LJMU CPD Application Form

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Please enter the following information:

Level of Entry/Mode of Study

Level of Entry (Select the Level of Entry from the dropdown list):

Course

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:

Date of Entry:

Mode of Study:

Course #2

Course:

Date of Entry:

Mode of Study:

Course #3

Course:

Date of Entry:

Mode of Study:

Personal

For current LJMU Students/Staff, click the Quick Apply button to retrieve your personal details

Title:

Please select from the drop-down list the courtesy title you normally use.

First/Given Name:

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):

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:

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

Address Line 1:

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.

Address Line 2 (optional):

Address Line 3 (optional):

Address Line 4 (optional):

City:

County/State/Region (optional):

Postcode or zipcode:

Country of Address:

Country of Nationality:

Country of Residence:

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:

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:

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):

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

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):

Settled Status Share Code:

https://www.gov.uk/view-prove-immigration-status

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

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:

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 #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:

Instruction Language (optional):

Country where qualification was studied:

Current/Previous Qualification #4

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 #5

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 #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:

This field accepts numeric values only

Months:

This field accepts numeric values only

Health Care Professional Role:

Current Clinical Area:

Name of Trust:

Who will be paying for your course?

You
Employer
Sponsor (for example, are you being sponsored by Health Education England or a Charitable Body etc?)

Research Proposal

Proposed Research Topic Overview:

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:

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

Background:

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:

Keep the list short and precise. Think of the objectives as milestones along the way towards achieving the aims.

Highlight Novelty:

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

Methodology:

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:

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:

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.

Marketing

We would love to keep in touch and provide you with useful information about our courses and upcoming events:

I would like to receive information by email

I would like to receive information by SMS

I would like to receive information by phone

I would like to receive information by post

For further information about us, how we process your personal information and your rights, please view our privacy notice

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.

You confirm that the information given on this form is true, complete and accurate and no information or other material information has been omitted. You accept that if this is the case, LJMU shall have the right to cancel your application and you shall have no claim against LJMU.

For further information about us, how we process your personal information and your rights, please view our privacy notice