St George's Short Courses Application Form

Language
Is English your first language?
YesNo
If you answered "No" please complete the following questions and upload a proof of English Language ability to accompany your application. If you answered "Yes" please scroll to the bottom of this section and click "Next page".
Did you study at a school/university where you were taught English?
YesNo
If Yes, for how many years?
If English is not your first language have you taken an English Language examination?
YesNo
If Yes, please give details of the Testing System (name and address, e.g. IELTS)
Date
Overall score
Upload a proof of English Language ability

Declaration
Read the declaration statement at www.sgul.ac.uk/short-courses-declaration
Tick to confirm that you agree with the declaration statement
I confirm that I have read and agree with the declaration statement
If you require support/adjustments while studying please give brief details here:
Terms and conditions
Read the course terms and conditions at www.sgul.ac.uk/short-courses-declaration
Tick to confirm that you have read and understood the terms and conditions outlined in the withdrawal policy
I confirm that I have read and understood the terms and conditions

Equal opportunity monitoring
Information is required for the Higher Education Statistics Agency (HESA) and helps us to monitor and improve our equal opportunities policies and procedures. This information is not reviewed as part of the application process.
What is your ethnic origin?
Please state your religion
Additional equality information
The following questions are included to help us learn more about who is registering for our short courses. These are option and you do not have to answer these if you do not want to.
What is your gender?
Is your gender the same as the sex you were assigned at birth?
YesNoPrefer not to say
Do you consider yourself to have a disability?
YesNoPrefer not to say
What is your sexual orientation?

Attachments
You will not be able to change your application once you have submitted it. You will receive an automated email confirming the submission of your application. Please use the file upload options below to attach the following documents.
Copy of your highest qualification
Copy of Photo ID (passport or driving licence)
Supporting statement
If you are applying for the Imagining the Other: Death, Bereavement and Loss or Finding a Leg to Stand On or Interprofessional Diabetes for Healthcare Professionals modules, please could you upload a statement of approx. 500 words explaining why you would like to take the course, what you will bring to it and what you hope to get out of it.
Supporting statement for Imagining the Other: Death, Bereavement and Loss, Finding a Leg to Stand On and Interprofessional Diabetes for Healthcare Professional.

Sponsorship and funding
Who is paying for this course?
SelfEmployerOther sponsor
Employer/sponsor details
Do not complete this section if you are self-funded.
Name
Position held
Address of employer/sponsor
Thank you for your interest. All applicants will be contacted by the Professional Education Department and, if successful, information will be sent regarding registration and payment.

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