UH BSc Application_Form 2012

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7/27/2019 UH BSc Application_Form 2012 http://slidepdf.com/reader/full/uh-bsc-applicationform-2012 1/9   Application Form - Computer Science Online 1. Personal details (AS SHOWN ON YOUR PASSPORT)  Applications must be TYPED Family name as appears in passport First name(s) as appears in passport Title (Mr/Mrs/Miss/Ms etc) Previous family name Date of birth - - Correspondence address Postcode Country Tel No Mobile Email Home address (if different ) Postcode Country Tel No Mobile Email Please include two passport sized photographs with your application. Digital photos are also accepted. Male Female 2. Course(s) applied for MSc a) Computer Science b) Distributed Data Management c) Distributed Systems and Networks d) e-Learning Technology e) Human Computer Interaction f) Mobile Computing g) Multimedia Technology h) Software Engineering BSc Level 6 (top up) a) Computer Science b) Information Technology BSc Levels 4, 5 & 6 a) Computer Science b) Information Technology Individual Modules (Only complete this section if you wish to study individual modules rather than one of our programmes) Please indicate if you already have a degree in computing (MSc applicants only) Yes No Full time Part time Start Date: Month Year Name of Local Support Partner (blended learning /tutored e-learning) For Official Use Only  Programme: CS IS  Acad emi c Deci si on: Unconditional Conditional Reject  Applicant No Course title UCAS code Programme Code Conditions Pathway Pathway point Signed Date University  of  Hertfordshire

Transcript of UH BSc Application_Form 2012

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 Application Form - Computer Science Online

1. Personal details (AS SHOWN ON YOUR PASSPORT)   Applications must be TYPED 

Family name as appears in passport 

First name(s) as appears in passport 

Title (Mr/Mrs/Miss/Ms etc) Previous family name

Date of birth - - 

Correspondence address

Postcode

Country

Tel No

Mobile

Email

Home address (if different)

Postcode

Country

Tel No

Mobile

Email

Please include two passport sized photographs wi th your application. Digital pho tos are also accepted.

Male Female

2. Course(s) applied for 

MSc

a) Computer Science

b) Distributed Data Management

c) Distributed Systems and Networks

d) e-Learning Technology

e) Human Computer Interaction

f) Mobile Computing

g) Multimedia Technology

h) Software Engineering

BSc Level 6 (top up) 

a) Computer Science

b) Information Technology

BSc Levels 4, 5 & 6

a) Computer Science

b) Information Technology

Individual Modules

(Only complete this section if you wish tostudy individual modules rather than one of our programmes)

Please indicate if you already have a degree in computing (MSc applicants only) Yes No

Full time Part time Start Date: Month Year 

Name of Local Support Partner (blended learning /tutored e-learning) 

For Official Use Only  Programme: CS IS  Academic Decision: Unconditional Conditional Reject 

 Applicant No Course title

UCAS code Programme Code Conditions

Pathway Pathway point Signed Date 

University of   Hertfordshire

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4. Declaration Of Criminal Record

To help the University reduce the risk of harm or injury to their students caused by the criminal behaviour of other students, they must know about any relevant criminal convictions that an applicant has.

Relevant criminal convictions are only those convictions for offences against the person, whether of a violent or a sexualnature, and convictions for offences involving unlawfully supplying controlled drugs or substances where the convictionconcerns commercial drug dealing or trafficking. 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 (but see next paragraph).

You must answer ‘Yes’ if any of the following statements apply to you.

a) I have a relevant crim inal conviction that is not spent.b) I am serving a prison sentence for a relevant crim inal convic tion.

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 theRehabilitation of Offenders Act 1974) are not considered to be relevant and you should not reveal them.

Please indicate if you have a relevant criminal conv iction by ticki ng in the box Yes

 Applicants who answer ‘Yes’ will not be automatically excluded from the application process. However, the Universitymay ask for more information before making a decision.

If you are convicted of a relevant criminal offence after you have applied, you must tell us. Do not send details of theoffence; simply tell us that you have a relevant criminal conviction. The University may then ask you for more details.

3. Finance and fee status

 All students offered registration will be asked to supply details of their financial position, letters of guarantee fromsponsors etc, to ensure that they can complete the course without financial hardship. 

Who will be paying your fees? Self 

Employer – please give details

Other – please give details

Nationality (if dual give both) Country of birth

Country of permanent residence (if UK, give County/Borough)  Entry date to UK

- -

5. Have you ever stud ied previousl y in the UK?

Yes No At which School/College/University

If you have been a student at the University of Hertfordshire or one of its associate colleges before, please giveregistration number.

