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London Metropolitan University

Direct Application Form
(for Postgraduate, Professional, Undergraduate Part-Time and Distance Learning
Courses starting in September and for all courses starting in February)

Application No. (Office use only)

This form is available on other formats. Please contact

Please complete this application form in BLOCK CAPITALS and in black ink Admissions Office (see page 4) for details.
1. Personal Details 2. Fee Status - To be completed in full by ALL Applicants
Title: Mr/Ms/Miss/Mrs etc: (i) Country of Birth:
Surname/Family Name: (ii) Nationality (as on Passport):
Previous surname: (iii) Country of usual permanent residence:
First Name(s): (iv) Have you ever lived outside (or were born outside) the European
Union?
Home Address:
Yes No
(v) Applicants not born in the EU answer the following:
(a) Last date of entry to the EU excluding holidays?
Date: ...........................................................................................................................
(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?
Postcode:
Yes No
Telephone Number: (including STD Code):
Date Permanent Residence granted:
Day: Evening:
(d) Is your stay in the UK for
Fax Number:
(i) Education purposes, (i.e. a student visa) Yes No
Email:
(ii) Work (i.e. Work visa or Work permit) Yes No
Correspondence Address (if different):
3. Payment of Fees
Who is expected to pay your fees? (tick as appropriate)
Your Employer
Yourself/Relative
Other Sponsor Please specify:
Local Education Authority:
Postcode:
Do you have a Disability/Special Needs?
Sex: Male Female
Yes No
Date of Birth: Day: Month: Year:
If YES please tick appropriate box in Section 11

4. Full Title of Course to which you are applying

Course Title: Undergraduate City campus
Postgraduate North campus

Full-time Part-time eve only Part-time day only Part-time day & eve Part-time weekend Distance Learning

Year of Entry: (if applicable) Please state the month and year when you expect to start the Course.

Year 1 Year 2 Year 3 Year 4 Month: Year:

Do not complete – OFFICE USE ONLY – Do not complete The conditions of the offer are:
Interview/Test required: Yes No 1.
2.
Interview: Date: Time: Location:
3.
Interviewer:
Reject? Yes Course:
Decision by Admission Tutor
Reason(s) for rejection:
Course Offered:

Unconditional Offer: Yes Basis of offer Signature:

Conditional Offer: Yes Basis of offer Date:

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5. Educational Qualifications – Please state most recent first and attach copies of certificates or transcripts. Failure to do so may delay the processing of your
application. For international students these should be in both original language and English. DO NOT ENCLOSE ORIGINAL CERTIFICATES, PLEASE SEND PHOTOCOPIES

University, School Degree, Diploma, Pass Overall GRADES/ DATE STARTED

College Certificate, A-level, Subject(s) or DIVISION/ AND
Name and Address VCE/GNVQ Fail Overall CLASS DATE AWARDED

Exams to be taken or results pending

Continue on separate sheet if necessary

6. English Language Qualification

Please supply copies of Academic English qualifications e.g. TOEFL, IELTS. PLEASE NOTE THAT STUDYING IN AN ENGLISH MEDIUM OUTSIDE OF THE UNITED
KINGDOM DOES NOT EXEMPT YOU FROM SUBMITTING A QUALIFICATION.

7. Employment

From To Full-time
Employer’s Name and Address Month & Year Month & Year Position Held or Brief Outline of Duties
Part-time
1.

2.

3.

4.

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8. Personal Statement – Continue on a separate sheet if required

You are advised to complete this section with particular care and as fully as possible. Continue on a separate sheet if required.
You should include:
(i) Your reasons for choosing the award/course.
(ii) The knowledge, skills and positions of responsibility you have obtained through your work and/or education (whether paid, voluntary or domestic) which
might be relevant to the award/course.
(iii) The work experiences and/or personal developments which have been most important to you.
(iv) The challenges facing you in your studies, work or personal career development.
(v) Your future career plans.

9. Criminal Convictions
Do you have any criminal convictions? YES NO
If yes, please attach details about your offence and conviction, including dates and court convicted at.
For Teaching/Health & Social Work programmes any criminal conviction including spent sentences and cautions must be declared. For further guidance contact
the Admissions Office.

