PostGraduate Application

This is the alternate application form to be used when the on-line system is not available.
Applicants are encouraged to use the quicker on-line system https://aspire.ncl.ac.uk where possible.
All applicants are advised that completed PDF application forms should be submitted by the end of July for September entry.
Guidance on completing the form can be found at: http://www.ncl.ac.uk/postgraduate/apply/applicationforms/applicanthelp.htm

Your Details
Title

Nationality

Family Name

Country of Permanent
Residence

First Name(s)

Are you currently resident

in the UK/EU?

Date of Birth
Gender

Male

Female

Previous Family Name

Yes

No

If yes, when did that residency begin?

Your Ethnic Origin

NickName
Personal Email Address
Mobile Number
Agent Name
Correspondence/Agent Email (if appropriate)

Permanent Address

Correspondence Address

Address Line 1

Address Line 1

Address Line 2

Address Line 2

Address Line 3

Address Line 3

Address Line 4

Address Line 4

ZIP/Postal Code

ZIP/Postal Code

Permanent Address Country

Correspondence Addr Country

Region (UK, Channel Islands only)

Region (UK, Channel Islands only)

Permanent Addr
Telephone

Correspondence
Addr Telephone

(if different from Permanent Address)

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Programme of Study
Programme Name & Qualification
Academic Year
Full-time or Part-time

Full-time

Part-time

Studentship / Partnership
Reference (if known)

Are you applying as an Exchange student (ie, not studying for a qualification from this University)?

Yes

No

If yes, which Newcastle school has the reciprocal

arrangement with your University?
Please select the relevant exchange programme
If other exchange programme, please give details

Research Students Only: If you wish to apply for a research programme (e.g. PhD or MPhil), please outline your research
proposal in the box provided below. This is normally around 500 words, and should include your initial thoughts on the
topic, the methodology, and the general approach you wish to take. If you are to study as part of a pre-arranged research
grant, please make that clear in this proposal. If you wish to start your studies at a time other than September, please tell us
your preferred start date in the first line of your research proposal.

Important: if the text in the box above does not fit in the space available and you plan to submit your
application as a printed form, please supply the full text on a fresh separate page.
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Qualifications
Use this page to complete a record of your qualifications.
You must give details of all of your University / higher education qualifications.
You must also attached scanned copies of any certificates or transcripts with your submission.
What will your highest qualification be when
you start the programme?
Do you have Qualified Teacher Status (QTS) ?

Yes

No

Pre-University Qualifications:

University Level Qualifications / Current Study

Please provide the following information: Name of University attended; level of study; programme name; dates of study;
and overall result achieved (or expected).

Please enter details of any work experience relevant to your application:

Important: if the text in any box above does not fit in the space available and you plan to submit your
application as a printed form, please supply the full text on a fresh separate page.
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English Language
Use this page to tell us about your English Language skills.
Is English your first language?

Yes

No

Yes

No

(If yes, skip all remaining questions on this page)

IF no, what is your first language?

Was your first degree studied in English?

Please indicate how many years you have spent studying English:
At School (in years)

At University (in years)

Other (in years)

Please provide details of your English Language qualifications.

Please tell us about each sub-test result, if relevant, one at a time.
Make sure you tell us the test and the date that you took it.

Use the following fields to provide details of any English Language tests taken.
Name of Test
Date of Test

Overall Result

Please provide details of any sub-tests and grades if applicable

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Further Information
Please enter details of your funding
How do you intend to pay fees?

Please provide your scholarship and sponsorship details (if not fully self financed)
Have you applied for sponsorship for your study?
If yes, has sponsorship been awarded?

Yes

No

Yes

No

Yes

No

Yes

No

Who is your sponsor/funding body?

Supplementary information
How did you hear about the programme at Newcastle University?
Do you have any relevant criminal convictions?

Disability information
Do you have a disability?
If yes please specify
Please provide further details, to
help us meet your needs.

Are you in receipt of a Disabled Students Allowance?

Yes

No

Visa Information (required for International (outside the EU) residents only)
Are you currently studying/living in the UK?

Yes

No

Have you previously studied in the UK?

Yes

No

Have you previously applied for entry clearance to the UK?

Yes

No

Yes

No

Yes

No

Yes

No

If yes, was this successful?

If not successful,
please provide
details here

Are you being financially supported to study your course?

If yes, who is supporting you?
Has an agent or other person assisted you in making your
application for the programme?
If yes, how much did you pay for this service?

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Personal Statement
Please provide any further information to support your application.
You are encouraged to complete this part of the form: you may wish to tell us why you want to study the programme, or
what you intend to do after you have completed your studies.
If appropriate, please attach any relevant documents, e.g. portfolio evidence - with your application submission.
You may choose instead to attach your personal statement as a separate document with your application.
My Personal Statement is attached as a separate document

Personal Statement

Important: if the text in the box above does not fit in the space available and you plan to submit your
application as a printed form, please supply the full text on a fresh separate page.
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Referees
Please provide details of two referees, who can comment on your suitability for postgraduate study. If possible, the first referee
should have experience of your academic work. You must provide full contact details for your referees. If you already
have a copy of a reference, you can attach it as a separate document with your submission. Please note that we may still
contact your referee directly.

Referee 1

Referee 2

Job Title

Job Title

Title

Title

First Name

First Name

Family Name

Family Name

Organisation

Organisation

Address Line 1

Address Line 1

Address Line 2

Address Line 2

Address Line 3

Address Line 3

City

City

State/Region

State/Region

ZIP/Postal Code

ZIP/Postal Code

Country

Country

Telephone

Telephone

Fax

Fax

Email

Email

I confirm that the information I have given is true, complete and accurate, and no information requested or other
material information has been omitted. I give my consent to the processing of my data by Newcastle University, which I
understand will be in accordance with the requirements of the Data Protection Act 1998.
The data in this form will be used for the purpose of processing your application. It will not be provided to any external
organisation but may be used to provide you with further information on study opportunities at Newcastle University.
If you do not wish to receive such information, please tick this box

Once completed the application form should be sent as an electronic email attachment
to: pgadmissions@ncl.ac.uk (use this submit pushbutton to do this automatically)

Submit Application
By Email
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