 Attended from - - to - -

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6. Previous and p resent education * PT = part time, FT = full time, SW = sandwich, DL = distance learning 

Please list details of all institutions attended since age 11. 

Name and address of institution From(mm/yy)

To(mm/yy)

Study modePT/FT/SW/DL*

7. Academic qualifi cations – examinations achieved

Please list all qualifications taken, whatever the result, in chronological order. Documentary evidence of known resultsshould be sent with this form. Only certified photocopies are acceptable. 

Exam Date(mm/yy) 

 Awarding body Subject Qualification Results achieved

8. Academic qualifi cations – examinations pending

Complete this section only if you are awaiting the result of any examination taken recently. 

Exam Date(mm/yy) 

 Awarding body Subject Qualification

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11. Further Information

Please provide any information you feel would support your application. 

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13. 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 from the University. This information will initially be passed to the Faculty Disabled StudentsCo-ordinators who support applicants through the admissions process.

0 No known disability 0

1 Specific Learning Difficulty (e.g. Dyslexia) 1

2 Blind/partially sighted 2

3 Deaf/have a hearing impairment 3

4 Wheelchair user/mobility difficulties 4

5 Autistic Spectrum Disorder or Asperger Syndrome 5

6 Mental health difficulties 6

7 Unseen disability e.g. diabetes, epilepsy, asthma or a heart condition 7

8 Two or more of the above disabilities/special needs 8

9 A disability not listed above 9

I am in receipt of the Disabled Student’ Allowance Yes No

I am applying for or intend to apply for the Disabled Students’ Allowance Yes No

Please detail below any additional support or facilities you may need. 

12. References

Referee 1

Name:

 Address:

Postcode:

Tel:

Fax:

Email:

Capacity in which applicant is known to the referee:

For how long:

Referee 2

Name:

 Address:

Postcode:

Tel:

Fax:

Email:

Capacity in which applicant is known to the referee:

For how long:

Please note, references should not be provided by close family members or friends.

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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. 

Signed: Date:

Post your application to:

Online Programme Administrator,School of Computer ScienceUniversity of Hertfordshire,College Lane,

Hatfield,Hertfordshire

 AL10 9AB,UK

Fax your application to:

++44 (0) 1707 284303

Email your application to:

[email protected] 

14. Market Research

Please tick the appropriate box to tell us how you first heard about our online programmes.

 Advertisement. If so, in which publication, e.g. Computer Weekly, UK 

 Article in press: magazine, etc. If so, in which periodical, e.g. IMIS Newsletter 

Website link or online directory. If so, from where, e.g. from UH site or hotCourses

Web search. If so, with which search engine, e.g. Google 

Personal Recommendation. If so, from whom, e.g. existing online student (no need to give a name) 

Progression from another UH course. If so, from which

Other. If so, please specify 

Please use the following space to give us any other comments you might have about the information we provide for our 

online courses to help you make your application.

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I indicated on my application that I have a disabilit y. Yes No 

Equal opportunities monitoring form

In completing this form you are helping the University to monitor the fairness of its admissions processes and to ensureequal treatment for all applicants. This form will be separated from your application and will not be available to the

 Admissions Tutor. The information supplied will be recorded on our computer system during the application process andthe form will be destroyed as confidential waste. Please tick the box/boxes that best describe you. 

I am Female Male

My age today is under 18 18 – 21 22 – 24

25 – 29 30 – 39 40 or over 

Please indicate your ethnicity by choosing one of (A) to (F) below and ticking the appropriate box.(This classification is based on the Census 2001). 

 A Whi te

British 11

Irish 12

 Any other White background, please write in 19

B Black or Black British

Caribbean 21

 African 22

 Any other Black background, please write in 29

C Asian or Asian British

Indian 31

Pakistani 32

Bangladeshi 33

 Any other Asian background, please write in 39

D Mixed

White and Black Caribbean 41

White and Black African 42

White and Asia 43

 Any other Mixed background, please write in 49

E  Chinese or other ethnic group

Chinese 34

 Any other Chinese background, please detail 80

F

Information refused

98

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 Application form – Notes for guidanceGeneralBefore completing the form, please read these notes carefully.You should also read the current University prospectus andcourse booklet(s) relating to the course(s) for which you areapplying in order to ensure that you are familiar with thecurriculum and entry requirements. Your application form maybe photocopied, therefore it is important that you write neatly

using black ink or typescript. Many courses have a deadlineby which applications should be received. Please consultcourse literature or the department concerned.

