A. Proposed Programme of Study (see note 1) B. Previous Contact with Dundee (see note 2) C. Personal Details (see note 3) Form AC-NUMI-NMP1

Size: px
Start display at page:

Download "A. Proposed Programme of Study (see note 1) B. Previous Contact with Dundee (see note 2) C. Personal Details (see note 3) Form AC-NUMI-NMP1"

Transcription

1 SCHOOL OF NURSING ND MIDWIFERY NON-MEDICL PRESCRIBING PPLICTION FORM Before completing this application form please read the notes on the back page. Please complete all sections of this form using a black ballpoint pen or black type in BLOCK CPITLS. Incomplete forms and enclosures may delay the processing of your application. Form C-NUMI-NMP1. Proposed Programme of Study (see note 1) Programme Name : Bachelor of Nursing (BN) Bachelor of Midwifery (BM) (Complete if applying for full programme) Postgraduate Masters in dvanced Practice (MSc) Stand lone Module Name(s): Degree Level (SCQF Level 9) (Select the required level) Masters Level (SCQF Level 11) Entry Month (tick one) : September January Mode of ttendance : Part-time Full-time Entry Year : B. Previous Contact with Dundee (see note 2) re you currently, or have you previously, been a student of the University of Dundee? Yes No Matriculation or pplication No. Have you previously submitted an application to the University? Yes No C. Personal Details (see note 3) Surname / Family Name Title : Mr / Miss / Ms / Mrs Male / Female (Please circle) First / Given Name(s) Date of Birth (dd / mm / yyyy) d d / m m / 1 9 y Y Name by which you would like to be known: Previous Surname: Permanent Home ddress Employment/Other ddress (or stamp) City / Zipcode Country s (with Country and rea Code) Tel: Mobile: City / Zipcode Country Telephone & (with Country and rea Code) Which is your correspondence address (letters from the University will be sent to this address) : Home address Employment/Other address Passport Number: Nationality: Country of Birth: rea of Permanent Residence: Tel: Fax: Local Education uthority (UK only): If you have given a home address in the UK/EU, how long have you been resident in the UK/EU? Years. FOR UNIVERSITY USE ONLY Note UO SIG 1: Date: SIG 2: Date: CO R Start Date: Date Received:

2 D. Funding Details How will your programme fees be met? Wholly by Employer Partly by Employer, partly by yourself Wholly by yourself Other. Please specify Note : if you are not self-funded, it is in your interests to ensure that arrangements are confirmed with your funder at an early stage. E. dditional Information (see note 4) 1 Disability : The University encourages applications from students with disabilities and special needs and is keen to provide appropriate support for study and/or accommodation. If you have a disability, special needs (including dyslexia) or medical condition, please tick the appropriate box and enclose further details where necessary: 0. No disability or awareness of additional support requirements T. utistic Spectrum Disorder or sperger Syndrome 1. Specific learning difficulty (e.g. dyslexia, discalculia) 6. Mental Health difficulties 2. Blind or partially sighted 7. Unseen disability (e.g. diabetes, epilepsy, heart condition) 3. Deaf or Hearing impairment 8. Multiple disabilities two or more of the above 4. Wheelchair user or Mobility difficulties 9. Other disability please provide information on separate sheet 2 a) re you registered with the Nursing and Midwifery Council / Health Professions Council? Yes No b) NMC PIN / HPC Registration Number c) Expiry date F. English Language (see note 5) ll students studying at the University of Dundee must have an English Language qualification equivalent to GCSE/Standard Grade English Language. Please indicate whether English is: (tick only one) a) Your first language b) Your main language for education c) Learnt as a foreign language UK-based English Language qualifications that satisfy the English Language requirement are, for example, O-grade, standard grade, Higher, dvanced Higher, Intermediate 2, CSYS, O-level, O-level, S-level, -level, GCSE, and Communications 4. Indicate any UK based qualifications that you have in English Language below: Exam type and subject (e.g. O-grade English Language) Score/Grade Date of ward University/College/School attended Indicate any internationally recognised qualifications gained as proof of English Language level and score/grade achieved (e.g. IELTS, TOEFL, Cambridge, IGCSE, International O-Level). You must have completed these exams and received the results prior to matriculation. You must attach a certified copy of your certificate. Test type (e.g. IELTS) Score/Grade Date of Test IELTS TRF Number (if applicable) Further information about English Language requirements can be obtained at

3 G. Current Employment Details (see note 6) Name of Current Employer Current Employer ddress Present Place of Employment Position Held : Do you work : Part-time v Full-time v Number of hours worked per week? hours Number of years in present post? years What is the nature of your current post? (Note : you must clearly show that you have a minimum of 3 years Post Registration experience. NMC registered applicants must indicate that the year immediately preceding this application has been spent in the clinical field in which you intend to prescribe.

4 H. Line Manager and Designated Medical Practitioner Details Current Line Manager Name Position and Grade Location ddress Line Manager s Designated Representative (if appropriate) Name Position and Grade Location ddress Line Manager pproval & Signature Line Managers or Designated Representatives should complete Form SOSLM3 which can be found at the end of this form after the Notes section. Designated Medical Practitioner (Mentor) - IMPORTNT : Mentors should read NOTE 6 at the end of this form for details of the role and responsibilities of the designated medical practitioner. Name Position and Grade NHS/Independ Sector Base & Specialty Work base ddress Designated Medical Practitioners must meet the following criteria as stated in NPC document (see NOTE 6) Tick as appropriate The Designated Medical Practitioner (DMP) must be a registered medical practitioner who : Yes No Has formally had at least 3 years recent clinical experience for a group of patients/clients in the relevant field of practice is within a GP practice and is either vocationally trained or is in possession of a certificate of equivalent experience from the Joint Committee for Postgraduate training in General Practice Certificate or is a specialist registrar, clinical assistant or a consultant within an NHS Trust or other NHS employer. has the support of the employing organisation or GP practice to act as the DMP who will provide supervision, support and opportunities to develop competence in prescribing practice Has some experience or training in teaching and/or supervising in practice normally works with the trainee prescriber. If this is not possible (such as in nurse-led services or community pharmacy), arrangements can be agreed for another doctor to take on the role of the DMP, provided the above criteria are met and the learning in practice relates to the clinical area in which the trainee prescriber will ultimately be carrying out their prescribing role Signed: Date:

5 I. Work Experience (see note 6) Details of Work Experience to date : Date From To Part-time / Full-time Paid / Unpaid Organisation Employer Position Held and Responsibilities J. Qualification Details (see note 7) Please list below relevant qualifications obtained at university/college, starting with the most recent. University/College ttended Start Date Completion Date ward Obtained including Level (e.g. B Level 10) Subject/Programme/Module title and Grade/Score (as appropriate)

6 K. Other relevant academic or professional qualifications (see note 8) Please list below any other relevant academic or professional qualifications, including qualifications in progress, starting with the most recent. warding Body ward Title/ Level / Number of Credits (e.g. RN) Date of ward/registration L. Credit Claim Details (see note 9) Elements of prior study/learning (e.g. OU courses, modules taken elsewhere at an appropriate level, etc) may be used to seek specific credit or exemption in relation to a full Programme, but not an individual stand alone module. maximum of two modules only will be accredited towards a programme. Please indicate below if you wish to apply for ccreditation for Prior (Experiential) Learning (P(E)L): I wish to apply for ccreditation for Prior Certified Learning (PL) I wish to apply for ccreditation for Prior Experiential Learning (PEL) Information regarding credit claims can be obtained in two ways. Please indicate below how you wish to do this: Download an application form and guidance notes from our website at Be sent an application form and guidance notes to my correspondence address Note that evidence in support of such claims will be required on application of P(E)L. M. ccess to Computer and Internet Facilities In order to gain access to programme/ module information, it is essential to have access to a computer and to be able to access the internet. Do you have access to a computer? Yes No Can you access the Internet? Yes No Please contact the Programme Leader if you do not have access to a computer and/or the Internet.

