Application Form for the Course

If you wish to apply for this Postgraduate Programme in Medical Art, please complete the application form below. All applications forms must be received at least two weeks before the next advertised interview date, this can be found on the home page.

If you would like to know more information on the artwork content to include within your portfolio for an interview, please follow this link: Application Information

Title *

Name *

First

Last

Home address *

Postcode *

Nationality *

Date of Birth *

Age at interview *

Tel Work *

Tel Home *

Mobile number *

Email *

Re-enter email *

Present and past employment/work experience *

(Details, dates, employers' names and addresses)

Art degrees and/or other academic/professional qualifications *

(Awarding bodies, dates, subjects classifications, members of other professional bodies)

Art Education *

College/Schools, dates, full/part time, subjects, specialties)

Medical/paramedic/nursing education *

(Colleges etc., dates, degrees and other qualifications)

General education *

(schools, dates, qualifications gained)

References: names and addresses of three persons who have agreed to provide testimonials *

All information will be treated in the strictest of confidence.

CV and Additional Information

Personal Statement

Name

Application Form for the Course

Application Form for the Course

Information

Contact the department

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