Mature ApplicantsThe University of Hertfordshire (UH) welcomes maturestudents, including those who do not have conventionalqualifications, for admission to higher education. Full accountis taken of relevant experience and other educationalachievements.

The Data Protection Act 1998UH maintains records relating to its students in both manualand computerised forms. These include correspondence with

and relating to students, both current and potential;computerised records for applicants created from informationsupplied by applicants and/or UCAS and other agencies; andinformation on current students collected at initial registrationor added as a result of subsequent processing. Theinformation collected and held is necessary for theadministration of UH’s courses and examinations and thequality assurance processes that support them, and permitsthe University to make statistical returns required by theGovernment, the Higher Education Funding Council for England, and other statutory agencies. In completing thedeclaration on the Registration Form students are deemed toconsent to the collection, recording and use of this informationin the ways described above, and set out in more detail within

the University’s Data Protection Act registration.

RefereesSend part B, “The Reference”, to your referee(s), havingcompleted the personal details on the first side. It is your responsibility to ensure that UH receives your reference.

Section 3 Finance and Fee statusIf you live in the UK, state your area of permanent residence.This might be district (Sefton), borough, (Enfield), metropolitanarea (Gt Manchester), or county (Hertfordshire). If you liveoutside the UK state the country (Italy, France etc) where youare living as your area of permanent residence. Please givedetails of who you expect to pay your fees for the proposed

course. If not known, please indicate this.

Section 7 Academic Qualifications achieved Applicants with overseas qualifications should give detailsof the examinations taken as preparation for entry to higher education. Examples are Higher School Certificates, Apolytirion, Baccalaureate, Diploma di Maturita, Examen Artium and Studentereksamen. Applicants with qualificationsobtained in a language other than English should attach acertified English transcript to the form. Applicants holding aBTEC (SCOTVEC) award, such as an ND or GNVQ (GSVQ)or NVQ (SVQ), should attach a certificate of achievement/unitcredit giving details of the award title, level if applicable, andall units, modules and components.

Section 8 Academic Qualifications pendingIf you are working towards an award, NVQ (SVQ) or GNVQ(GSVQ) please give full details of course title, level, units,modules and components on a separate sheet.

Section 11 Further InformationEnter any information to support your application. Admissions

Tutors will be interested in your reasons for choosing thecourse(s), your career aspirations, relevant experience andinformation concerning your intellectual, social, sporting or other interests. You should give details of any non-examinedsubjects you are studying. If you have been out of education,please outline any relevant experience that may beconsidered in lieu of formal qualifications, either at home or involuntary or paid work. You should explain any gaps or breaksin your career.If you are applying for deferred entry (a year beyond the nextacademic year) please explain your reasons.

Section 12 ReferencesPlease consult course literature to see if any particular type or 

number of referees is required. (You should send Part B toyour first named referee.) Some departments may contactreferees directly after receipt of your form. Normally, your referee would be one of the following:The Head of your present or last school; Principal of your College of Further Education; Course Tutor of your present or last course of studies. If you have been out of education for some time, you may wish to consider one of the following:your current or last employer, or training officer, or careersadvisor; if you belong to a relevant organisation, voluntary or not an officer of that organisation, Access Course Tutor. If youhave any difficulty in identifying a suitable referee you shouldseek the advice of the University Admissions Service.

Section 13 Disabilities/Special Needs(Physical or other disability or medical condition including anywhich might necessitate special arrangements or facilities)Information on disability will be shared with the disabledstudent co-ordinator. Unless special needs are made known,the University will be unable to make appropriate provision for you.

Important NoteThe University of Hertfordshire (UH) undertakes to take allreasonable steps to provide educational services in themanner set out in the prospectus and in other documents.Should industrial action or other circumstances beyond thecontrol of UH interfere with its ability to provide such services,

UH undertakes to use all reasonable steps to minimize theresultant disruption to educational services. UH does notundertake any absolute obligation whatsoever to provideeducational services in the manner specified in the prospectusor in any other document, nor does it undertake any other obligation in respect of the provision of educational serviceswhich is more onerous than the obligations set out herein.Should you become a student of UH, this notice shall be aterm of any contract between you and UH. Any offer of a placemade to you by UH is made on the basis that in acceptingsuch an offer you signify your consent to the incorporation of this notice as a term of any such contract and that you agreeto abide by the rules and regulations of the University of Hertfordshire.