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Application Form
Closing Date to apply: Thursday 18th June.
Places will be filled based by eligibility criteria, and on a first come, first served basis.
You will need to fill in this application with a parent/legal guardian.
The application should take no longer than 10 minutes to complete.
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Email
*
Your email
First Name
*
Your answer
Surname
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Course interested in
Medicine
Dentistry
Other:
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Name of parent/legal guardian
*
Please also include their relation to you.
Your answer
Contact number of parent/legal guardian
We will only contact this person in case of an emergency, or to check that they have given their consent for you to use Blackboard Open Education
Your answer
For parent/legal guardian to complete: "I have read Blackboard Open Education's Terms of Use, and agree to the applicant using the service'.
*
Anyone using the service who is under the age of 18, must have consent from their parent/legal guardian. Terms of Use available here:
https://openeducation.blackboard.com/site/tou
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