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Level of Entry/Mode of Study
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Course
helptext The list of courses is long. Please check the whole list before contacting us. Some courses have more than one possible entry date, e.g. September and January. Please choose your preferred date. If the course is full on your preferred date, we will offer you an alternative date if we can.
Course:

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Course #2
Course:

Date of Entry:

Mode of Study:

Course #3
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Date of Entry:

Mode of Study:

Personal
helptext For current LJMU Students/Staff, click the Quick Apply button to retrieve your personal details
Title:
helptext Please select from the drop-down list the courtesy title you normally use.

First/Given Name:
helptext If you are a citizen of the UK or other EU country please enter the names by which you are legally recognised. If you are from outside the EU these details must be the same as in your passport because of UK visa regulations.

Middle/Other Name(s) (optional):

Surname/Family Name:

Date of Birth (DD/MM/YYYY):  
helptext This information is required for us to be able to identify you correctly on our systems. If you are from outside the EU these details must be the same as in your passport because of UK visa regulations.

Gender:
helptext This information is used for statistical purposes only and will not affect your application.

Address Line 1:
helptext Please enter the address at which you normally live. Please interpret the City, County, and Postcode sections to best reflect the postal addressing system of your locality. A Postcode is required for all UK addresses.

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City:

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Country of Address:

Country of Nationality:

Country of Residence:
helptext Your country of residence is where you have been normally resident for the last three years and where you consider to be 'home'. If you have been in another country for purposes of education or short-term employment this will not change your country of residence.

Primary telephone:
helptext In case we have to get in touch with you urgently, please provide us with at least one phone number.

Secondary telephone (optional):

Email Address:
helptext You must provide us with a valid email address we can use to get in touch with you. Confirmation that your application has been received will be sent to you at this address.

Skype Address (optional):

Disability/Support Required (optional):
helptext Please tell us if you have a disability or a condition which requires additional support. This will not disadvantage your application, but will allow us to discuss your needs with you in advance, so that appropriate arrangements can be made for you.

Professional Registration:

Registration Number:

Criminal Conviction
helptext Your application will not automatically be affected by declaring a conviction; we will ask you to provide more information and a panel of staff not involved directly in your application will consider your situation. You need not declare a relevant conviction if it is ‘spent’ as defined in the Rehabilitation of Offenders Act 1974. In addition, if you are applying to a course which involves working with young people or vulnerable adults, you should declare a relevant conviction, even if spent.

Have you previously studied a CPD at LJMU?

Please provide details of your previous CPD study:

Fee Assessment Category

Residential Category:

UK Entry Date (DD/MM/YYYY):

Passport (all details must be entered or none at all)
Passport Number:

Expiry Date (DD/MM/YYYY):

English Language Test (all details must be entered or none at all)
Test:

Date (DD/MM/YYYY):

Reading score:

Writing score:

Listening score:

Speaking score:

Current/Previous Qualification
helptext Please list all your qualifications required to study your programme(s) of choice. We recommend that you check the relevant course factfile for entry requirements to ensure you have listed everything needed for us to process your application as quickly as possible. We ask that you use the full title of your academic institution/ qualifications as we may not understand your abbreviations.
Institution Name:

Attendance Type (optional):

Start Date (DD/MM/YYYY optional):

Completion Date / Expected Completion Date (DD/MM/YYYY):

Qualification (e.g. A Level/BSc Degree):

Subject:

Result/Grade:

Instruction Language (optional):

Have you previously studied in the UK?:

Country where qualification was studied:

Current/Previous Qualification #2
Institution Name:

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Completion Date / Expected Completion Date (DD/MM/YYYY):

Qualification (e.g. A Level/BSc Degree):

Subject:

Result/Grade:

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Country where qualification was studied:

Current/Previous Qualification #3
Institution Name:

Attendance Type (optional):

Start Date (optional):

Completion Date / Expected Completion Date (DD/MM/YYYY):

Qualification (e.g. A Level/BSc Degree):

Subject:

Result/Grade:

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Country where qualification was studied:

Current/Previous Qualification #4
Institution Name:

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Start Date (optional):

Completion Date / Expected Completion Date (DD/MM/YYYY):

Qualification (e.g. A Level/BSc Degree):

Subject:

Result/Grade:

Instruction Language (optional):

Country where qualification was studied:

Current/Previous Qualification #5
Institution Name:

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Start Date (optional):

Completion Date / Expected Completion Date (DD/MM/YYYY):

Qualification (e.g. A Level/BSc Degree):

Subject:

Result/Grade:

Instruction Language (optional):

Country where qualification was studied:

Current/Previous Qualification #6
Institution Name:

Attendance Type (optional):

Start Date (optional):

Completion Date / Expected Completion Date (DD/MM/YYYY):

Qualification (e.g. A Level/BSc Degree):

Subject:

Result/Grade:

Instruction Language (optional):

Country where qualification was studied:

Current/Previous Qualification #7
Institution Name:

Attendance Type (optional):

Start Date (optional):

Completion Date / Expected Completion Date (DD/MM/YYYY):

Qualification (e.g. A Level/BSc Degree):

Subject:

Result/Grade:

Instruction Language (optional):

Country where qualification was studied:

NHS Information
PIN Number:

Work Experience
Description:

Employment Details
How long have you worked in your current employment?
Years:
helptext This field accepts numeric values only
 

Months:
helptext This field accepts numeric values only
 

Health Care Professional Role:

Current Clinical Area:

Name of Trust:

Who will be paying for your course?



Research Proposal
Proposed Research Topic Overview:
helptext Please include details of your intended area of research. This will help us to identify an appropriate supervisor that matches your area of interest.

Title:
helptext Should be short and suitably reflect the proposed project topic area.

Background:
helptext Needs to include a brief literature review with citations to academic publications. The first purpose of the literature review is to map out work already carried out and to identify potential gaps in knowledge. The second purpose of the literature review is to explore previous methodologies adopted within the field of the chosen investigation. It should also establish the new contribution to knowledge in the proposed work.

Aims & Objectives:
helptext Keep the list short and precise. Think of the objectives as milestones along the way towards achieving the aims.

Highlight Novelty:
helptext Linked to the overall aims of the project and a possible new methodology/analysis specifically developed for the proposed investigation.

Methodology:
helptext For data collection and analysis. Should mention the methods that are to be adopted for the research. Identifying relevant methods is the second main purpose of the literature review, so these two sections should be consistent.

Expected Project Outcomes:
helptext Linked to the project aims. Should endeavour to predict the tangible novel outputs of the work upon completion of the study period.

List Of References:
helptext Should include seminal and recent peer reviewed works published in the area of investigation.

Please do not copy/paste from pre-formatted documents. You will be able to add attachments to your application on completion of this page.
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Confirmation
By submitting this application I confirm that I have read and understood the entry requirements for this programme and that I meet these requirements. If it is later found that I do not meet these requirements my place on the course will be cancelled.

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