7 N. Personal Statement in Support of pplication (see note 10) Please tell us why you are applying to this Programme/ module, why you are suited to it, and what you hope to gain from it. This should include an indication of the clinical need for non-medical prescribing in your area of practice. Continue on an extra sheet, if required. O. Referee Details (see note 11) Please provide the contact details of two referees who should be able to comment on your interest, ability and commitment to your profession and to your professional development. You should ensure that each of your referees receives one of the reference forms that are enclosed with the application form. Instructions for the completion and submission of the reference forms are given. Referee 1 Name Occupation/Position Relationship to applicant ddress Referee 2 Name Occupation/Position Relationship to applicant ddress

8 P. Source of Information on this Programme/ Module How did you hear about this Programme/ module? (Please tick one) School of Nursing & Midwifery Prospectus/Mailshot Colleague School of Nursing & Midwifery/University of Dundee Website Current/Former Student University of Dundee CPD/Distance Learning Prospectus Family or Friend Learn Direct Employer NMC / Health Professions Council gent/gency please specify below Media dvert please state which one below Other please specify below Q. Supporting Documents (see note 12) You are required to provide photocopies of your Qualification Certificates. We reserve the right to ask to have sight of the original documents. ll applicants are required to provide a passport-sized photograph, which will be used to produce a Student ID card for you. Please tick the relevant boxes below to indicate which copies of documents you have enclosed with your completed application form. English Language Certificate(s) College/University Transcripts / Certificates Certificate of Training / Diploma of Higher Education Copy of NMC/ HPC/ other Professional Body Registration Card passport photograph (see note 12 for more details) More information on your disability, if applicable If self-employed - Enhanced Disclosure Scotland check and recent positive health check Other give details R. Declaration (see note 13) I certify that the information given on this form is true, complete and accurate. If I am admitted to the University, I undertake to observe the University s Ordinances and Regulations and to ensure payment of tuition fees and other financial liabilities to the University. Data Protection ct The personal information provided by you on this form will be used for the purposes of processing your application, monitoring your student career, and for general market research. For market research, the information will be used to produce aggregate statistics and will not be used in ways that identify any individual. The information you provide will be used for no other purpose. In signing this form you consent to the information which you provide being held and processed by the University of Dundee, in electronic and manual formats, for the purposes specified above. I accept that information about my progress and outcome on the Programme may be shared with my employers if they are supporting my studies by giving study time and/or funding. I agree to inform the University immediately if I decide not to proceed with my application. Once you are matriculated, may we release your contact details to other students on the Programme/ module? Signed: Yes Date: No Please return this form to : Post Registration/Postgraduate School of Nursing and Midwifery University of Dundee 11 irlie Place Dundee DD1 4HJ Scotland. UK For further information, contact: Student and Programme dministration Tel: +44 (0) Fax: +44 (0) : nm-spa@dundee.ac.uk Web:

9 Proposed Programme of Study note 1 Programme information about these programmes is available in our prospectus or on our website: Entry Month this is the calendar month in which you wish to start the programme, e.g. September or January Mode of ttendance tick either full-time (undertaking two modules of the Programme concurrently), or part-time (undertaking the Programme over a period of five years). Stand lone modules are part-time. Entry Year this is the calendar year in which you wish to start the programme, e.g. 2007, 2008, 2009, etc. Previous Contact with Dundee note 2 Please provide this detail, if appropriate, as it will help us to retrieve your previous applicant/student record, and add this application quickly. Personal Details note 3 Surname/ Family Name and First/Given name(s) please make sure that you write your family name in full and include all of your given names. It should be written the same way that your name is written in your current passport, driving licence, or other formal document. Do not shorten or abbreviate any of your names. Use Name by which you would like to be known to record shortened or alternative names. Date of Birth please write this in the order of day / month / year (e.g. 19/07/70 = 19 th July 1970) Previous Surname/Maiden name provide this if your surname is different from that on your birth certificate or supporting documentation Correspondence ddress this will be the address we will use to write to you about any decisions made on your application. Please notify us if you change your permanent home, additional or work address. please write this very clearly, as it is a quick way of contacting you about your application. Passport Number this is only required for applicants who have a non-uk passport rea of Permanent Residence if UK-based, enter the county within the UK; if non-uk based, enter the country. dditional Information ll information is kept in accordance with the Data Protection ct 1988 note 4 Disability and Special Needs Please mention any disability or medical condition, so that where possible appropriate support and resources can be arranged. The University encourages applications from students with disabilities and special needs. English Language note 5 Programmes at the University are taught in English, and so a minimum level of English Language is required. Current Employment Details/ Work Experience note 6 Please provide details of duties and responsibilities of current and previous work experience. Continue on a separate sheet, if required. Section H : Designated Medical Practitioners (Mentors) for the Non-Medical Prescribing Module must meet the eligibility criteria as defined on page 7 of the National Prescribing Centre (NPC) document Training Non-Medical Prescribers in Practice found at Qualification Details note 7 Please give full details of college/university, post registration/postgraduate qualifications completed to date, starting with the most recent. Where possible, list the subjects and level/grades obtained. Continue on a separate sheet, if required. Other relevant academic or professional qualifications note 8 Please provide full details of other relevant qualifications including any that are pending (say when you expect to receive the results). You may be given a conditional offer based on the results of pending exams. Credit Claim Details note 9 Indicate whether you wish to claim specific P(E)L credit within this programme. The amount of specific credit which may be awarded will depend on how closely the prior learning relates to the proposed programme of study. Specific credit will normally be given only for learning undertaken within the last 5 years. maximum of two modules only will be accredited towards the programme. Personal Statement note 10 lso include in this section anything else that has not been covered elsewhere in the form. Non-Medical Prescribing Module applicants are required to clearly identify the clinical need for prescribing in their area of practice. It is also compulsory that the number of years spent in the clinical area you will be prescribing is indicated. Referee Details note 11 Please give contact details of 2 referees who will support your application. You should ensure that each of the referees receives one of the reference forms that are enclosed. If these are missing, contact to request copies. Please note that it is the responsibility of the applicant to ensure that the references are returned along with the completed application form. Supporting Documents note 12 Ensure that your passport photograph is in colour and that it is of your face, head and shoulders. On the back of the photograph, please write your full name and sign the back to confirm that this photograph is a true likeness of you. If providing other supporting documentation, ensure that your name is clearly written or visible on each additional sheet. We reserve the right to ask to see other supporting documentation at a later date if necessary. Declaration note 13 You must sign the application form. By signing the form, you are declaring that, to the best of your knowledge, you have included correct, complete and accurate information. The information will be used for processing your application. What happens next? note 14 We will acknowledge receipt of your application soon. If your application is complete we will then write to you with our decision, which will be one of the following: an unconditional offer of a place; a conditional offer of a place (requiring you to meet certain requirements first); a rejection. If the application is incomplete, we will not process your application further until we receive the necessary documentation.

