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Course Details

Course^*

Cohort^*

Module Selection

Please, register for Module 1 only or for the whole course

Applicant Details

First Name^*

Last Name^*

Date Of Birth^*

Please type your date of birth in the following format day-month-year (e.g. 12-8-1979) or use the calendar to select the date you require.

Current Age^*

Gender^*

Female Male Non binary Other

Nationality^*

Visa Requirement^*

Yes No

Do you need a short term study visa?
To check please visit
https://www.gov.uk/apply-short-term-study-visa

Native Language^*

Level Of English (Spoken)^*

Beginner Intermediate Advanced

Level Of English (Written)^*

Beginner Intermediate Advanced

Contact Information

Telephone Number^*

Email^*

Home Address^*

Country^*

Post Code^*

Emergency Contact Information

Please provide us with contact details for your chosen emergency contact.

Emergency Contact Name (First & Last Name)^*

Relationship To Student^*

Emergency Contact Language Spoken^*

Emergency Contact Telephone Number^*

Emergency Contact Email^*

Emergency Contact Address^*

Education & Employment Information

Professional Training & Qualification/s

Please list any relevant training and professional qualifications (for non doctors applying, please list any other relevant health professional qualifications).

Current Work

Please give details of your current professional post or practice.

Supporting Documents

Medical Degree or Doctor Registration Certificate^*

Please upload a copy of your medical degree and/or registration as a doctor in your country (or for other health care professionals: your health professional qualification certificate and/or registration)
*This can be uploaded as a document (pdf, doc, docx, ppt, pptx, xls, xlsx, txt) or image (png, jpg, jpeg)

Scan of Passport^*

Please scan and upload the information page of your passport (the one with your picture on it).
*This can be uploaded as a document (pdf, doc, docx, ppt, pptx, xls, xlsx, txt) or image (png, jpg, jpeg)

Personal Statement^*

Please provide a concise personal statement below to include information on your background and motivation to take part in the programme.
*This can be uploaded as a document (pdf, doc, docx, ppt, pptx, xls, xlsx, txt) or image (png, jpg, jpeg)

Health Statement^*

Please upload your completed Health Statement.

Chosen Fee Payment

I would like to pay my fees:^*

Option 1 upfront. Option 2 in 3 instalments to be paid by 27 November 2022 27 November 2023 and 27 November 2024.

Course fees can be paid upfront £6600 or via a payment plan, paying £6800 over 3 instalments. Please select how you would like to pay.

Means tested bursaries are available for this course on a first come - first served basis. If you wish to be considered for a bursary, please download the bursary template form:

Bursary Template Form
*Please note we do not give bursaries for upfront payments. If you would like to be considered for a bursary, please tick the instalment option in the 'I would like to pay my fees.' section

Upload your Bursary Form here

If you have chosen to be considered for a Bursary, please upload your completed Bursary Form here.

Publicity Information

How Did You Find Out About This Course^*

Searching Online Word Of Mouth Social Media Advert Leaflet Other

Other (Cont)

If 'Other' please provide details below:

English Training in Anthroposophic Medicine - Worldwide Open