Application for Admission to Postgraduate Studies

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1 Ref A Application for Admission to Postgraduate Studies Please read the attached notes before completing the application form Section A Personal Details (Please see notes) Surname / Family name Mr / Mrs / Ms / Miss / Other (please specify) Home address in country of permanent residence First names (in full) Previous surname / family name (if any) Male / Female Date of birth (dd/mm/yy) Country of birth Nationality Telephone (land line): Telephone (mobile): Please write very carefully Current address for correspondence (if different) Country of permanent residence Do you need a student visa to study in the UK? If yes, please complete the sections below: Nationality (as stated in your passport) ( ) Yes No Telephone (land line): Telephone (mobile): Please write very carefully Dates when correspondence address applies From (dd/mm/yy) To (dd/mm/yy) Passport number Passport expiry date (dd/mm/yy) Have you previously studied at Sussex? ( ) Yes No Name (as it appears on your passport) If yes, under what name did you study? Section B Proposed postgraduate studies (Please see notes) 1. Title of programme(s) 1. Web Development (Maximum of three) Intended qualifi cation (tick ( ) one): 3. Taught Degrees: Postgraduate Certifi cate Graduate Diploma Postgraduate Diploma Master of Science (MSc) Master of Arts (MA) Master of Laws (LLM) Master of Research (MRes) Research Degrees: Master of Philosophy (MPhil) Doctor of Philosophy (DPhil) Professional Doctorate (Ed.D) International Professional Doctorate (Ed.D) 1+3 (indicate which Masters programme above) New Route DPhil Doctor of Social Work (DSW) 3. Method of study (tick ( ) one): Full time Part time Visiting Distant 4. Proposed start date: January 2015

2 Section C Education and qualifications (Please see notes) All students with non-uk qualifi cations must submit a certifi ed transcript in English of their academic record to date along with the original transcript with this application. Please include an explanation of the grading system. University or institution attended Dates Subject(s) of study Qualification (BA, MSc, From To etc.) Degree Classification Date obtained or expected Section D English language (Please see notes) 1. If English is not your fi rst language, what has been your language of instruction? 2. Please give the results of any language tests taken (e.g. IELTS, TOEFL) and enclose copies of certifi cates. Section E Relevant experience Please give details of any professional and relevant experience or employment (including vacation work only if relevant). Give details also of any experience or training in advanced study or research, including publications and practical experience. You may also attach a CV of up to two pages. From To Position held Name and address of employer(s)

3 Section F How did you first hear about the University of Sussex? Please tick ( ) all relevant sections: Sussex student / Sussex graduate Friend Academic / teacher Sussex representative in my country Web search Advert Sussex Postgraduate Open Day Recruitment fair British Council If other, please specify: Section G Which of the following did you use to find out more about the University of Sussex? Please tick ( ) all relevant sections: Sussex website Sussex prospectus Sussex CD Sussex representative in my country Sussex Postgraduate Open Day Recruitment fair If other, please specify: Section H References (Please see notes) Please note that the University requires references in order to consider your application. Please, therefore, state the names, titles and contact details of your two referees below and either enclose two references in sealed envelopes or ask your referees to send references to the University directly. These should include your full name and the course you have applied to. They should also be signed and on headed paper. Referee 1 Referee 2 Only one referee required for PGCert Web Development Section I Finance (Please see notes) Before you register with the University you must ensure you have adequate fi nancial provision to cover your tuition fees and living expenses. 1. Please give details of any award for which you are currently applying. When will the outcome of the application be known? 2. Please give details of amount, awarding body and duration of any award which you currently hold. 3. If you do not receive a grant, please give details of how you will be able to fi nance yourself for the duration of your studies.

4 Section J Personal statement / Research proposal Please ensure you complete this section otherwise your application will be delayed. 1. All taught degree applicants (e.g. MA, MSc): please attach a personal statement explaining your reasons for applying and a description of your major interests. 2. MSc Comparative and Cross-Cultural / Social Research Methods: please also attach a short statement setting out the subject of your proposed research. 3. All research applicants in the humanities and social sciences (MPhil and DPhil): please attach a statement setting out the subject of your proposed research, the reason why you have chosen that research topic and the manner in which you envisage approaching your research. 4. All research applicants in science and engineering research (MPhil and DPhil): please indicate the general area of your proposed research. If any particular project(s) would be of interest to you, please indicate. 5. If you have already contacted a member of Sussex University faculty about your application or have a preferred supervisor please state their name here. 6. Please use the space below to provide us with any other relevant information that may support your application or details of circumstances that may have affected your education to date and that you wish us to take into consideration. Section K Final check for applicants Please tick ( ) all relevant boxes (see notes) 1. References enclosed? Yes No 2. Monitoring form completed? Yes No 3. Transcripts enclosed? Yes No 5. Personal statement / Research proposal enclosed? Yes No 4. English Language test certifi cate enclosed? Yes No Section L Declaration (Please see notes) I confi rm that the information provided on this application form is true, accurate and complete. Date Signature