10 . pplicants Details SCHOOL OF NURSING ND MIDWIFERY Form SOSLM -3 STTEMENT OF SUPPORT FROM LINE MNGER Completion of this form by a Line Manager is an essential requirement for the Non-Medical Prescribing module only. Please complete all sections of this form using a black ballpoint pen or black type in BLOCK CPITLS First / Given Name(s) Date of Birth (dd / mm / yyyy) d d / m m / 1 9 y y Surname / Family Name Title : Mr / Miss / Ms / Mrs Male / Female (Please circle) B. Support Requirements Practitioners undertaking the Non-Medical Prescribing module are required to commit a considerable amount of time and effort to the learning in practice component. This commitment involves the practitioners using a proportion of their contracted working hours. Managers and employers must be prepared to support the practitioner by releasing them from a proportion of their usual duties and responsibilities. The theory days are based at the University and attendance is compulsory. Learning in Practice takes place within the students workplace. However, students must be given the freedom to achieve competencies associated with the module. This will require them to spend time with their Designated Medical Practitioner and to gain experience, which may be outwith their usual practice, such as spending time in other wards or departments or with other professionals and agencies, e.g. with pharmacists. ll students will therefore require a minimum agreed facilitated learning time equivalent to 12 days - mutually agreed between student, designated medical practitioner and line manager. This will be used to undertake short placements or focused learning visits to achieve the learning outcomes and competencies for the module. C. Line Manager s Statement of Support In addition to the support requirements in B above, the following are required : 1. The applicant is assessed as competent to take a history, clinical assessment and diagnose within their clinical speciality. 2. There is a clinical need to justify prescribing. 3. The applicant has sufficient knowledge to apply prescribing principles taught in the module to their own area of practice. 4. The applicant is able to demonstrate appropriate numeracy skills. 5. Confirmation that the applicant has a current Enhanced Disclosure Scotland check* (see note below). 6. Confirmation that the applicant has been subject to positive health checks* (see note below). * Note: if self-employed, you must provide evidence. I agree to provide appropriate support to allow the candidate to meet the module requirements described in B and confirm items 1-6 in C. Name: Signed: Date: This form should be returned with the candidate s application form to the address given on the application form.

11 1. pplicants Details SCHOOL OF NURSING ND MIDWIFERY REFERENCE IN SUPPORT OF DMISSION NON-MEDICL PRESCRIBING This form should be handed to the referee for return to the address given at the bottom of this page. Please complete all sections of this form using a black ballpoint pen or black type in BLOCK CPITLS Form T-NUMI-REF3 First / Given Name(s) Date of Birth (dd / mm / yyyy) d d / m m / 1 9 y y Surname / Family Name Title : Mr / Miss / Ms / Mrs Male / Female (Please circle) 2. Proposed Programme of Study Module / Programme Name : (Use exact title with subject designation if relevant) 3. Referee Details Referee Name Occupation/Position Relationship to applicant Contact ddress 4. Referee s Statement Please provide a reference for the above candidate, indicating his/her suitability for postgraduate study. Continue on an extra sheet, if required. Signed: Date: PLESE ENSURE THT THIS FORM IS RETURNED DIRECTLY TO : Post Registration / Postgraduate Office, School of Nursing and Midwifery, University of Dundee, 11 irlie Place, Dundee, DD1 4HJ, Scotland. UK OR RETURNED TO THE PPLICNT IN SELED SIGNED ENVELOPE. THNKS.

12 1. pplicants Details SCHOOL OF NURSING ND MIDWIFERY REFERENCE IN SUPPORT OF DMISSION NON-MEDICL PRESCRIBING This form should be handed to the referee for return to the address given at the bottom of this page. Please complete all sections of this form using a black ballpoint pen or black type in BLOCK CPITLS Form T-NUMI-REF4 First / Given Name(s) Date of Birth (dd / mm / yyyy) d d / m m / 1 9 y y Surname / Family Name Title : Mr / Miss / Ms / Mrs Male / Female (Please circle) 2. Proposed Programme of Study Programme Name : Use exact title with subject designation as relevant 3. Referee Details Referee Name Occupation/Position Relationship to applicant Contact ddress 4. Referee s Statement Please provide a reference for the above candidate, indicating his/her suitability for postgraduate study. Continue on an extra sheet, if required. Signed: Date: PLESE ENSURE THT THIS FORM IS RETURNED DIRECTLY TO : Post Registration / Postgraduate Office, School of Nursing and Midwifery, University of Dundee, 11 irlie Place, Dundee, DD1 4HJ, Scotland. UK OR RETURNED TO THE PPLICNT IN SELED SIGNED ENVELOPE. THNKS.

Middlesex University Research Degrees Application Form

Middlesex University Research Degrees Application Form Middlesex University Research Degrees Application Form Please complete this application form and return it to research.adm@mdx.ac.uk Section 1: Personal Details Surname / Family Name: Previous Surname:

More information

Application Form for Erasmus/ Exchanges/ Study Abroad

Application Form for Erasmus/ Exchanges/ Study Abroad Application Form for Erasmus/ Exchanges/ Study Abroad This form should either be completed electronically using Adobe Acrobat Reader, or if you wish to fill out the form by hand, please complete in BLOCK

More information

Application Form. Have you previously applied to UWTSD? YES NO If yes, please enter your student number Title Mr/Mrs/Miss/Ms/Other

Application Form. Have you previously applied to UWTSD? YES NO If yes, please enter your student number Title Mr/Mrs/Miss/Ms/Other Application Form This form should either be completed electronically using Adobe Acrobat Reader, or if you wish to complete the form by hand, please complete in BLOCK CAPITALS and use black ink. Have you

More information

TRUSTS / PRIVATE ORGANISATION - PLEASE COMPLETE:

TRUSTS / PRIVATE ORGANISATION - PLEASE COMPLETE: STAFF USE ONLY Faculty of Health and Wellbeing Student Number New/Continuing SI updated letter Spreadsheet CPD code LBR CPD funding 2013/2014 - PRACTICE TEACHER PREPARATION Please indicate the Health Authority

