MACUApp 007 by ZWjNJ5QI

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									                                                                                                          Please attach two
                                                                                                           recent passport
                                                                                                          photographs with
                                                                                                          your name written
                                                                                                             on the back.

                                                                                                           These will be used
                                          APPLICATION FOR ADMISSION                                         for identification
                                            MA Curating the Art Museum                                       purposes only.


PERSONAL DETAILS

Title:                    Surname*:                                      Home Address:
                     First name(s)*:
                          Known as:
    Date of Birth (dd/mm/yyyy):
                 Male        Female


  Daytime Tel.:                                                          Correspondence Address (if different):
    Mobile Tel.:
          Email**:
*As appears in passport

**All correspondence from the Academic Registry
during the application process will be by email.


            Nationality:                                                   Are you a citizen of the UK or EEA?         Yes       No
     Country of Birth:                                              If ‘No’ and if you currently reside in the UK:
Country of Domicile:                                                 Date you arrived in the UK (dd/mm/yyyy):
                                                             Do you have indefinite leave to remain in the UK?         Yes       No
                        If you are in the UK on a temporary visa, please state the type of visa and expiry date.
                        Type of visa:                                                Expiry date (dd/mm/yyyy):


Which countries have you lived in since 1 September 2009?
Country                              From (mm/yyyy)       To (mm/yyyy)       Purpose of Residency




FOR OFFICE USE
                                                                           U                 C                WL _____
     TRANSCRIPT                  WWK                     ENGLISH

         REF 1                   PASSPORT                DEPOSIT
                                                                           WD                D                R
         REF 2                   PHOTOS
EDUCATION

Please list the universities you have previously attended (including studies in progress). If final examinations have not yet
been taken, please note preliminary and intermediate examinations. You should also give details of any art history
courses taken. Applicants will normally hold an under- or postgraduate degree with an average of 65% or better or
international equivalent (i.e., cumulative GPA of 3.5 or better) with at least one specialist module in the history of art.

University/Institution Attended                       Dates (Start – Finish) (mm/yyyy)                       Subject, Qualification and Result
                                                               -
                                                                   -
                                                                   -
                                                                   -
                                                                   -

Please list subjects taken and grades at secondary/high school level. (American students: Please give your SAT/ACT
results and your grades on any AP exams.)

School Attended                                       Examining Body             Year Taken                  Subject and Level




Please list details of any relevant employment or other activities undertaken (if applicable). You may attach a CV if
necessary:




LANGUAGE

What is your first language?
If English is not your first language and you have taken an English proficiency examination, please attach the certificate
and give details:
Date Taken (dd/mm/yyyy):                              Type of Test:                                          Score:
See the notes for guidance at the end of this form for a list of English proficiency qualifications we will accept.

Please list details of any foreign languages with which you have gained proficiency. Please attach qualifications and/or
certificates, if applicable.

Language                                                 Reading               Writing              Listening         Speaking           Fluent
1.
2.
3.
REFEREES

Please list the details of your nominated referees:

REFERENCE 1                                                                REFERENCE 2
Name:                                                                     Name:
Position:                                                                 Position:
Address:                                                                  Address:



Tel.:                                                                     Tel.:
Fax:                                                                      Fax:
Email:                                                                    Email:

Please be aware that The Courtauld cannot assume responsibility for requesting or chasing up references.


PERSONAL STATEMENT

Please write a statement (200 to 500 words) below which details your reasons for applying for the MA Curating the Art
Museum and any information which may support your application. This should include particular interests, prior study
and/or experience relevant to the programme including volunteering, internships and work experience in museums and
galleries.
SOURCE OF FUNDING

How will your studies be funded?
   Self                      Family                   Government loan                    Career development loan
   Scholarship/sponsorship                            Other (please specify):


Please give details if other than yourself:
Name of organisation/individual:
Address:
Tel.:
Relationship:


