The country in which you have normally been resident, except for periods of temporary absence
Country of birth
Please state the number of years you, your parents and, if applicable, your spouse, have been resident in the UK or other EU country
If you are a national of a non-EU country with indefinite leave to remain in the UK please attach documentary proof e.g. letter from the Home Office
If you have been resident in more than one country please give dates of residence in each country
Do you expect to pay your fees yourself? YES NO
If NO, please indicate the name/address of the person to invoice:
5. CAREER HISTORY
Please give your employment history to date or other professional experience excluding vacation work. You may continue on a separate sheet if necessary but there is no need to go back further than 10 years.
The University welcomes applications from people with special needs and considers them on the same academic grounds as those from other candidates. It is helpful to know about your special needs in advance so that we can discuss whether facilities are available in the University. Applicants with special needs are
encouraged to contact the Disability Co-ordinator,
All applicants whose first language is not English are required to show that their ability to understand and express themselves in both written and spoken English is sufficiently high for them to derive full benefit from their course of study.
The minimum score required for direct entry to the Medical School is at least 6.5 in IELTS or 600 in TOEFL (250 in the computerised version of the test). Please attach a copy of your test certificate.
Type of test taken: IELTS Score TOEFL Score WELT Score
We will only use the information you have supplied for administrative purposes. The control of this data rests primarily with the Academic Office and transfers with the University are made on a strict ‘need to know’ basis. The University may occasionally be requested to supply data to members of staff for research purposes, such as mailing of questionnaires. Please tick box if you DO NOT wish your personal data to be used in this way
I hereby apply for admission to study at the University of Warwick and I confirm that the information provided above is correct to the best of my knowledge. I understand that any offer of admission may be withdrawn if I cannot provide documentary evidence of any statements on this form.
Applicant’s Signature: (Please type name to return by email)
Application Form Orthodontic Therapists v4-Feb16
Please send completed form by email to: email@example.com Application Checklist: Two references
Trainer approval form
GDC membership certificate
Indemnity insurance certificate
(If not currently available, please forward as soon as possible)