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Teaching & Learning
– Please ensure you are logged into the Intranet to ensure that the auto-populate inserts your name and department.
*This is information required by Student Records
Title – Please add the title you normally use
Informal Name – This is any name that you wish to be known by
Date of Birth*
Course of Study
Communication with you
Permanent Home Address
Your Permanent home address. This address will also be used as the address for correspondence
you give details in the ‘Correspondence’ section
Permanent Home Address line 1
Permanent Home Address line 2
Town or city
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 your contact address and dates. This is the address to which we will send official correspondence relating to your application
Correspondence address line 1
Correspondence address line 2
Town or City
*your phone number is only for contact if there is an issue with your email or postal address. It will not be disclosed to a third party.
Home Phone Number
expected completion date
Note: working towards a PhD submission deadline is not considered as extenuating circumstance and does not warrant and extension.
Expected completion date
Are you currently studying towards any other courses or qualifications?
If yes, please give details and the expected end date.
Current Studies – max. 500 char
Note: all applicants must complete this section.
Please use this space to briefly answer the following questions:
. What Teaching Experience do you have for the following year?
(Please note that you need to be doing a minimum of 15 hours teaching at Warwick over the duration of the course)
. How will the course fit with your current role?
. How will you ensure that you have sufficient time to complete the course?
Max. 500 char
Equal Opportunities Monitoring
The University welcomes applications from people with specific needs and considers them on the same academic grounds as those from other candidates. It is helpful to know about your specific needs in advance so that we can discuss any appropriate reasonable adjustment with you. Applicants with specific needs are encouraged to contact the disability co-ordinator, tel:024 7657 3734 or email:
Do you consider yourself to have a disability?
Specific Learning Difficulty
Mental Health Condition
Other conditions not listed
If your condition(s) is/are not listed and you would like to tell us about it/them please do so here
Are you a registered disabled person?
I hereby apply for admission to the 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.
I confirm I attended the ‘Preparing to Teach in Higher Education’ session.
(Please note you will need to include a letter of completion from the ‘Introduction to Teaching &Learning in HE’ session in your
portfolio if you attended this prior to 2017 )
Date of attendance
Please attach here the reflective piece you wrote after the Preparing to Teach in HE:
No files are currently attached.
Your supervisor should approve of your participation on the course. We will contact your supervisor to confirm that you have the required teaching hours this academic year. Due to data protection laws we require your permission to do this. if you agree please could you tick the yes button below and supply the name and email address of your supervisor. You may wish to contact them separately to discuss your participation on the course and the required teaching element.
Confirmation of contact with supervisor
Name of supervisor
Supervisor email address
indicates a required field
The data on this form will be used as part of the APP PGR application process. This data will not be used of any other purpose. If you have any specific questions please contact LDC.