DLP Part-time (Evening Study) Application Form

APPLICATION FORM

Wave 1 for September 2022 Entry
This form is for the part-time study (evening study) only, there is a separate form form full-time applications.

Please complete this form in one sitting, making sure to review the information provided before submiting it.

This application does not commit you to taking a space on the course, you will have an opportunity to consider this one final time, if an offer is made.
What is your chosen year of enrolment?

September 2022September 2023Other
PERSONAL INFORMATION:
Gender

MaleFemale
Full Name*

First NameLast Name
Date of birth*

DayMonthYear
E-mail:*
Where the confirmation will be send to
Mobile Number
Home Address:*

Street Address

Street Address Line 2

CityState / Province

Post codeCountry
Nationality
Do you have "Entitled" status?

YesNo
Do you have a disability or special learning needs?

YesNo
If yes, please tell us about your disability or special learning needs.
This information will have no impact on our selection process.
FINANCE
The fees for the part-time study option are £3500 per year.
How your fees will be paid

I will be paying for the fees myselfMy employer will be paying for my feesI will be applying to Student Finance
What payment option do you prefer?

Once yearly (£3,500 in Sep)Quarterly (£885 in Sep/Dec/Mar/Jun)Monthly £299
EDUCATION INFORMATION
What is your current level of education. Tick all that apply.

GCSEsA Levels or equivalentUndergraduate Degree or equivalentPostgraduate or equivalent
School/University attended (if applicable)
Degree obtained (if applicable)
EMPLOYMENT INFORMATION

Current employer
Current role
Current responsibilities
My employer is supportive of my application

YesNoI don't know yet
If you answered "No" or "I don't know yet" to the previous question, please explain further here. This information will be treated in the strictest confidence.
EMPLOYMENT INFORMATION

Previous employment history
Previous responsibilities
Other relevant roles
ALL ABOUT YOU
Here is your oppopportunity to tell us who you really are.

There is no wrong or right answer here, no minumum or maximum amount of words we require and there is no need to be too formal either, but it is important that you evidence your interests outside of school, projects you work on.
The Digital Leadership Programme will help me by...
Be passionate! Tell us how you intent to use the skills you learn in the DLP
I have a keen interest in...
Be bold! This is an opportunity for you to tell us a little bit more about yourself, the projects you work on and why.
WHY DID YOU CHOOSE THE DLP?
In this section you have the opportunity to tell us why you are applying to the DLP, we would like to know how the programme fits in with your plans.

There is no wrong or right answer here, no minumum or maximum amount of words we require and there is no need to be too formal either, but it is important that you express your reasons for this application.
In the future I would like to...
Be daring! Tell us about your career objective, ambitions, dreams and ideas.
I would like to enrol on the Digital Leadership Programme because...
Tell us what made you choose the DLP, what attracted you to it, how the programme fits in with your plans.
I am also considering the following options... because...
Be honest! Tell us what other options you are considering and why? This will not impact our decision, we just want to know what we are up against.
Where did you hear about the Digital Leadership Programme?
APPLICANT E-SIGNATURE
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
You can expect to hear from us shortly after submiting this form.
Should be Empty:

APPLICATION FORM

PERSONAL INFORMATION:

FINANCE

EDUCATION INFORMATION

EMPLOYMENT INFORMATION

EMPLOYMENT INFORMATION

ALL ABOUT YOU

WHY DID YOU CHOOSE THE DLP?

APPLICANT E-SIGNATURE