OUTREACH

How did you first hear about the MA Curating the Art Museum?
    Current Courtauld student            Courtauld alumni          Courtauld academic staff          Other academic staff
    Friend/family                  Employer/Colleague                  Careers advisor                University of London
    Courtauld Gallery                 Prospectus                Advertisement (please specify):
    British Council          Courtauld website                  Other website (please specify):
    IES Abroad               Boston University                  Penn/Brown/Cornell Centre
    Other source (please specify):


Are you applying to any other institution/programme? If so, please list:


ADDITIONAL INFORMATION

Previous applications to The Courtauld (if any):




If you are called for interview, please tell us if there is anything we should do to best accommodate you (i.e.,
communications support, audio transcription, wheelchair-accessible interview room):




We are required to ask you if you have been convicted of a criminal offence, excluding either a motoring offence for which
a fine and/or maximum of three penalty points were imposed, or spent sentences.

Do you have any criminal convictions?         Yes                       No

If you have answered ‘Yes’ we may need to ask you for further details.



DECLARATION

I hereby apply for admission in October 2012. In signing this form, I certify that all information presented is true to the
best of my knowledge.
Signature:                                                          Date (dd/mm/yyyy):
                                      EQUAL OPPORTUNITIES FORM

We would appreciate your cooperation in helping us monitor the effectiveness of our Equal Opportunities Policy. Your
application will not be affected by the information provided and will not be seen by those involved in the selection process.
All information will be treated as confidential.

Disability

   A    No known disability
   B    A social/communication impairment such as Asperger's syndrome/other autistic spectrum disorder
   C    Blind or a serious visual impairment uncorrected by glasses
   D    Deaf or a serious hearing impairment
   E    A long standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsy
   F    A mental health condition, such as depression, schizophrenia or anxiety disorder
   G    A specific learning difficulty such as dyslexia, dyspraxia or AD(H)D
   H    A physical impairment or mobility issues, such as difficulty using arms or using a wheelchair or crutches
   I    A disability, impairment or medical condition that is not listed above
   J    Two or more impairments and/or disabling medical conditions
   T    Autistic Spectrum Disorder
Please give any details which might necessitate special arrangements:




Ethnic Origin
   10 White
   21 Black Caribbean
   22 Black African
   29 Black Other
   31 Indian
   32 Pakistani
   33 Bangladeshi
   34 Chinese
   39 Asian Other
   41 Mixed Caribbean
   42 Mixed African
   43 Mixed Asian
   49 Mixed Other
   80 Other
   98 Information refused
CHECKLIST
Please return the following:                                                 Postgraduate Admissions
                                                                             Courtauld Institute of Art
   Completed application form                                                Somerset House
   Official academic transcript(s)                                           Strand
   Two confidential academic references in signed, sealed                    London
   envelopes                                                                 WC2R 0RN
   Written work
   English proficiency certificate (if applicable)                           Email: pgadmissions@courtauld.ac.uk
   A photocopy of the photo page of your passport and any
   other relevant pages (visas, date of issue and expiry if
   separate to photo page, etc.)
   Two passport photographs with your name written on
   the back

PLEASE NOTE: Due to the volume of applications we receive, we are not able to confirm receipt of your
application upon request by email or telephone.

If you wish to track your application, we would recommend that you send it by recorded delivery and/or include a self-
addressed, stamped postcard with your application, which we will send to you when your application is unpacked. We will
send an acknowledgment email when we create your application record, but this may take up to four weeks for
applications sent by the deadline or more for those received after the deadline.



ADMISSIONS SCHEDULE

Applications will be considered according to the following timescale*:

          1 October 2011                           The Courtauld will begin accepting applications for the 2011 intake.

          6 January 2012                           Deadline for receipt of complete applications

          20 January 2012               All applications received by the deadline will be passed to the tutors to be considered.

          Mid- to late February                    Interviews

          Mid-March                                Final decisions should be available at this time.


*Please note that the dates below are subject to change. Any changes to decision dates will be posted on the Institute website.
                                                    NOTES FOR GUIDANCE
These instructions will help you to complete this application for admissions as effectively as possible and will likely answer
any questions you have about The Courtauld’s admissions processes and requirements. If the answers you seek cannot
be found here or the Frequently Asked Questions on our website, please feel free to contact the Academic Registry at
pgadmissions@courtauld.ac.uk.

