ࡱ> Q 1bjbjvv 4ee) 8TcZc c c c c 333xczczczczczczc$Sg jrcy70>3y7y7cc c qc???y7c c xc?y7xc??*8Yh]c Ƀ84\Rdcc0c\{j9T{jh]{jh]3:L4?,55333cc:333cy7y7y7y7{j333333333 :  Business School: Professional Practice Programmes Research Degree Application Form Please complete all parts of this application form electronically, in BLOCK CAPITALS    11 Mar 2013     1. Previous or current study at 鶹ýAV University Have you previously studied or are you currently studying at 鶹ýAV University? Yes [ ] No [ ] If YES please state your Student Number (if known) _____________________________________________ If you are a current student, when will you finish your current programme? ________________________ If you are a current staff member, what is you MISIS Self Service Login Number? ____________________ 3. Fee status (i) Country of Birth: _______________________________ (ii) Nationality (as on Passport): _____________________ Please enclose copies of your Home Office documentation (iii) Country of usual permanent residence: ____________ (iv) Have you ever lived outside (or were born outside) the UK/EU? Yes [ ] No [ ] (v) Applicants not born in the UK/EU must answer the following: (a) Last date of entry to the UK/EU excluding holidays? Day: ___ ___ Month: ___ ___ Year: ___ ___ ___ ___ (b) Have you applied for Refugee or Asylum status in the UK? Yes [ ] No [ ] (c) Have you been granted indefinite leave to remain in the UK? Yes [ ] No [ ] Date Permanent Residence was granted: ______________________ Please enclose copies of your Home Office documentation (d) Have you entered the UK on a visa? Yes [ ] No [ ] (e) Date of visa expiry: ________________________________ 2. Personal details Surname/Family Name: _______________________________ Previous surname (if changed): _________________________ First Name(s): ______________________________________ Title: Mr/Ms/Mrs/Dr/ etc: _____________________________ Home Address: Postcode: __________________________________________ Telephone Number: (including full area dialling code) e.g. +44(0) 208411 5000 Day: ______________________________________________ Mobile/ Evening: _____________________________________ Email: _____________________________________________ Correspondence Address (if different): Postcode: _________________________________________ Gender: Male [ ] Female [ ] Please tick one Date of birth: Day: ___ ___ Month: ___ ___ Year: ___ ___ ___ ___ 4. Payment of fees Who will pay your fees? (tick as appropriate). Yourself [ ] Relative [ ] If a relative, enclose letter of support. Research Council [ ] (Name: _________________________) Other Sponsor [ ] Please specify and attach documentation as appropriate. __________________________________________ Your Employer [ ] Please specify the following details below: Managers name: _______________________________________ Managers signature: ____________________________________ Company Name: ________________________________________ OFFICE USE ONLY Reference Number: M __ __ __ __ __ __ __ __ 5. Proposed Research Programme Application to register for Business School professional practice programme: Mode of study (please tick box): [X] Part time [ ] Distance Learning  Proposed start date: September or January intake (e.g. September 2013 or January 2014):  Research Level (please tick one): [ ] DBA (Doctor of Business Administration) [ ] DProf [ ] DProf by Public Works [ ] MProf  8. Educational & Professional qualifications State most recent first, attaching copies of certificates/transcripts where possible. For international applicants these should be in both the original language and official English translation. Do not send original certificates. University, School College, Professional Body Name & AddressDegree, Diploma Certificate, A-level, VCE/GNVQ,GCSESubject(s)Grade/ Division/ ClassDate Started and Date AwardedExams yet to be taken / results awaited /predicted grade 7. Disabilities/Special Needs The University encourages you to disclose any disability/medical condition which may affect your ability to study. All offers are made on academic grounds only and the information you provide will be used to help 鶹ýAV University provide appropriate support. Please tick all that apply: No Disability [ ] Dyslexia [ ] Blind/Partially Sighted [ ] Deaf/Hearing impairment [ ] Wheelchair User/Mobility Difficulties [ ] Mental Health Difficulties [ ] Unseen Disability [ ] Aspergers/Autistic Spectrum [ ] Learning difficulty [ ] Personal care support [ ] Disability not listed here [ ] Please provide a summary of any special support or facilities you require (if any): 6. Ethnic origin The University is committed to providing equal opportunities for all. To assist us with our confidential monitoring please choose one selection from the bold options A-F to indicate your ethnic group. Then tick the appropriate box immediately after this grouping to indicate your cultural background: A. White [ ]  British [ ] Irish [ ] Scottish [ ] Welsh [ ] Any other White background B. Mixed [ ]  White and Black Caribbean [ ] White and Black African [ ] White and Asian [ ] Any other Mixed background C. Asian or Asian British [ ]  Indian [ ] Pakistani [ ] Bangladeshi [ ] Any other Asian background D. Black or Black British [ ]  Caribbean [ ] African [ ] Any other Black background E. Chinese [ ] F. Other ethnic background [ ] Not known [ ] Information refused [ ] 9. English language qualifications Entry is conditional on the achievement of a standard level of English. If your first language is not English, please give details of the most recent English Proficiency course you have taken, and give the relevant grade/score for all components: Course Qualification Name Grade achievedAward Date 12. Reasons for 鶹ýAV, and Potential Research Area Please attach, as a separate document, a Letter of Application, in which you indicate your reasons for applying for this professional practice programme, and the likely area(s) in which you intend undertaking your research project. A copy of this form is available on the professional doctorate website, or may be obtained from the Professional Practice Programmes Administrator at the Business School (Email: Professionals@mdx.ac.uk). 11. Membership of professional bodies and other training including research publications 10. Current Employment and Career History Please indicate in chronological order details of your current employment and career history. From and To Month and YearEmployers name and addressPosition heldBrief Outline of Duties and ResponsibilityFull Time or Part Time 13. Criminal Convictions Applicants who have a previous conviction will not be automatically excluded from the application process. If you have a current (unspent) relevant criminal conviction please tick here [ ] In this context, relevant criminal convictions are deemed only to be those convictions for offences against a 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 trafficking. If you tick the box above please enclose all details relating to your offence and conviction, including dates and court at which convicted. This information should be sent with this application form in a separate sealed envelope, clearly marked confidential with your name on it. Disclosure information will be handled and disposed of securely by 鶹ýAV University in compliance with the Criminal Records Bureau Code of Practice, the Data Protection Act and other relevant legislation. 鶹ýAV University Policy Statements: Recruitment of Ex-Offenders to Programmes of 鶹ýAV or Posts (HRPS27) and Secure Storage, Handling, Use, Retention and Disposal of Disclosures and Disclosure Information (HRPS28) detail how the university will handle this information. Checklist 1. Complete the application form in full and sign and date the declaration above. 2. Attach copies of transcripts/certificates of your qualifications (DO NOT SEND ORIGINAL CERTIFICATES). 3. For UK applicants, please enclose a photocopy of your passport or UK driving license or proof of age card bearing your pass logo and photo. 4. For international applicants, please enclose a photocopy of your Home Office proof of permanent residence documents (if requested) as per the instructions in Section 3 and photocopy of your passport. 5. Ensure that your Letter of Application has been completed as per the instructions in section 12 and accompanies this form. 6. Attach confirmation letter/documentation from your employer/sponsor/relative stating that they are prepared to pay all or part of your costs, or inform us when the confirmation will be sent (if applicable). Please return this completed application form, accompanying letter of application, and current CV, by email to: Prof. Ifan D H Shepherd, Director of Professional Practice Programmes, The Burroughs, London NW4 4BT, United Kingdom Email: professionals@mdx.ac.uk 15. Declaration Any statements on this form which prove to be untrue or purposely misleading will cause the application to be cancelled Declaration: I confirm that the information given in this form is true, complete and accurate: no information requested or other material information has been omitted. I consent to the storage and processing of these data by 鶹ýAV University for educational purposes under the provision of the 1998 Data Protection Act. Applicants name:Date: Forms which are incorrectly completed will delay the decision making process. All applicants must carefully review the completed form, in particular checking that that all required information has been completed in full before sending the form back to 鶹ýAV University. 14. References: Please give the names and addresses of two referees. The first should be academic, and the other can be from an employer or other source. (N.B. References from friends and family members will not be accepted.) 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