More information

North West Universities: NMP collaboration Application form for Non-Medical Prescribing

North West Universities: NMP collaboration Application form for Non-Medical Prescribing APPLICATION FORM March 2017 Notes for applicants: North West Universities: NMP collaboration Application form for Non-Medical Prescribing (V300, Independent/Supplementary prescribing) The application process

More information

LBR CPD funding 2013/ MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED)

LBR CPD funding 2013/ MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED) Faculty of Health and Wellbeing Staff use only Student Number.. New / Continuing Si updated letter Spreadsheet CPD code LBR CPD funding 2013/2014 - MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED)

More information

APPLICATION FOR NON-MEDICAL PRESCRIBING

APPLICATION FOR NON-MEDICAL PRESCRIBING APPLICATION FOR NON-MEDICAL PRESCRIBING Sections 1, 2 & 3 All Applicants to complete Section 4 Only Independent/Supplementary Prescribing Applicants & their DMP to complete Section 5 Only Community Practitioner

More information

Level 7 programme (60 credits): Clinically Enhanced Independent Prescribing for Hospital and Mental Health Pharmacists (HEE LaSE only)

Level 7 programme (60 credits): Clinically Enhanced Independent Prescribing for Hospital and Mental Health Pharmacists (HEE LaSE only) Application Form Postgraduate Certificate in Independent and Supplementary Prescribing Standard programme (8 months or 12 months) Level 7 programme (60 credits): Independent Prescribing for Pharmacists,

More information

Section 1a: personal details to be completed by applicant

Section 1a: personal details to be completed by applicant APPLICATION FORM March 2018 Notes for applicants: North West Universities: NMP collaboration Application form for Non-Medical Prescribing (V300, Independent/Supplementary prescribing) The application process

More information

Faculty of Health and Wellbeing LBR CPD funding 2012/ MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED)

Faculty of Health and Wellbeing LBR CPD funding 2012/ MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED) Faculty of Health and Wellbeing LBR CPD funding 2012/2013 - MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED) Please indicate the health authority you are applying from Yorkshire and Humber

More information

North West Universities: NMP collaboration Nomination form for Non-Medical Prescribing

North West Universities: NMP collaboration Nomination form for Non-Medical Prescribing NOMINATION FORM March 2014 North West Universities: NMP collaboration Nomination form for Non-Medical Prescribing (V300, Independent/Supplementary prescribing) Notes for nominees: The application process

More information

The School Of Nursing And Midwifery.

The School Of Nursing And Midwifery. The School Of Nursing And Midwifery. FUNDING OF NON-MEDICAL PRESCRIBING TRAINING If you are entitled to obtain NHS funding all parts must be completed if you would like funding for your training. If you

More information

AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, TANZANIA APPLICATION FOR ADMISSION

AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, TANZANIA APPLICATION FOR ADMISSION Application No. / / / / / / AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, TANZANIA APPLICATION FOR ADMISSION POST-RN BACHELOR OF SCIENCE IN NURSING DEGREE PROGRAMME (BSCN) The AKU Post-RN BScN degree

More information

POLYTECHNICS MAURITIUS LTD

POLYTECHNICS MAURITIUS LTD Please complete all sections SECTION ONE: PREAMBLE NATIONAL DIPLOMA IN NURSING APPLICATION FORM You have taken an important step to submit an application for the National Diploma in Nursing at Polytechnics

More information

Diploma in Enrolled Nursing Application Checklist

Diploma in Enrolled Nursing Application Checklist T e T a r i M ā t a u r a n g a H a u o r a F a c u l t y o f N u r s i n g a n d H e a l t h S t u d i e s Diploma in Enrolled Nursing Application Checklist Name of Student... Nursing & Health Studies:

More information

APPLICATION FORM (do not alter this form in any way)

APPLICATION FORM (do not alter this form in any way) APPLICATION FORM (do not alter this form in any way) INDEPENDENT AND SUPPLEMENTARY PRESCRIBER EDUCATION This form should be completed submitted in addition to the Learning Beyond Registration Module application

More information

BNS/BNT: DIRECT APPLICATION FORM:

BNS/BNT: DIRECT APPLICATION FORM: BNS/BNT: DIRECT APPLICATION FORM: University Use Only The categories of applicants listed below who are seeking admission to the University, are required to apply directly to DCU using this form. Please

More information

SCHOOL OF NURSING APPLICATION FORM

SCHOOL OF NURSING APPLICATION FORM SCHOOL OF NURSING APPLICATION FM PRESCRIBING F HEALTHCARE PROFESSIONALS COMMUNITY NURSE PRESCRIBING PRESCRIBING F PHARMACISTS (delete as appropriate) Please complete in black ink in the spaces provided

More information

New Zealand. Regional Development Scholarships. Application Form

New Zealand. Regional Development Scholarships. Application Form New Zealand Regional Development Scholarships Application Form NOMINATING AUTHORITY/SPONSOR USE ONLY ID No: Male Female Family Name: Given Name: Village/Province: Country: Satisfies country criteria: Yes

More information

MASTER ERASMUS MUNDUS MACLANDS MAster of Cultural LANDScapes

MASTER ERASMUS MUNDUS MACLANDS MAster of Cultural LANDScapes MASTER ERASMUS MUNDUS MACLANDS MAster of Cultural LANDScapes APPLICATION FORM FOR STUDENTS 2011-2013 Deadline for applications : A & B Categories : 31 st January 2011 Further Information: http://www.maclands.fr

More information

Application Guidelines Postgraduate Diploma Midwifery (90-week shortened programme)

Application Guidelines Postgraduate Diploma Midwifery (90-week shortened programme) Application Guidelines 2017-18 Postgraduate Diploma Midwifery (90-week shortened programme) Overview March 2017 entry Page 1 of 12 Application Guidelines March 2017 Eligibility Thank you for your interest

More information

POST-GRADUATE CERTIFICATE IN THE THEORY OF ACCOUNTING (CTA) APPLICATION FORM 2016

POST-GRADUATE CERTIFICATE IN THE THEORY OF ACCOUNTING (CTA) APPLICATION FORM 2016 POST-GRADUATE CERTIFICATE IN THE THEORY OF ACCOUNTING (CTA) APPLICATION FORM 2016 BEFORE YOU START COMPLETING THEIS FORM PLEASE READ AND SIGN THE FOLLOWING CONSENT TO COLLECT PERSONAL INFORMATION. I accept,

More information

AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, KENYA APPLICATION FOR ADMISSION

AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, KENYA APPLICATION FOR ADMISSION Application No. / / / / / / AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, KENYA APPLICATION FOR ADMISSION POST-RN BACHELOR OF SCIENCE IN NURSING DEGREE PROGRAMME (BSCN) The AKU Post-RN BScN degree

More information

IRISH AID IRISH AID IDEAS PROGRAMME: STRAND II

IRISH AID IRISH AID IDEAS PROGRAMME: STRAND II IRISH AID The government of Ireland s official programme of assistance to developing countries is managed by Irish Aid, a division within the Department of Foreign Affairs and Trade. The aid programme

