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Application for
Postgraduate Studies
Postgraduate Admissions Team
University House, The University of Warwick, Coventry, CV4 8UW, UK
University Number:
OFFICE USE ONLY
Personal Information
Last Name (family name)
This is the name under which your file will be registered and the name you should use on any future correspondence with us
Informal Name(This is any name you wish to be known by)
Title
Please add the title you normally use
Forename(s) (given names) in full
Please add all your forename(s) in the order in which they normally appear
Date of Birth
Course Details
Application
Please state the qualification for which you are applying
Are you planning to study full-time or part-time?
Start date
Have you ever been a student at Warwick?
Please enter your university number, if known
Communication with you
Permanent home address
Your permanent home address. This address will also be used as the address for correspondence unless you give details below:
Correspondence address
If you are a resident away from home, eg as a student, or you may be away from home for a significant period, please give you contact address and dates
Correspondence Email
Gender
Male ¨Female ¨
Course of Study:
Department:
No ¨ Yes ¨
Postcode Mobile
Telephone Fax
From: To:
Postcode Mobile
Telephone Fax
DD/MM/YYYY
Nationality and residence details
Nationality
Nationality and residence details
Country of permanent residence
The country in which you have been normally resident, except for periods of temporary absence
Country of Birth
Please state the number of years you, your parents and, if applicable, your spouse, have been resident in the UK, Switzerland or other EU country
Yourself:
From
To
Your Parents
From
To
Your Spouse
From
To
Do you have Qualified Teacher Status (QTS) ?
YES ¨ NO ¨
If you have been resident in more than one country please give dates of residence in each country
Academic History
Are you currently studying at an educational institution?
If yes please give the expected end date of that course
YES ¨
Name of Institution
Course End Date:
Qualifications held
Please state the titles of your qualification(s) as it appears on your official transcript & certificates
Name of University / College and Country
Dates attended (eg 1995 –1999)
Degree awarded and class eg BA (Hons) 2i,
Degree with date
Principal subjects taken
Qualifications Pending
Name of University / College and Country
Dates attended (eg 1995 –1999)
Degree expected and class
Degree expected with date
Principal subjects taken
English Language Qualifications
Have you been educated in the UK for at least a year?
Have you been educated in an English speaking country?
Have you been educated entirely in English for your degree?
Note: Please see the Postgraduate Directory for further information on English Language requirements
I took / will be taking a language test on (date)
Type of test taken
Test Score
YES ¨ NO ¨
YES ¨ NO ¨
YES ¨ NO ¨
IELTS¨ TOEFL ¨ WELT¨
The Score is
References
Referee 1 Referee 2
Please name two referees
The two referees should normally be teachers in higher education who have direct knowledge of your academic work. (Applicants with work experience may nominate a person with knowledge of their employment to act as one of their referees. If a recent second academic reference is not available or this is requested for the course for which they have applied)
Please remember to enclose your references with your application
Name
Position
Address
Tel
Fax
Name
Position
Address
Tel
Fax
If you have discussed your research proposal with a Warwick staff member please enter their name
Career History
Please give your employment history to date or other professional experience excludingvacation work, starting with the most recent
Dates from and to
Nature of work and position held
Academic interests and purpose of study
Note: all applicants must complete this section
Please use this space to describe your special academic interests and your purpose and objectives in undertaking graduate study.
You may continue on a separate sheet if necessary
Name and address of employer
Finance
How would you finance yourself at Warwick?
Please state to which other Universities you are applying
We ask for this information for our own records – it does not affect your application to us
Source of Information about Warwick
Please indicate the first and second two most important sources of information which influenced you to apply for a postgraduate place at Warwick.
Special Needs
The University welcomes applications from people with special needs and considers them on the same academic grounds as those from other candidates. It is helpful to know about your special needs in advance so that we can discuss whether facilities are available in the University. Applicants with special needs are encouraged to contact the disability co-ordinator, tel: 024 7657 3734 or Email: disability@warwick.ac.uk
Are you a registered disabled person?
Do you have any criminal convictions?
Equal Opportunities Monitoring
(UK Students only)
Please help us to make our equal opportunities policy effective by placing a tick in the box which is applicable to you
Declaration
I hereby apply for admission to postgraduate studies at the University of Warwick and I confirm that the information provided above is correct to the best of my knowledge. I understand that any offer of admission may be withdrawn if I cannot provide documentary evidence of any statements on this form.
Signature
Self ¨Scholarship ¨Family ¨ Employer ¨
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Scholarship |
Awarded |
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Most Useful:
Also Useful:
Other source of information
¨ Dyslexia ¨ Need Personal Care Support
¨ Blind/Partially Sighted ¨ Mental Health Difficulties
¨ Deaf/ hearing impairment ¨ Wheelchair User
¨ Autism/Asperger Syndrome ¨ Unseen special need e.g.Diabetes
¨ Other special needs :
Yes ¨
No ¨
Yes ¨
No ¨
Asian Black
¨ Indian ¨ Caribbean
¨Pakistani ¨ African
¨ Bangladeshi ¨ Other black background
¨ Chinese
¨ Other Asian Background
Mixed Race White
¨ White & Black Caribbean ¨ British
¨ White & Black African ¨ Irish
¨ White & Asian ¨ Other white background
¨ Other mixed background
Date