10. Name and Address of Referee(s)

1. Indicate below the two referees to whom you have sent the enclosed reference forms:
2. Please try to supply:
(i) One academic reference from your most recent place of study eg. School, College or University
(ii) A reference from your present/recent employer.
3. We will NOT normally request references from your referees. It is your responsibility to ensure that all references are forwarded to the Admissions Office,
London Metropolitan University. This includes references from London Metropolitan University tutors.

REFEREE 1 REFEREE 2
Name: Name:
Post Held: Post Held:
Telephone No: Telephone No:
Email: Email:

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11. Disability/Special Needs – Please tick the appropriate box:

The University encourages you to disclose any disability or medical condition which may affect your future studies. All offers are made on academic grounds
and the information given here will be used to help provide services which meet your needs.
0. No Disability 4. Wheelchair User/Mobility Difficulties 8. Multiple Disabilities
1. Dyslexia 5. Personal Care Support 9. Disability not listed above
2. Blind/Partially Sighted 6. Mental Health Difficulties 10. Autistic Spectrum
3. Deaf/Hearing Impairment 7. Unseen Disability

If disabled, please provide brief details:

12. Ethnicity Monitoring

The University is committed to providing equal opportunities for all. To assist us with our confidential monitoring please choose one selection from A-E to
indicate your ethnic group and tick the appropriate box to indicate your cultural background.
A. White British Irish Any other White background (specify)
B. Mixed White and Black Caribbean White and Black African White and Asian
Any other Mixed background (specify)
C Asian or Asian British Indian Pakistani Bangladeshi Any other Asian background (specify)
D. Black or Black British Caribbean African Any other Black background (specify)
E. Chinese or other ethnic group Chinese Any other (specify)

13. Distance Learning Applicants ONLY

Please state the country/city where you intend to study: City Country

14. Previous Study at London Metropolitan University or Predecessors

Have you previously studied at London Metropolitan University? Yes No
If YES please state your old Student ID Number (if known)

15. How did you hear about the course at London Metropolitan University?
We would be grateful if you could indicate below how you heard about the course you have applied for. This will enable us to plan further publicity
more effectively.

16. Data Protection Act (1998)

The Data Protection Act (1998) does not permit us to give information about an application to any person other than to the person who made the application.

17. Declaration
If you have completed this form for yourself, please sign and date the declaration below: I declare that the information given is true in all respects

Signature of Applicant: Date:

If you have completed this form on behalf of an applicant, who has a disability that prevents them from completing the form personally, sign your name and
clearly state your relationship to the applicant. I declare that the information given is true in all respects.

Signed on behalf of : Date: Print name: Relationship:

CHECKLIST
Have you: 1. Completed the application form in full.
2. Attached copies of transcripts/certificates of your qualifications. Failure to do so may delay a decision on your application.
(Do NOT send original certificates).
3. Sent Reference Request Forms for completion to two referees.

PLEASE RETURN THIS COMPLETED APPLICATION FORM TO: Undergraduate Applications: From UK and European Union:
Admissions Office Telephone: 020 7133 4200 (+44 20 7133 4200)
London Metropolitan University Fax: 020 7133 2678 (+44 20 7133 2678)
166-220 Holloway Road International, Postgraduate and Professional Applicants:
London N7 8DB Telephone: 020 7133 4202 (+44 20 7133 4202)
Fax: 020 7133 2677 (+44 20 7133 2677)
www.londonmet.ac.uk/admissions

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Important Notes and Standard