More information

European Mutual Recognition application for registration guidance

European Mutual Recognition application for registration guidance For help or enquiries: Registration Department, 184 Kennington Park Road, London, SE11 4BU +44 (0)300 500 4472 international@hcpc-uk.org These guidance notes will help you to complete the European Mutual

More information

North West Universities: NMP collaboration

North West Universities: NMP collaboration V150 APPLICATION FORM March 2017 North West Universities: NMP collaboration Notes for applicants: Application form for V150 Community Practitioner Nurse Prescribing courses The application process requires

More information

Overseas Pharmacists Assessment Programme (OSPAP)

Overseas Pharmacists Assessment Programme (OSPAP) Overseas Pharmacists Assessment Programme (OSPAP) Application and Guidance notes Send your completed application to: International Applications General Pharmaceutical Council 25 Canada Square LONDON E14

More information

LEICESTER INTERNATIONAL PATHWAY COLLEGE APPLICATION FORM

LEICESTER INTERNATIONAL PATHWAY COLLEGE APPLICATION FORM LEICESTER INTERNATIONAL PATHWAY COLLEGE APPLICATION FORM Please complete ALL sections of the following form clearly and accurately using CAPITAL LETTERS. If information is missing from your form, or we

More information

Dental Hygiene & Dental Therapy. Application Guide For April

Dental Hygiene & Dental Therapy. Application Guide For April School Of Clinical Dentistry Dental Hygiene & Dental Therapy. Application Guide For April 2018. www.sheffield.ac.uk/dentalschool Thank you for your interest in studying Dental Hygiene and Dental Therapy

More information

PACIFIC SHORT TERM TRAINING SCHOLARSHIPS

PACIFIC SHORT TERM TRAINING SCHOLARSHIPS Application form for PACIFIC SHORT TERM TRAINING SCHOLARSHIPS OFFICE USE ONLY Applicant name: Country: Date: SHORT TERM TRAINING SCHOLARSHIPS (STTS) Short Term Training Scholarships assist people in the

More information

AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, UGANDA APPLICATION FOR ADMISSION

AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, UGANDA APPLICATION FOR ADMISSION Application No. / / / / / / AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, UGANDA APPLICATION FOR ADMISSION DIPLOMA IN GENERAL NURSING The AKU Diploma in General Nursing is a two-year programme (four

More information

You MUST refer to the Explanatory Notes & Checklist to complete the application form.

You MUST refer to the Explanatory Notes & Checklist to complete the application form. Application for Initial Assessment of Office Use Only Professional Qualification in General Dentistry AS-1 V11 Ref No: / Section A You MUST refer to the Explanatory Notes & Checklist to complete the application

More information

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

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

More information

CRITERIA AND GUIDELINES FOR FULL ACCREDITATION AS A BEHAVIOURAL AND/OR COGNITIVE PSYCHOTHERAPIST

CRITERIA AND GUIDELINES FOR FULL ACCREDITATION AS A BEHAVIOURAL AND/OR COGNITIVE PSYCHOTHERAPIST CRITERIA AND GUIDELINES FOR FULL ACCREDITATION AS A BEHAVIOURAL AND/OR COGNITIVE PSYCHOTHERAPIST Full Accreditation is dependent on submission, 12 months after the date Provisional Accreditation, of an

More information

University of Aberdeen. Notes for Postgraduate Applicants

University of Aberdeen. Notes for Postgraduate Applicants University of Aberdeen Notes for Postgraduate Applicants These Notes will assist you in completing an Application Form for Postgraduate Taught Programmes, or In-Service (Education) study. IMPORTANT NOTES

More information

Registering as a dental care professional with the General Dental Council

Registering as a dental care professional with the General Dental Council Registering as a dental care professional with the General Dental Council Application form Please note if your application is incomplete it will be returned to you. Your application form and accompanying

More information

BSc (Hons) Adult Nursing/ BSc (Hons) Mental Health Nursing. Interview Day for September 2016 Entry

BSc (Hons) Adult Nursing/ BSc (Hons) Mental Health Nursing. Interview Day for September 2016 Entry BSc (Hons) Adult Nursing/ BSc (Hons) Mental Health Nursing Interview Day for September 2016 Entry Interview Guidance Congratulations on gaining an interview for our BSc (Hons) Adult Nursing/Mental Health

More information

Terms and conditions

Terms and conditions All India Institute of Medical Sciences Raipur (Chhattisgarh) G. E. Road, Tatibandh, Raipur-492 099 (CG) www.aiimsraipur.edu.in Advt. No. Project/Micro/Extramural/2017/01/AIIMS.RPR Dated 10.02.2018 ADVERTISEMENT

More information

AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, UGANDA APPLICATION FOR ADMISSION

AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, UGANDA APPLICATION FOR ADMISSION Application No. / / / / / / AGA KHAN UNIVERSITY SCHOOL OF NURSING AND MIDWIFERY, UGANDA APPLICATION FOR ADMISSION POST-RM BACHELOR OF SCIENCE IN MIDWIFERY DEGREE PROGRAMME (BSCM) The AKU Post-RM BScM degree

More information

PERSONAL INFORMATION. 1. Name: Last Name First Name Middle Name. Address

PERSONAL INFORMATION. 1. Name: Last Name First Name Middle Name.  Address HEART Trust/NTA YOUTH SERVICES DIVISION An Agency of the Ministry of Education, Youth and Information 6 Collins Green Avenue, Kingston 5 Tel: (876) 754 9816-8 Facsimile: (876) 754 9820 NATIONAL SUMMER

More information

Guidance Notes Applying for registration online

Guidance Notes Applying for registration online Guidance Notes Applying for registration online An Chomhairle um Ghairmithe Sláinte agus Cúraim Shóisialaigh Health and Social Care Professionals Council December 2017 Important Please read these guidance

More information

Application for: Short Programme. Nelson Mandela Metropolitan University: 20. Prog. 1. Name: Prog. 2. Name:

Application for: Short Programme. Nelson Mandela Metropolitan University: 20. Prog. 1. Name: Prog. 2. Name: Please attach a recent passport size photograph of yourself Application for: Short Programme Prog. 1. Name: Prog. 2. Name: Nelson Mandela Metropolitan University: 20. SURNAME INITIALS STUDENT NUMBER For

More information

Application to be restored to the register

Application to be restored to the register Application to be restored to the register (Dentist / Dental Specialist) Please note if your application is incomplete it will be returned to you. Your application form and accompanying documents should

More information

Application for Initial Assessment of Overseas Qualified Dental Prosthetist AS-3 V1

Application for Initial Assessment of Overseas Qualified Dental Prosthetist AS-3 V1 Application for Initial Assessment of Overseas Qualified Dental Prosthetist AS-3 V1 Office Use Only Ref No: Z / You MUST refer to the Explanatory Notes and Checklist to complete the application form. Ensure

