your registration number from your professionalgoverning body.Title of course AND tick relevant box below for level of study: …………………………………………….Associate - number of modules to be taken …… or full short courseDip HE BA BSc BA Hons BSc Hons PG Cert PG Dip MScCourse commencement date: …………………… Intended completion date: ……………………Trust Education Lead’s Signature…………………………………………….. Date……………………Trust Education Lead’s Name (please print)………………………………………………………………Payment, please pick ONE of the following:1. I work within South Central SHA in one of the following Trusts (please tick):Trust Tick Trust TickEast Berkshire Primary Care TrustOxfordshire & Buckinghamshire Mental Health TrustWest Berkshire Primary Care TrustHeatherwood and Wexham Park NHS TrustCommunity Health BuckinghamshireMilton Keynes General Hospital NHS TrustMilton Keynes Primary Care TrustNuffield Orthopaedic Centre NHS TrustOxfordshire Primary Care TrustOxford Radcliffe Hospitals NHS TrustRidgeway Partnership NHS Trust(Learning Disability)Royal Berkshire NHS Foundation TrustBerkshire Healthcare NHS Trust (MentalHealth)South Central Ambulance Service NHS TrustBuckinghamshire Hospitals NHS TrustSouthampton University Hospitals NHS TrustOR I work within South West SHA in one of the following Trusts (please tick):Trust Tick Trust TickWiltshire PCTGreat Western Hospitals NHS Foundation TrustSwindon PCTGreat Western Ambulance TrustI work for the Trust indicated above but I am being funded by the South West SHA through the StrategicServices Improvement Fund (SSIF)OR2. My employer is from out side the above trusts and has agreed to pay my fees.They will supply me with a letter of support with invoice details when I enrol.3. I will be funding myself and will bring payment with me when I enrol. Office use ONLYUniversity course code:Number of modules in current academic year:Number of modules in total :