Application Form - University Centre Peterborough

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Full Name*

Prefix First Last

Preferred / Known Name

Date of Birth*

Email Address*

Mobile Number*

Daytime Telephone Number

Home Address*

Street Address Address Line 2 City Post Code

Country of Birth*

Nationality*

Ethnic Group

Student Home Status*

UCP is only licensed to accept ‘Home Students’ and are unable to accept students classed as ‘international students’. If you are unsure of your status you are welcome to contact us prior to application.

Disability

Primary Disability

Additional Needs

Criminal Conviction*

Intake*

Mode of Study*

Full-time

Part-time

Most Recent School / College / University*

Start Date at Provider*

End Date at Provider*

Qualifications (Type / Subject / Grade / Date)

Type	Subject	Grade	Date	Actions

There are no Qualifications.

Please ensure to include your highest held qualification in English, Maths and your any held Degrees.

Personal Statement (min 250 words)*

Please use a maximum of 250 words in English detailing your reasons for applying, explaining your choice of course at UCP, what you hope to do in your future career and how the course is relevant to your plans. You may prefer to attach a separate statement. Please identify any published work here as well. As part of the application and interview stage we will ask for a portfolio of work.

Published Work (optional)

Please give the names and contact details of someone who can comment on your suitability for this course, which could include a teacher, an academic tutor, current employer, publisher, or someone you have worked with in the creative industy (not a friend or family member). They should have known you for at least the last two years. These must be provided on their organoistation’s headed paper and dated within the last month and emailed directly from your referee to admissions@ucp.ac.uk. The reference should be completed by the referee, not the applicant, and be signed and dated by the referee and should comment on the following.

Referee Name*

Referee Organisation*

Referee Job Title*

Relationship to Applicant*

Referee Email*

Referee Phone*