More information

CERTIFICATE IN PEER SUPPORT Application Form

CERTIFICATE IN PEER SUPPORT Application Form Form A1.2 (CPS Run 3) Send to: Attention to: Social Service Institute National Council of Social Service 298, Tiong Bahru Road #18-01, Central Plaza, Singapore 168730 Tel: 6589 5555 Fax: 6589 5540 Ms Gillian

More information

EDUCATION ENROLMENT FORM EXPRESSION OF INTEREST

EDUCATION ENROLMENT FORM EXPRESSION OF INTEREST Office Use Only Eligible for Funding Reason: Yes No EDUCATION ENROLMENT FORM EXPRESSION OF INTEREST Office Use Only Student Number: Enrolment Complete: Yes No Course: Classroom: Start Date: Documents uploaded

More information

Research Passport Application Form Version 3 01/09/2012

Research Passport Application Form Version 3 01/09/2012 Research Passport Application Form Version 3 01/09/2012 Please refer to the guidance notes before completing the form. Section 1 - Details of Researcher To be completed by Researcher 1. Surname: Prof Dr

More information

Dear Colleague. Performers List National Application Arrangements. Summary

Dear Colleague. Performers List National Application Arrangements. Summary NHS Circular: PCA(M)(2016)(4) Directorate for Population Health Primary Care Division Dear Colleague Performers List National Application Arrangements Summary 1. This Circular directs 1 NHS Boards in relation

More information

DSA SLIM 2018/19. Disabled Students Allowances Application Form SFE/DSASL/1819/A

DSA SLIM 2018/19. Disabled Students Allowances Application Form SFE/DSASL/1819/A DSA SLIM 2018/19 Disabled Students Allowances Application Form /A How to get Disabled Students Allowances (DSAs) in 3 easy steps Here is a summary of the steps involved in applying for and receiving DSAs.

More information

Master in Anti-Corruption Studies 2018 Programme

Master in Anti-Corruption Studies 2018 Programme Ref. No.: IACA-2017-MACS-0001-212 Master in Anti-Corruption Studies 2018 Programme GUIDELINES FOR THE APPLICATION PROCEDURE Admission Criteria Admission to the Master of Arts in Anti-Corruption Studies

More information

Access to Health Records under the Data Protection Act 1998 (As set out by the Department of Health)

Access to Health Records under the Data Protection Act 1998 (As set out by the Department of Health) Access to Health Records under the Data Protection Act 1998 (As set out by the Department of Health) Below is background information regarding your rights under the Data Protection Act 1998 in relation

More information

Independent and Supplementary Prescribing

Independent and Supplementary Prescribing Independent and Supplementary Prescribing Pharmacist information The following information is provided in order to help a pharmacist decide whether or not the Independent and Supplementary Prescribing

More information

Introduction. Background

Introduction. Background Guidance on the recruitment of work-based veterinary nursing students and the admission of veterinary nursing students to full-time Introduction 1. The following guidance draws upon the RCVS Guidance on

More information

APPLICATION FORM FOR NON-TEACHING POSTS. I. Name of the post applied : Category under which applied: UR/SC/ST/OBC/PWD/XSM

APPLICATION FORM FOR NON-TEACHING POSTS. I. Name of the post applied : Category under which applied: UR/SC/ST/OBC/PWD/XSM MAULANA AZAD NATIONAL URDU UNIVERSITY (A Central University established by an Act of Parliament in 1998) Gachibowli, Hyderabad 500 032. (Accredited A Grade by NAAC) APPLICATION FORM FOR NON-TEACHING POSTS

More information

Member Assessment Guidance

Member Assessment Guidance Member Assessment Guidance Member Assessment Guidance Institution of Civil Engineers Contents Introduction... 3 Is the member assessment the right application for you?... 3 Getting started... 3 What do

More information

ACADEMY OF HOSPITAL ADMINISTRATION

ACADEMY OF HOSPITAL ADMINISTRATION ACADEMY OF HOSPITAL ADMINISTRATION INSTITUTE OF HOSPITAL AND HEALTH MANAGEMENT TRAINING AND RESEARCH STUDENT HAND BOOK & PROSPECTUS PROGRAMME-2017-2018 PG CERTIFICATE IN QUALITY MANAGEMENT AND ACCREDITATION

More information

Graduate Diploma In Mental Health (GDMH) Intake

Graduate Diploma In Mental Health (GDMH) Intake Graduate Diploma In Mental Health (GDMH) Intake 2017-2018 Please tick the appropriate boxes accordingly. * Delete where applicable APPLICATION FORM (A) PERSONAL PARTICULARS Name (as in NRIC/Passport):

More information

Enrolment Form - Domestic

Enrolment Form - Domestic Please complete ALL areas of this form. This form can be completed digitally or neatly using blue or black pen. Please note that we are unable to finalise your enrolment until all required information

More information

Q & A Sheet 2: NMC Standards- Information for Sign-off Mentors:

Q & A Sheet 2: NMC Standards- Information for Sign-off Mentors: Q & A Sheet 2: NMC Standards- Information for Sign-off Mentors: The NMC defines a nurse as A professional person achieving a competent standard of practice at first cycle level following successful completion

More information

Application for registration in New Zealand Part B: This form is to be accompanied by Part A [checklist] and all documents required on checklist

Application for registration in New Zealand Part B: This form is to be accompanied by Part A [checklist] and all documents required on checklist Application for registration in New Zealand Part B: This form is to be accompanied by Part A [checklist] and all documents required on checklist REG1 August 2017 For office use only Registration no: PO

More information

Application Form Mauritius-Africa Scholarship

Application Form Mauritius-Africa Scholarship REPUBLIC OF MAURITIUS MINISTRY OF EDUCATION AND HUMAN RESOURCES, TERTIARY EDUCATION AND SCIENTIFIC RESEARCH Application Form Mauritius-Africa Scholarship 2018 Edition Reference Number Received on Received

More information

Application to be restored to the register

Application to be restored to the register Application to be restored to the register (Dental care professional) Please note if your application is incomplete it will be returned to you. Your application form and accompanying documents should be

More information

Thinking about a career in nursing or midwifery?