Conditions Regarding Your
Application
Information for disabled applicants and those with long-term medical conditions
The University welcomes applicants with disabilities and will be happy to consider requests for reasonable adjustments to be put in place for any
interviews or pre-entry tests etc. Reasonable adjustments may include arranging sign language interpreters or modified test papers, allowing extra
time to complete required pre-entry tests or providing an amanuensis.
In order for such arrangements to be put in place for you, we will require evidence of your disability in advance of the adjustment being put in
place. The standard of evidence required is detailed on our Disabilities & Dyslexia Service’s website at the following address:
http://www.londonmet.ac.uk/student-services/dyslexia-disabilities/
Please visit this website as it provides important information for applicants relating to the Disabled Students’ Allowances, which are mandatory
government grants available to Home students who meet the eligibility requirements. These grants are used to fund disability-related support.
The application process is extremely lengthy and we would advise you to apply immediately. The Disabilities & Dyslexia Service will be happy to
assist you in making this application.
The University will also offer International and European Union students’ reasonable adjustments to those who are eligible.
All information received will be treated confidentially and used to ensure that you are sufficiently supported throughout the application process
and, if you are offered a place, on your chosen course of study.

Some courses have specific requirements which you need to address. Please check the list below to ensure that your application is
completed fully and correctly for the course you are applying for.

Common Professional Examination(CPE)/Diploma in Law

1. If you have exemptions in some subjects from the joint Academic Stage Board, please indicate which subjects you wish to study on
the GDL/CPE.

Graduate Conversion Certificate/Diploma in Psychology

1. If you are requesting exemptions please enclose full details of psychology studied at degree level (syllabuses or equivalent). For each
course/unit indicate both the year in which it was studied (1st, 2nd etc) and the proportion of the year that the course unit occupied
(eg 1/10, 1/8, 1/3 etc).

Professional Doctorate in Counselling Psychology

For this course you must answer each of the following questions in your personal statement, section 8:
1. What experience have you had relevant to your application for postgraduate training in psychological counselling?
2. Why would you like to do this course? What are you hoping to gain from it?
3. What events or circumstances in your own life do you feel endear you to the practice of counselling psychology?
4. What opportunities do you currently have to practice counselling either as part of your paid employment or as a voluntary worker? If none
please indicate what opportunities you might be able to develop in this area.
5. Have you been on any training courses or workshops in Counselling Psychology or a related field? If so please provide details.
6. Have you ever had personal psychological counselling or therapy? If ‘Yes’ would you be prepared, if asked by selection tutors at interview to
discuss the circumstances that led you to seek counselling? Such discussion would be regarded as strictly confidential.
7. Briefly describe your personal strengths and limitations/weaknesses as they relate to your ambition to study counselling psychology.
8. What changes do you envisage in your personal life as a consequence of studying this course, should your application prove successful?

MA Audio Visual Production

1. If you are applying for the MA Audio Visual Production, you must address the following issues in the personal statement section of the form:
G The proposed programme of postgraduate work (to include references to its relationship to previous audio visual work that you have
undertaken and to your background).
G You should also state your main aims and objectives for the project(s) detailed under point 2 and include a production plan for your
proposed project. This should include logistical information, such as time needed to develop and complete the project; resources you
might be able to bring to the project; budget needed and any other supporting materials.
2. Main area of thematic and genre interest. You may choose up to two headings from the following, which should be ranked in order of
preference: Documentary; Fiction; Experimental; or Other. For each of the areas you choose, you must provide a proposed programme of
work and a proposed title for your prospective final project.
3. APL/APEL and main professional interests. You should expand on your prior experiential or certified learning and set out your main
professional aspirations and career interests after completion of the MA. Please indicate for each of the fields listed below whether you have
prior experience in the field or if it is a new area of interest. You should also indicate which field you wish to study as your main specialist
area. The fields are as follows: Camera Work; Directing; Editing; Lighting; Producing; Production Art Design; Sound; Writing.
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Confidential Statement by Referee Reference Request for Study at

Name of Referee: ______________________________________________________________________________________________________________________
London Metropolitan University
Position/Occupation/Connection with Applicant:_________________________________________________________________________________________

Address of Referee _____________________________________________________________________________________________________________________

_____________________________________________________________________________________________ Post Code: ______________________________

Applicant: Please complete this side of Reference Form
Telephone No.: ______________________________________________________________________________ Fax No:._________________________________

To: Name of Referee ___________________________________________________________________________________________________________________

