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Warwick Medical School

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Personal details

Gender (required)
Emergency contact (onsite and distance delivery course only)
 

Disability/ special needs

Nationality and fees

Dual Nationality – If you hold British nationality please enter ‘British’ above any other nationality you may hold. If you do not hold British nationality but do hold the nationality of another EU member state please enter that nationality above any other nationality you may hold. To comply with statutory external reporting we regret we cannot hold details of more than one nationality.
 
Do you have any criminal convictions? (required)
Payment of fees: Do you expect to pay your fees yourself? (required)
If no please indicate invoice details below (N.B. All fields must be completed)
 

Details of course to which you wish to apply

Course title: Certificate in Diabetes Care
 
Method of study (required)
Please check available course dates this academic year: https://warwick.ac.uk/fac/sci/med/study/cpd/diabetes/cidc/
How did you hear about this course?

Work experience

Please give details of your recent work experience or training

Work experience/ training 1

Full time or part time? (required)
 
Work experience/ training 2
 
Full time or part time?
 
Work experience/ training 3
 
Full time or part time?

Academic/ professional qualifications

Please list in order of most recent, and include any professional qualifications such as RGN, SRN. Please follow the following format: Level (eg GCSE, A Level, HND, degree or professional qualifications) Subject Date (month and year) Place of study Results (grades or bands) CATS points (if applicable)
 

Personal statement

English language requirements

All applicants whose first language is not English are required to show that their ability to understand and express themselves in both written and spoken English is sufficiently high for them to derive full benefit from their course of study. The minimum score required for direct entry to the Medical School is at least 6.5 in IELTS or 600 in TOEFL (250 in the computerised version of the test). Please send us a copy of your English Language test certificate.
 
Type of test taken

Reference

Please note that this section must be completed for your application to be processed. Notes for the guidance of referees The referee’s report is an integral part of the selection process. In order that institutions can evaluate an applicant’s academic and intellectual capacity, your reference should if possible cover: 1. Suitability for the course applied for 2. Intellectual qualities 3. Any other relevant information
 
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Privacy statement

 
The University of Warwick is committed to protecting the privacy rights of individuals who entrust the University with their personal data and takes its obligations under the GDPR and DPA 2018 very seriously. Further information on how the University will process the personal data that you provide on this form can be found in our Privacy Notice available at warwick.ac.uk/privacynotices . This is an important document and we strongly recommend that you read it.
 

Keeping in touch

We’d like to keep in touch with you about the course you’re interested in. If you’d be happy to receive emails from us, please go to warwick.ac.uk/findoutmore to sign up.
 

Declaration

I confirm that, to the best of my knowledge, the information given in this form is correct and complete. I understand that any offer of admission may be withdrawn if I cannot provide documentary evidence of any statements on this form. I undertake to observe the Charters, Statutes, Ordinances and Regulations (“the Rules”) of the University and to submit to their discipline during such time as I am a registered student of the University. I confirm that I am aware of the scale of the fees and charges on the due dates of payment. I recognise that my registration as a student is subject to satisfactory academic progress in my course of study and is to be completed only on full payment of all outstanding fees and other sums due to the University. I understand that should my sponsor at any time fail to pay my fees and charges that are due, I will be personally liable for them. Note: Registration is in accordance with the terms of the offer made by the University. A registration is not valid unless fees are paid or full details of sponsors are provided. I confirm that I have read and understood the Data Protection Notice, Data Protection Guidelines, Declaration and the Rules and agree to be bound by them.
 
Privacy notice

The legal basis for processing this personal data is necessary for the performance of a contract.

Your personal data will not be shared or disclosed to any third parties external to the University of Warwick.

Your personal data will not be transferred outside of the EEA, will be kept securely by the University of Warwick and will be retained for 1 year

The University of Warwick is the Data Controller of this information and is committed to protecting the rights of individuals in line with Data Protection Legislation. Please visit the University’s Data Protection webpages for further information in relation to your rights and how the University processes your personal data. The University’s Data Protection Officer can be contacted through infocompliance@warwick.ac.uk and any requests or complaints should be made in writing to the University’s Data Protection Officer.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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