Thinking about a career in nursing or midwifery? Thinking about a career in nursing or midwifery? cancer travel What is nursing? What is midwifery? page 2 Where can I study? page 9 What qualifications do I need? page 4 How much will it cost me to go

More information

CHC30113 Certificate III in Early Childhood Education and Care

CHC30113 Certificate III in Early Childhood Education and Care ENROLMENT APPLICATION FORM CHC30113 Certificate III in Early About this application Use this Enrolment Application to apply for enrolment in CHC30113 Certificate III in Early. Before completing this Enrolment

More information

DEMOCRATIC NURSING ORGANISATION OF SOUTH AFRICA (DENOSA)

DEMOCRATIC NURSING ORGANISATION OF SOUTH AFRICA (DENOSA) DEMOCRATIC NURSING ORGANISATION OF SOUTH AFRICA (DENOSA) DENOSA STUDY FUND COMMITTEE APPLICATION FOR A BURSARY ADDRESS The Secretary DENOSA STUDY FUND COMMITTEE PO Box 1280 PRETORIA 0001 1 DENOSA STUDY

More information

GUIDELINES FOR REGISTRATION OF ADDITIONAL QUALIFICATION(S) FOR PHARMACISTS

GUIDELINES FOR REGISTRATION OF ADDITIONAL QUALIFICATION(S) FOR PHARMACISTS GUIDELINES FOR REGISTRATION OF ADDITIONAL QUALIFICATION(S) FOR PHARMACISTS The Pharmacy Council of Ghana is mandated by the Health Professions Regulatory Bodies Act, 2013 (ACT 857) to register additional

More information

Applying to join the pharmacist pre-registration scheme guidance and application form

Applying to join the pharmacist pre-registration scheme guidance and application form Applying to join the pharmacist pre-registration scheme guidance and application form Post your form to: Pre-registration New Trainees Customer Services General Pharmaceutical Council 25 Canada Square

More information

DISTRICT RURAL DEVELOPMENT AGENCY: SUNDARGARH

DISTRICT RURAL DEVELOPMENT AGENCY: SUNDARGARH Name of Post MGNREGA Coordinator Additional Programme Officer, MGNREGA DISTRICT RURAL DEVELOPMENT AGENCY: SUNDARGARH No. 1382/DRDA, Dated the 18 th February 2016 INVITATION OF EXPRESSION OF INTEREST Applications

More information

Application for restoration to the New Zealand medical register

Application for restoration to the New Zealand medical register Application for restoration to the New Zealand medical register REG6 August 2017 Registration. PO Box 10 509, The Terrace, Wellington, 6143, New Zealand Level 28 Plimmer Towers Wellington, 6011, New Zealand

More information

Application Form Nursing Nurses, Midwives & ODPs

Application Form Nursing Nurses, Midwives & ODPs Application Form Nursing Nurses, Midwives & ODPs Please complete in BLOCK CAPITALS Personal Details Mr / Mrs / Miss / Ms Surname First name (as appears on NMC / HCPC register) Other name(s) Maiden name

More information

APPLICATION FORM. International Diploma in Mental Health, Human Rights and Law. Last date of application - 20th August 2017 POSTAL ADDRESS:

APPLICATION FORM. International Diploma in Mental Health, Human Rights and Law. Last date of application - 20th August 2017 POSTAL ADDRESS: Indian Law Society s Centre for International Diploma in Mental Health, Human Rights and Law APPLICATION FORM Last date of application - 20th August 2017 The duly completed admission form may be submitted

More information

Dow University of Health Sciences Karachi Department of Postgraduate Studies Baba-e-Urdu Road Karachi PAKISTAN

Dow University of Health Sciences Karachi Department of Postgraduate Studies Baba-e-Urdu Road Karachi PAKISTAN Dow University of Health Sciences Karachi Department of Postgraduate Studies Baba-e-Urdu Road Karachi PAKISTAN http://www.duhs.edu.pk (TRAINING NAME) ADMISSION FORM Application # (AP No) PHOTOGRAPH Specialty

More information

TUITION BURSARY 2018 APPLICATION FORM. Closing date: 31 October Please see instructions on last page.

TUITION BURSARY 2018 APPLICATION FORM. Closing date: 31 October Please see instructions on last page. St Joseph's Theological Institute NPC (Non-Profit Company 2003/009125/08; PBO 930007111; Private Higher Education Institute 2003/HE08/003 ) Tel: 0873538940 TUITION BURSARY 2018 APPLICATION FORM Closing

More information

APPLICATION FORM. Application deadline. Application for EM3E master admission with an Erasmus Mundus scholarship: December 15 th 2011 (mid-night CET)

APPLICATION FORM. Application deadline. Application for EM3E master admission with an Erasmus Mundus scholarship: December 15 th 2011 (mid-night CET) APPLICATION FORM MASTER EDITION 2012 2014 Application deadline Application for EM3E master admission with an Erasmus Mundus scholarship: December 15 th 2011 (mid-night CET) Application for EM3E master

More information

Registering as a dentist with the General Dental Council (Overseas qualified)

Registering as a dentist with the General Dental Council (Overseas qualified) www.gdc-uk.org www.gdc-uk.org Registering as a dentist with the General Dental Council Application Form This application form, accompanying documents and registration fee should be posted to: Registration

More information

Application for admission to: (Important: Tick accordingly and fill in the year of intake)

Application for admission to: (Important: Tick accordingly and fill in the year of intake) Singapore Institute of Management Pte Ltd, SIM Headquarters, 461 Clementi Road, Singapore 599491 Tel: +65 6248 9746 Website: www.simge.edu.sg Application for admission to: (Important: Tick accordingly

More information

Nursing and Midwifery Council: Fitness to Practise Committee. Substantive Order Review Hearing

Nursing and Midwifery Council: Fitness to Practise Committee. Substantive Order Review Hearing Nursing and Midwifery Council Fitness to Practise Committee Substantive Order Review Hearing 27 November 2017 Nursing and Midwifery Council, 114-116 George Street, Edinburgh, EH2 4LH Name of Registrant

More information

Independent prescribing conversion programme. De Montfort University Report of a reaccreditation event May 2017

Independent prescribing conversion programme. De Montfort University Report of a reaccreditation event May 2017 Independent prescribing conversion programme De Montfort University Report of a reaccreditation event May 2017 GPhC, independent prescribing conversion programme reaccreditation report Page 1 of 10 Event

More information

GUIDELINES FOR REGISTRATION OF PHARMACISTS TRAINED OUTSIDE JAMAICA PHARMACY COUNCIL OF JAMAICA 91 DUMBARTON AVENUE KINGSTON 10 JAMAICA

GUIDELINES FOR REGISTRATION OF PHARMACISTS TRAINED OUTSIDE JAMAICA PHARMACY COUNCIL OF JAMAICA 91 DUMBARTON AVENUE KINGSTON 10 JAMAICA GUIDELINES FOR REGISTRATION OF PHARMACISTS TRAINED OUTSIDE JAMAICA PHARMACY COUNCIL OF JAMAICA 91 DUMBARTON AVENUE KINGSTON 10 JAMAICA JANUARY 2007 1 First Edition Copyright 2007 By The Pharmacy Council

More information

THIRD COUNTRY Route of Registration

THIRD COUNTRY Route of Registration THIRD COUNTRY Route of Registration Application Booklet for Registration as a Pharmacist under Section 14 and Section (2) (b) of the Pharmacy Act 2007 Third Country Route Pharmaceutical Society of Ireland

More information

Driving License (Card & paper counterpart)

Driving License (Card & paper counterpart) VKL Transport Services Ltd Transport & Nursing Agency Unit 210 & 211, Studio 2000, 5 Elstree Way, Borehamwood, Hertfordshire WD6 1SF T: +44 (0)208 381 6254 F: +44 (0)208 327 0165 E: enquiries@vklnursing.co.uk

More information

CHCPRT001 Identify and respond to children and young people at risk

CHCPRT001 Identify and respond to children and young people at risk ENROLMENT APPLICATION FORM CHCPRT001 Identify and respond to children and young people at risk About this application Use this Enrolment Application to apply for enrolment in CHCPRT001 Identify and respond

More information

Chinese Government Scholarship Program Application Procedures

Chinese Government Scholarship Program Application Procedures Chinese Government Scholarship Program Application Procedures General The Chinese Government Scholarship Program is available through an agreement between the National Ministry of Education of the People

More information

APPLICATION FORM (for Scientific and Technical Posts) Married. 5. Date of Birth: Place of Birth. 6. Age (as on ) Years Months Days.

