Professional Documents
Culture Documents
Full time n
Female
Date of birth: Nationality: Have you previously applied or been a student at Plymouth University before? If yes, quote ref no. given. Yes No
Country of birth: Passport No: Do you require a Tier 4 visa to study in the UK: Yes n No n Country of permanent residence:
n n
(registration no.:
3. Residence
Applicants not born in the EU please state Passport number: Date of arrival in the UK: Passport expiry date:
4. Address details
Permanent home address: Address for correspondence (if different from home address), eg overseas agent
PG application form
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6. Educational qualifications
Please give details of your main qualifications to be considered for entry (BSc, BA, MSc, etc.). List in reverse chronological order giving most recent first. Please attach transcripts and/or certificates together with this application form or indicate when you are expecting these if currently studying.
Qualification Title
Grade or Class
Name of Institution
Awarding Body
Date of Award
Qualification Title
Awarding Body
Date of Award
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PG application form
PG application form
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PG application form
9. Funding information
Who will pay your fees? You or your family
Government body
Employer
n n
Other Approved?
n n
Please provide details: Sponsorship applied for? (If appropriate attach confirmation to your application) Contact name: Company/Organisation: Address:
Postcode: Country: Telephone: Email: Are you a Plymouth University staff member? No
Yes
FT
PT n)
Dates From To
PG application form
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11. Referees
Please give details of two referees below. Please forward the enclosed reference forms to your two referees, asking them to return them to you and to sign across the seal. Return these sealed references with your application. Name: Position: Company/Organisation: Address: Name: Position: Company/Organisation: Address:
14. Declaration
I confirm that, to the best of my knowledge, the information given in this form is correct and complete. I understand that the decision to offer me a place rests solely with Plymouth University and is not subject to appeal. I understand that if I am offered a place on the programme, I agree to abide by the rules and regulations of Plymouth University. Signature of applicant: Please return the completed application form in a sealed envelope to: Plymouth University, Postgraduate Admissions Office, Drake Circus, Plymouth PL4 8AA, United Kingdom Page 6 of 8 PG application form Date:
PG application form
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Page 8 of 8
PG application form
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PG Monitoring Form
Religion:
n n n n n n n n n
None Buddhist Hindu Jewish Muslim Sikh Christian (inc. Church of England, Catholic, Protestant and all other Christian denominations) Any other religion Do not wish to answer
Ethnic Origin:
As a requirement of the Race Relations Amendment Act (2000) we need to know your ethnic origin for the purpose of monitoring equality of opportunity to all ethnic groups, highlighting possible inequalities and enabling the implementation of action to remove any barriers and discrimination. Please select from the categories below - these categories are approved by the Commission for Racial Equality and the Higher Education Statistics Agency: White: [10]
n n n n n n n n n n n n n n n n
White and Black Caribbean White and Black African White and Asian Any other mixed background
Asian or Asian British: [31] [32] [33] [39] Indian Pakistani Bangladeshi Any other Asian background
Black or Black British: [21] [22] [29] Caribbean African Any other Black background
Chinese or other ethnic group: [34] [80] [90] [98] Chinese or any other Chinese background Other ethnic background Not known Do not wish to answer
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PG Monitoring Form
Personal Details:
1. Last / Family Name: 3. Date of Birth: 5. Gender: Male 2. First Names: 4. Nationality: 6. Are you married? Female
Yes
No
Disability:
7. Please tell us if you have a disability, medical condition or dyslexia. Please select one of the following: [A] [B] [C] [D] [E] [F] [G] [H] [I] [J]
n n n n n n n n n n
No disability You have a social/communication impairment such as Aspergers syndrome/other autistic spectrum disorder You are blind or have a serious hearing impairment You are deaf or have a serious hearing impairment You have a long standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsy You have a mental health condition, such as depression, schizophrenia or anxiety disorder You have a specific learning difficulty such as dyslexia, dyspraxia of AD(H)D You have a physical impairment or mobility issues, such as difficulty using your arms or using a wheelchair or crutches You have a disability, impairment or medical condition that is not listed above You have two or more impairments and/or disabling medical conditions
n [5] n [9] n
I have a disability and am in receipt of DSA I have a disability but do not receive DSA I have a disability but have not applied for DSA
NO
I do not agree to disclosure about my disability and understand that this may limit the support I receive. I agree to inform Disability Assist Services if I reconsider this decision. Signature: ............................................................................................................... Date:.................................................................
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PG Monitoring Form
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1. Applicants full name
Family name/surname: First/given name:
4. Referees details
Full name: Position: Organisation/Company: Address:
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If you have taught the applicant, what subject? (if the applicant has not yet graduated, please indicate what class or grade of degree you expect them to obtain)
Would the applicant be eligible to proceed to higher degree study in your University? Postgraduate taught: Postgraduate research:
In the case of an application for a research degree, do you consider the applicant to have sufficient background knowledge of the subject proposed to proceed directly to independent research with guidance from an academic supervisor or would the applicant be better suited to a taught programme?
Please give your written reference here or attach a statement on official headed paper. Include major abilities, strengths and skills (please continue on a separate sheet if necessary).
6. Referees declaration
I confirm that, to the best of my knowledge, the information given in this form is correct and complete.
Signature of referee:
Date:
Note to referee: please return completed reference in a sealed envelope, placing your signature across the seal, to the address in Section 3. If no address has been given, please return to Plymouth University, Postgraduate Admissions Office Drake Circus, Plymouth, PL4 8AA United Kingdom
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1. Applicants full name
Family name/surname: First/given name:
4. Referees details
Full name: Position: Organisation/Company: Address:
Page 1
"
If you have taught the applicant, what subject? (if the applicant has not yet graduated, please indicate what class or grade of degree you expect them to obtain)
Would the applicant be eligible to proceed to higher degree study in your University? Postgraduate taught: Postgraduate research:
In the case of an application for a research degree, do you consider the applicant to have sufficient background knowledge of the subject proposed to proceed directly to independent research with guidance from an academic supervisor or would the applicant be better suited to a taught programme?
Please give your written reference here or attach a statement on official headed paper. Include major abilities, strengths and skills (please continue on a separate sheet if necessary).
6. Referees declaration
I confirm that, to the best of my knowledge, the information given in this form is correct and complete.
Signature of referee:
Date:
Note to referee: please return completed reference in a sealed envelope, placing your signature across the seal, to the address in Section 3. If no address has been given, please return to Plymouth University, Postgraduate Admissions Office Drake Circus, Plymouth, PL4 8AA United Kingdom
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