Application form for Stand Alone Modules School of Nursing & Midwifery National University of Ireland, Galway

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1 School of Nursing & Midwifery National University of Ireland, Galway Postgraduate Stand Alone Module Application Form Important! Please read the supporting information sheet attached to this application form. Please return this form to: John Quinlivan, School of Nursing & Midwifery, NUI Galway The closing date for applications for Semester 1 (Sep Dec 2011) is Tuesday, 2 nd August The closing date for applications for Semester 2 (Jan Apr 2012) is Monday, 31 st October 2011 Entry Criteria: Applicants for Stand Alone Modules must be: Working in a clinical area where they are able to develop skills relevant to their chosen module. Hold an honours primary degree (Level 8 [or an equivalent international qualification]) in medicine or nursing or midwifery or physiotherapy or occupational therapy or speech and language therapy. Hold a postgraduate diploma (Level 9) or a professional qualification deemed suitable by the College of Medicine, Nursing and Health Sciences. OR Nurse candidates must meet the following additional criteria: A registered general nurse or registered psychiatric nurse or registered sick children s nurse or registered nurse intellectual disability or registered midwife. Hold an active nursing registration. Fees Fees for the academic Year ( ) are 850 (EU students), except for the modules Best Practice in Taking Smears and Continence Care which were 650 (EU students). 1

2 1. Personal Details Name: Address: Phone Number(s) Home: Work: Mobile: address 2. Employment Details Place of Work: Address: Phone Number(s): 3. Education and Training Please list in the table below your nursing and other educational qualifications which you have completed. Course Qualification Awarding Body Year Completed If you have ever attended NUI Galway please specify the course, year of graduation and your college number (if known): Course Qualification Year Completed 2

3 I wish to apply for the following stand alone modules: Module Title Trimester taught Please tick Any healthcare professionals are eligible to apply for the following modules: Clinical governance: supporting safe practice 2 Clinical Supervision Supporting Continuing Professional Development 2 Collaboration and Interagency Working 2 Critical issues in chronic illness management 1 Effective chronic disease management strategies for health care 2 professionals End of Life Care: Psychological and Social Perspectives 2 International perspectives of women s health 2 Psychosocial Interventions in Healthcare 2 The Context of Managing Health Care 2 Using Research in Practice 1 Both Nurses and Doctors are eligible to apply for the following modules: *Best Practice in Cervical Smear Taking 1 Cardiovascular Disease in Primary Care 2 Diabetes in Primary Care 2 Respiratory Disease in Primary Care 2 Women s Health in Primary Care 2 Nurses are eligible to apply for the following modules: Advanced Wound Care Management 2 Care of the Child and Family with Life-Limiting Illness 2 Clinical Skills Development in Emergency Nursing 1 Continence Care 2 Experiencing Cancer 1 Living with Cancer of the Lower Urinary Tract 2 (focusing on prostate and bladder cancer) Managing the Physical Health Needs of People with a Serious Mental 2 Illness Principles of Orthopaedic Nursing 1 Transforming nurses/midwives research into publication 2 Midwives are eligible to apply for the following modules: High Dependency Maternity Care 2 * For the module Best Practice in Cervical Smear Taking it is necessary to complete an additional application form (National Cervical Screening Programme). This is cervicalcheck.ie Please note the number of places on a module is subject to availability. 3

4 Please include a personal statement of no more than 400 words which explains how this module will help you to achieve your future academic/vocational objectives Signature of Applicant Date IMPORTANT - For the module Transforming nurses/midwives research into publication instead of the above, applicants will need to include a 500 (maximum) word account of what they will write about. 4

5 Information Sheet for Admission as an Occasional Student in the School of Nursing and Midwifery, National University of Ireland, Galway You are classed as an Occasional Student in the School of Nursing & Midwifery NUI Galway if: You have been admitted to undertake a programme of study that is a module of a recognised full-time programme. On completion, this module will give you 10 ECTS which may be credited towards further academic study. As an Occasional Student however, you are not on a programme leading to a Degree, Diploma or any other award of this University. Should you wish to apply for a full-time or part-time Postgraduate Diploma in Nursing programme, please use the following on-line application facility: Admission Occasional students are considered for admission on the basis of their application, and considering the following points: 1. Their previous academic and current clinical practice 2. A personal statement outlining their current clinical role and their need for the stand alone module 3. Recommendation by the Programme Director concerned, in favour of the application Application Application must be made on an official application form of the School of Nursing & Midwifery, National University of Ireland, Galway. Attached please find an application form to apply as an Occasional Student in the School of Nursing and Midwifery, NUI Galway. The following documents should accompany your application: 1. Copy of birth certificate (if you have never been a student of NUI Galway) 2. Copy of certificate of payment of current year Annual Retention Fee to An Bord Altranais. 3. Copy of original transcript of previous studies undertaken (if you have never been a student of NUI Galway) 4. A letter of support from your Director of Nursing/Assistant Director of Nursing. 5. A signed passport-sized photograph Closing Date for Applications The closing date for receipt of applications from Occasional students wishing to undertake a module in Semester 1 (September to December 2011) is Tuesday 2 nd August The closing date for receipt of applications from Occasional students wishing to undertake a module in Semester 2 (January April 2012) is Monday 31 st October

6 Acceptance of Offer and Fee Payment The letter of offer to successful applicants will prescribe a date by which acceptance of the offer, in writing, must be notified. Please note that you should contact the Fees Office directly in relation to payment of fees. For further information, please contact: Fees Office: or colette.gill@nuigalway.ie Module Outcome: On successful completion of the academic work, a formal result is communicated by way of a transcript to the student. This is a record of the modules completed, and the level of achievement in terms of Grade. It does NOT represent an Award in the formal sense. No Diploma, Certificate of Degree is awarded. 6

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