5 Monitoring form Disability, special needs or medical condition The University aims to create an environment which enables all students to participate fully in university life. To help us make any reasonable adjustments which may be necessary, please tick the box below to indicate your specifi c needs. If you indicate that you have a disability, special need or medical condition this information will be passed on to the Student Support Unit who may contact you for further details. Please note that consideration of how we can meet any special needs is separate to the assessment of your academic suitability. No disability You have a social/communication impairment such as Asperger s syndrome/other autistic spectrum disorder You are blind or have a serious visual impairment uncorrected by glasses You are deaf or have a serious hearing impairment You have a long standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsy You have a mental health condition, such as depression, schizophrenia or anxiety disorder You have a specifi c learning diffi culty such as dyslexia, dyspraxia or AD(H)D You have physical impairment or mobility issues, such as diffi culty using your arms or using a wheelchair or crutches You have a disability, impairment or medical condition that is not listed above (please specify below) You have two or more impairments and/or disabling medical conditions (please specify below) Please use this space to provide us with further details or with information regarding your disability that you would like us to take into consideration: Ethnic origin codes Please note that the information requested will be used for statistical purposes only, to enable the University to monitor its equal opportunity practices. The University s equal opportunities policy is to ensure that all applications are treated equally regardless of race, sex or disability etc. Please tick the box below corresponding to the category that you consider best describes your ethnic origin. Please note that ethnic origin is not about nationality, place of birth or citizenship. White British or White Asian British or Asian Black British or Black Mixed 11 British 31 Indian 21 Caribbean 41 White & Black Caribbean 12 Irish 32 Pakistani 22 African 42 White and Black African 13 Scottish 33 Bangladeshi 29 Black - Other 43 White and Asian 14 Irish Traveller 34 Chinese 49 Other mixed background 19 Other White 39 Other Asian 80 Other ethnic background Criminal convictions You are required to declare any criminal convictions for offences against the person, whether of a violent or sexual nature, and convictions for offences involving unlawfully supplying controlled drugs or substances where the conviction concerns commercial drug dealing or traffi cking. You do not need to reveal convictions that are spent (as defi ned by the Rehabilitation of Offenders Act 1974). If you indicate a conviction we may contact for you more information. Applicants to certain courses (e.g. Social Work / PGCE) will be required to provide full conviction details as part of the Criminal Records Bureau check. If you are convicted of a criminal offence after you have applied you are required to inform the University accordingly. Please note that consideration of criminal convictions is separate to the assessment of your academic suitability. Please tick if you have any criminal convictions ( )

6 Notes to help you complete the application form Please read the following notes before completing the application form. Once you have completed all sections, please return the application form with all supporting documents (including your references) to: Postgraduate Admissions, Sussex House, University of Sussex, Falmer, Brighton BN1 9RH, United Kingdom. Section A Personal Details If you provide a correspondence address which is different to your home address, please ensure that you provide dates when the correspondence address is applicable. Please also provide us with an address, if possible, as this is the quickest way for us to communicate with you. Section B Proposed postgraduate studies The starting date for all taught programmes is normally October. The starting dates for research programmes are October, January or April. For distant registration please give details of your availability for study at Sussex. You will be required to spend at least one term in attendance at the University. Please note that distance learning is available to students based outside the UK only. Section C Education and qualifications Please give full details of all higher education courses undertaken to date including any not yet completed. If you studied outside the UK you must provide a transcript translated into English where necessary giving details of courses taken, grades achieved and the grading system used. Section D English language If your fi rst language is not English you will be asked to provide evidence of your profi ciency in English, usually in the form of an IELTS or TOEFL test. Section H References Referee s reports play an important role in the selection procedure. Referees should normally be academic staff from your previous educational institution who are able to comment in detail on your ability to cope with the academic demands of the programme for which you are applying. Applicants who graduated some time ago should have at least one such referee. References should be signed and on headed paper and include your full name as well as the course applied for. They can either be in sealed envelopes and enclosed with your application form or sent by the referee directly to Postgraduate Admissions, Sussex House, University of Sussex, Falmer, Brighton, BN1 9RH or by to Section I Finance Before admission to the University you are required to produce evidence that you can pay the fees and support yourself fi nancially. For information on fees and maintenance costs, please see the Postgraduate Prospectus. The tuition fee you are charged is different depending on whether you are classifi ed as home, overseas or Channel Islands/ Isle of Man. The University is responsible for assessing your fees, but the rules on how you are classifi ed are strictly defi ned by the British Government. If your fee-status is unclear you will be sent a Fee-Status Questionnaire to complete. For independent information on the fee regulations please visit For home students the fee will also be different if you are applying for a qualifi cation equal to or lower than one you already hold. Section K Final check for applicants Before signing this form please ensure you have completed all the questions, the monitoring form and included the relevant documentation with your application. Section L Declaration Any material omissions or falsehood in your application may result in the cancellation of your application or registration. Data protection The University will use the information provided for the purposes of administering your application during the admissions cycle. If you are admitted to the University, this information will be carried forward to your formal student record which holds data in electronic and paper form on your personal details, academic and administrative history and on relevant fi nancial transactions. Otherwise your application details will be archived and used only for internal statistical purposes. At all times your data will be held and used in accordance with UK data protection legislation.

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