APPLICATION FORM (for Scientific and Technical Posts) Married. 5. Date of Birth: Place of Birth. 6. Age (as on ) Years Months Days. INSTITUTE OF NANO SCIENCE AND TECHNOLOGY (An Autonomous Research Institute of Department of Science and Technology, Government of India) Habitat Centre, Sector-64, Phase-X, Mohali-160062, Punjab APPLICATION

More information

NES General Practice Nursing Education Supervisor (General Practice, Medical Directorate)

NES General Practice Nursing Education Supervisor (General Practice, Medical Directorate) NES General Practice Nursing Education Supervisor (General Practice, Medical Directorate) APPLICANT GUIDE BACKGROUND INFORMATION ON GENERAL PRACTICE NURSING (GPN) EDUCATION SUPERVISOR ROLE In March 2011

More information

Faculty of Nursing. B.Sc. (Nursing) (a) The candidate should have completed the age of 17 years at the time of admission or will

Faculty of Nursing. B.Sc. (Nursing) (a) The candidate should have completed the age of 17 years at the time of admission or will Eligibility for B.Sc. (Nursing) B.Sc. (Nursing) (a) The candidate should have completed the age of 17 years at the time of admission or will st complete this age on 31 December of the year of admission.

More information

Food Handlers Program

Food Handlers Program Enrolment Application Form Food Handlers Program 1800 617 455 info@goodstart.edu.au PO Box 12089 George Street Brisbane Qld 4003 About this Application Use this Enrolment Application to apply for enrolment

More information

Course Code(s): PY011P31UV Part-Time 6 Months. University Statement of Credit University Statement of Credit

Course Code(s): PY011P31UV Part-Time 6 Months. University Statement of Credit University Statement of Credit Course Specification Published Date: Produced By: Status: 15-Aug-2017 Haiden Novis Validated Core Information Awarding Body / Institution: School / Institute: University of Wolverhampton School of Pharmacy

More information

Royal College of Surgeons in Ireland

Royal College of Surgeons in Ireland Royal College of Surgeons in Ireland School of Nursing Certificate in Nursing (Nurse / Midwife Prescribing) (Minor Award, level 8) Application Form October 2010 Please attach 1 passport photograph to this

More information

Application for registration within a vocational scope of practice

Application for registration within a vocational scope of practice Application for registration within a vocational scope of practice VOC3 Aug 2017 For doctors who hold a postgraduate medical qualification which is not the prescribed New Zealand or Australasian postgraduate

More information

Open University Undergraduate on Study Bursary

Open University Undergraduate on Study Bursary Student Fees The Open University PO Box 6055 Milton Keynes MK10 1NH Phone +44 (0)1908 653411 Email: studentfees@open.ac.uk Open University Undergraduate on Study Bursary 2017-18 On Study Bursary Funding

More information

Extending your student visa within the UK Tier 4 (General)

Extending your student visa within the UK Tier 4 (General) Extending your student visa within the UK Tier 4 (General) If you have any questions about this information booklet, please contact the International Student Advisers on internationalstudentsupport@glasgow.ac.uk

More information

Institute of Mental Health and Hospital, Agra

Institute of Mental Health and Hospital, Agra Institute of Mental Health and Hospital, Agra (An Autonomous Institution of Government of U.P) Prospectus & Application Form Academic Year: 2017-2018 1. M.Phil in Psychiatric Social Work Mahura Road, Agra

More information

DIPLOMA IN DENTAL HYGIENE AND DENTAL THERAPY APPLICATION FORM FOR ADMISSION IN Jan 2017

DIPLOMA IN DENTAL HYGIENE AND DENTAL THERAPY APPLICATION FORM FOR ADMISSION IN Jan 2017 DIPLOMA IN DENTAL HYGIENE AND DENTAL THERAPY APPLICATION FORM FOR ADMISSION IN Jan 2017 Please complete clearly in BLACK ink Use the information on the website to ensure that you complete this form correctly

More information

APPLICATION FOR THE POST OF DIRECTOR, IMU KOLKATA CAMPUS

APPLICATION FOR THE POST OF DIRECTOR, IMU KOLKATA CAMPUS INDIAN MARITIME UNIVERSITY (A Central University under the Ministry of Shipping, Government of India), East Coast Road, Uthandi, CHENNAI 600119 http://www.imu.edu.in Tele Fax (044) 24530878 APPLICATION

More information

International Application Form

International Application Form International Application Form Please complete ALL sections of this form clearly AND ACCURATELY. If information is missing we will not be able to process your application. Please email your completed application

More information

GLASGOW CALEDONIAN UNIVERSITY

GLASGOW CALEDONIAN UNIVERSITY GLASGOW CALEDONIAN UNIVERSITY PROGRAMME SPECIFICATION PRO-FORMA (PSP) 1. GENERAL INFORMATION 1. Programme Title: BSc Nursing Studies: Adult Nursing; Child Nursing; Learning Disability Nursing; Mental Health

More information

KEY FACTS MSc Nursing (Advanced Practice in Health and Social Care) MSc, PG Dip, PG Cert School of Health Sciences

KEY FACTS MSc Nursing (Advanced Practice in Health and Social Care) MSc, PG Dip, PG Cert School of Health Sciences PROGRAMME SPECIFICATION KEY FACTS Programme name MSc Nursing (Advanced Practice in Health and Social Care) MSc, PG Dip, PG Cert School of Health Sciences Division of Nursing PSAHNR Full Time / Part Time

More information

Programme Specification and Curriculum Map: MSc Nursing & MSc Nursing (Specialist Practice)

Programme Specification and Curriculum Map: MSc Nursing & MSc Nursing (Specialist Practice) Programme Specification and Curriculum Map: MSc Nursing & MSc Nursing (Specialist Practice) 1. Programme title Postgraduate Nursing programme 2. Awarding institution Middlesex University 3. Teaching institution

More information

Please note that only selected candidates will be contacted.

Please note that only selected candidates will be contacted. ISLAMIC DEVELOPMENT BANK MASTER SCHOLARSHIP PROGRAMME APPLICATION FORM Name (As in your Passport) Nationality Field of Study INSERT YOUR PHOTO HERE Eligible member countries: Afghanistan, Benin, Burkina

More information