It would be helpful if the following information about the applicant could be covered in your statement below:
Address of Referee__________________________________________________________________________________________________________________
(i) Motivation and commitment ___________________________________________________________________________________________________________________________________
(ii) Intellectual qualities including present and potential performance
(iii) Personal qualities, including self-discipline _______________________________________________________________________________________ Post Code ________________________________
(iv) Ability to organise his/her own time
(v) Communication skills – oral and written
(vi) Any other comments which you feel may be relevant to the candidate’s application
Dear Referee
Statement by Referee – Please affix official stamp, where appropriate, at the end of the statement
The person named in the panel below is applying for entry to study at London Metropolitan University. The applicant would like you to support
his/her application and has sent this form directly to you. London Metropolitan University has adopted this procedure in an attempt to reduce any
delays with the applications we receive. We would be very grateful if you would let us have, on the reverse of this sheet or in a separate letter
(attached to this sheet), your opinion of this applicant. You may find it convenient to refer to the numbered questions overleaf.

It is possible that the applicant may request access to your reference at some point in the future. Under the terms of the Data Protection Act
1998 this access may only be granted with your explicit permission. If you do NOT wish the applicant to have sight of the reference, please check
this box:

Please return this form with your comments, within 14 days, to:

Admissions Office
London Metropolitan University
166-220 Holloway Road
London N7 8DB

Please accept my thanks in advance.

Yours faithfully

The Admissions Team

DETAILS OF APPLICANT

Applicant’s Surname/Family’s Name

Applicant’s Name

Applicant’s Address

Applicant’s daytime telephone number Applicant’s email address

please tear here

Date of Birth
Signed: __________________________________________________________________________________Date: _________________________________________
Course applied for

London Metropolitan University is a charity and a company limited by guarantee, registered number 974438. Its registered office is 31 Jewry Street London EC3N 2EY
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Confidential Statement by Referee Reference Request for Study at

Name of Referee: ______________________________________________________________________________________________________________________
London Metropolitan University
Position/Occupation/Connection with Applicant:_________________________________________________________________________________________

Address of Referee _____________________________________________________________________________________________________________________

_____________________________________________________________________________________________ Post Code: ______________________________

Applicant: Please complete this side of Reference Form
Telephone No.: ______________________________________________________________________________ Fax No:._________________________________

To: Name of Referee ___________________________________________________________________________________________________________________

It would be helpful if the following information about the applicant could be covered in your statement below:
Address of Referee__________________________________________________________________________________________________________________
(i) Motivation and commitment ___________________________________________________________________________________________________________________________________
(ii) Intellectual qualities including present and potential performance
(iii) Personal qualities, including self-discipline _______________________________________________________________________________________ Post Code ________________________________
(iv) Ability to organise his/her own time
(v) Communication skills – oral and written
(vi) Any other comments which you feel may be relevant to the candidate’s application
Dear Referee
Statement by Referee – Please affix official stamp, where appropriate, at the end of the statement
The person named in the panel below is applying for entry to study at London Metropolitan University. The applicant would like you to support
his/her application and has sent this form directly to you. London Metropolitan University has adopted this procedure in an attempt to reduce any
delays with the applications we receive. We would be very grateful if you would let us have, on the reverse of this sheet or in a separate letter
(attached to this sheet), your opinion of this applicant. You may find it convenient to refer to the numbered questions overleaf.

It is possible that the applicant may request access to your reference at some point in the future. Under the terms of the Data Protection Act
1998 this access may only be granted with your explicit permission. If you do NOT wish the applicant to have sight of the reference, please check
this box:

Please return this form with your comments, within 14 days, to:

Admissions Office
London Metropolitan University
166-220 Holloway Road
London N7 8DB

Please accept my thanks in advance.

Yours faithfully

The Admissions Team

DETAILS OF APPLICANT

Applicant’s Surname/Family’s Name

Applicant’s Name

Applicant’s Address

Applicant’s daytime telephone number Applicant’s email address

please tear here

Date of Birth
Signed: __________________________________________________________________________________Date: _________________________________________
Course applied for

London Metropolitan University is a charity and a company limited by guarantee, registered number 974438. Its registered office is 31 Jewry Street London EC3N 2EY