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Home
About Us
Why Choose TLSPH
Our Academic Team
Study With Us
Courses
The Library
FAQs
Blog
Contact Us
Vacancies
Course Application Form
The London School of Public Health
>
Course Application Form
Course Application Form
Personal details
Family name as appears in passport
First name (s) as appears in passport
Title: Mr/Mrs/Miss/etc
Date of birth:
Sex
Male
Female
Previous family name (if applicable)
Home/permanent address:
Correspondence address (if different)
Email
(Required)
Enter Email
Confirm Email
Comments
(Required)
Please let us know what's on your mind. Have a question for us? Ask away.
Program of study
Course applied for:
(Required)
Level of Study:
(Required)
Foundation: (3 Diploma)
Undergraduate: (Level 4-6)
Postgraduate: (Level 7)
Research: (Level8)
Mode of Study:
(Required)
*Note we currently offer Distance learning (online) and short courses only, we hope to offer Blended learning by 2025
F/T
P/T
DL
SC
SumSch
Year of entry:
(Required)
January 2024
September 2024
Stating date:
(Required)
MM slash DD slash YYYY
Finance and Fee status
All students offered registration will be asked to supply details of their financial position, letters of guarantee from sponsors et to ensure that they can complete the course without financial hardship.
Who will be paying your fee?
(Required)
Self-funding
Career Development Loan
NHS
Employer
Other
Please provide more details
Please give details of any scholarship grant application given name, value, and durations
(Required)
Education Details
Academic qualifications – examinations achieved
Please list all qualifications taken, whatever the result, in chronological order. Documentary evidence of known results should be sent with this form. Only certified photocopies are acceptable.
English tests taken/to be taken
English language (for overseas applicants) Home students will be required to take an English and Maths proficiency test. Entry is conditional on the attainment of the required proficiency in English/Maths. Please give full details, including dates, of any English tests taken/to be taken.
Work experience
(if applicable to course application) Please give details of work experience, training, and employment
Personal statement/further information
(Required)
Please use this section to tell us about yourself and your reasons for wanting to study this course.
References
Please read the guidance notes carefully. Please note that it is your responsibility to send Part B – Statement by Referee - to your referees for completion. We will not be able to decide about your application until we receive your references.
*Please note, references should not be provided by close family members or friends.
Disabilities/special needs
Please tick the appropriate box(es) and in the space at the bottom of this section indicate any additional support or facilities that you may need at TLSPH. This information will be made available to TLSPH Disability Services department who can support applicants through the admissions process and agree adjustments for their studies. The information you disclose about your disability will be used in accordance with TLSPH’s Statement on Disability Disclosure by Students.
No known disability
Blind or a serious visual impairment
Deaf or a serious hearing impairment
Two or more impairments and/or disabling medical conditions
Specific Learning Difficulty e.g., Dyslexia
Autistic Spectrum Disorder/Asperger’s Syndrome
Long standing illness or health condition
Mental health conditions
Wheelchair user/mobility difficulties
Other disabilities not listed above
I am in receipt of the Disabled Student’s Allowance.
I am applying or intend to apply for the Disabled Student’s Allowance
Please detail below any additional support, adjustments or changes you may need for your studies
Declaration of a criminal conviction
If you are applying for courses in teaching, health, social work, and courses involving work with children or vulnerable adults, you must tell us about any criminal convictions including spent sentences and cautions (including verbal cautions) and bind-over orders. If you are offered a place on one of these courses, and before you commence your studies, you will need an ‘Enhanced Disclosure Document’ from the Criminal Records Bureau. TLSPH will provide you with the information on how to do this.
Courses in teaching, health, social work, and coursesinvolving work with children or vulnerable adults and any placements undertaken
For these courses, you must answer
‘Yes’
if any of the following statements apply to you.
a) I have criminal conviction
(Required)
Yes
No
b) I have a spend criminal conviction.
(Required)
Yes
No
c) I have a caution (including a verbal caution)
(Required)
Yes
No
d) I have a bind-over order
(Required)
Yes
No
e) I am serving a prison sentence for a criminal conviction
(Required)
If statement e) applies to you, you must also give the prison address as your postal address on page 1 of your application and a senior prison officer must support your application.
Yes
No
All other courses
For these courses, you must answer
‘Yes’
if any of the following statements apply to you.
a) I have a relevant criminal conviction that is not spent.
(Required)
Yes
No
b) I am serving a prison sentence for a relevant criminal conviction
(Required)
If statement b) applies to you, you must also give the prison address as your postal address on page 1 of your application and a senior prison officer must support your application. Convictions that are spent (as defined by the Rehabilitation of Offenders Act 1974) are not considered to be relevant and you should not reveal them.
Yes
No
Upload document
(Required)
Photo ID Passport or driving licence proof of address a utility bill and educational qualifications
Max. file size: 64 MB.
Please indicate if you have a relevant criminal conviction by ticking in the box
(Required)
Applicants who answer ‘Yes’ will not be automatically excluded from the application process, and their application will be considered on its merits before the relevance of their criminal conviction is considered. However, TLSPH may ask for more information about their criminal conviction before making a final decision.
If you are convicted of a relevant criminal offence after you have applied, you must tell us. Do not send details of the offence; simply tell us that you have a relevant criminal conviction. We may then ask you for more details.
Yes
No
Declaration
I confirm that the information given on this form is true, complete, and accurate and no information requested, or other material information has been omitted.
Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