Required Documents

    1.   Application form
         Please complete the enclosed application form. Any changes to course availability will be posted on The Courtauld
         website. If there are any points in your application which you wish to clarify, please mention these in a covering letter.

    2.   Academic References
         You should provide your two nominated referees with the Guidance for Referees (which is available to download from
         our website with the application form) along with a self-addressed envelope. The reference should be completed
         following the guidelines and returned to you in the envelope you provide, signed across the seal to ensure
         confidentiality. In unusual circumstances, references may be sent directly from referees by post or email
         (pgadmissions@courtauld.ac.uk) on headed paper. Though academic references are ideal, professional references will
         be accepted provided they are relevant to the programme for which you are applying. References cannot be returned to
         applicants.

    3.   Academic Transcripts
         An official transcript(s) of academic record – a complete record of your classes taken and grades earned – should be
         obtained from your university. Applicants will normally hold an under- or postgraduate degree with an average of 65%
         or equivalent (i.e., GPA 3.5) with at least one specialist module in the history of art. If this is not so in your case, any
         evidence of 2.1 or first class work in your degree will be useful, and your referees should be instructed accordingly. We
         are unable to return academic records to applicants as they must remain on file, so please ensure that you obtain
         duplicate records from your university. Photocopies or unofficial records will not be accepted.

    4.   Written Work
         Applicants are required at this stage to submit a sample of their academic written work, preferably on an art
         historical/historical subject. We would prefer a photocopy of your work rather than a final, bound copy. Your work
         should be between 3,000 and 5,000 words in length. If you do not have a suitable piece of this length, you may submit
         two shorter pieces, or an extract of a longer piece. The work submitted does not have to be an assessed piece; you
         may write something new.

         If you would like your written work to be returned, please supply a self-addressed, stamped envelope. Where an
         envelope is not supplied, any written work submitted for admissions processes will be kept only for 12 months from the
         date of application. Candidates are advised to keep a copy of any written work as, although every effort will be made to
         return it if required, The Courtauld cannot accept any liability for loss or damage.

    5.   English Proficiency Certificate
         All applicants are expected to have an effective knowledge of English, both spoken and written. If your first language is
         not English, you will be required to pass an English proficiency exam. We will accept:

        IELTS (International English Language Testing System) with an overall bandwidth of 7.0 or above
        TOEFL (Test of English as a Foreign Language) with a score of at least 100 on the Internet-based test (IBT) and a
         score of at least 600 on the paper-based test (PBT) with a score of at least 5.0 on the Test of Written English
        CAE (Cambridge Advanced English) with a minimum grade of B
        IGCSE with a minimum grade of B
        Pearson Test for English (PTE) Academic with a score of 75 or above

         Please note that we will not accept institutional test results or any test not listed above including ESOL qualifications.

         If you have studied at an institution for three or more years where English is the language of instruction you may be
         considered without an English proficiency result at the discretion of the course leader. (If such an institution is based in
         a non-English speaking country, a letter from the institution confirming the language of instruction should be submitted.)

         If you aren’t able to book a test at a centre in advance of the application deadline, you may submit your application
         without an English proficiency result and it will be passed on for consideration. You should send your test result when it
         becomes available to you.
Sending Your Application

Applications are only considered complete if we receive:
     Application form
     Two academic references
     Academic transcript
     Written work
     English proficiency certificate (if applicable)
     A photocopy of the photo page of your passport
     Two passport photographs

Applications must be sent by post to the address specified above. In unusual circumstances, references may be sent directly
from referees via email; however, hard copies in the format requested above are preferred. No applications or other supporting
documents sent via email will be accepted.

All documents should be submitted in English. All academic records in another language should be accompanied by an
official translation. If you are submitting a piece of written work in another language, you may provide an official
translation or translate the piece yourself. References should be written in English or, where this is not possible, an official
translation should be provided.

If you are not able to send all documents together, supporting documents may be sent separately as they become
available; however, this may cause delays in processing your application. Any documents sent separately from the
application pack should state the applicant’s name clearly.

								
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