PostgraduateApplication
MSc Marine Technology
PERSONAL DETAILS:Surname/Family name: / Other names:
Title: / Date of birth:
Home address:
Postcode: / Address for correspondence:
Postcode:
Home telephone number: / Mobile/Work telephone number:
Email: / Gender:
Male/Female
Nationality: / Country of permanent residency:
Are you currently resident in the UK/EU?: Yes/No
If so, when did the residency begin:
PROGRAMME OF STUDY:
Please indicate which qualification you are applying for:
Stand-alone Module(CPD)
☐ / Postgraduate Certificate (PG Cert)
☐ / Postgraduate Diploma (PG Dip)
☐ / Masters
(MSc)
☐
If CPD please indicate which module(s):
If PG Dip or MSc please indicate which stream:
Naval Architecture
☐ / Marine Engineering
☐ / Offshore Engineering
☐
Marine Renewable Energy
☐ / Small Craft Design
☐ / Classification and Survey
☐
Conversion and Repair
☐ / Defence
☐ / General
☐
Proposed start date: / Proposed end date:
HIGHER EDUCATION:
University/College: / Date from/Date to: / Qualification title: / Classification of degree:
TRAINING /QUALIFICATIONS:
Give details of any other relevant qualifications including professional qualifications or examinations to be taken:
EMPLOYMENT:
Please indicate if this is full-time or part-time and include details of your job title, employer, principal responsibilities and dates of employment.
ENGLISH LANGUAGE COMPETENCY:
Is your first language English: Yes/No
If no, please list and English qualifications:
Qualification: / Date awarded: / Result/Score:
FINANCE:
Self-funding
☐ / Funded
☐
If funded please provided Company/Organisation name:
ADDITIONAL INFORMATION:
How did you hear about the MTEC programme:
Please tick the relevant box if you have any of the following disabilities/medical conditions which might require special arrangements:
Dyslexia ☐ / Mental health difficulties ☐
Blind/partially sighted ☐ / Unseen disabilities e.g. diabetes, epilepsy, asthma ☐
Deaf/hearing impairment ☐ / Wheelchair user/ mobility difficulties ☐
Please give any relevant details:
Are you registered as disabled: Yes/No
REFEREES:
Please give details of two referees below. These should be people under whose guidance you have recently studied or under whom you have gained relevant work experience.
Name: / Name:
Address:
Postcode: / Address:
Postcode:
Telephone: / Telephone:
Email: / Email:
Relationship: / Relationship:
CRIMINAL CONVICTIONS:
Do you have any criminal Convictions: Yes/No
DECLARATION:
I confirm that the information I have given is correct to the best of my knowledge.
Signature: / Date:
GUIDANCE NOTES:
- Please complete all sections of the form.
- A CV cannot be accepted as a substitute to this application form. You may submit a CV along with this application form if you wish.
- Please provide certified evidence of your qualifications. Certificates not printed in English should be accompanied by a certified translation.
- For queries please contact or 0191 222 7176
COMPLETED FORMS SHOULD BE SUBMITTED TO OR POSTED TO:
MTEC, MAST SCHOOL OFFICE, ROOM 4.67 RIDLEY 2, NEWCASTLE UNIVERSITY, NE1 7RU