Instructions for Applications to Laureate Summer School 2012 at the University of Liverpool

Thank you for your interest in the Laureate Summer School at the University of Liverpool. Below you will find guidance to help you complete the application form and the learning agreement and details about other information we require from you.

How do I complete the Application Form? (Please type your answers)
(This must be returned to the University of Liverpool by email to laureate.summerschool@liv.ac.uk by Friday 25th May 2012) Withdrawal Fee: If you wish to withdraw the following rules will apply; £50 for withdrawals after 28th May/ £100 for withdrawals after 15th June 2012. 1.How do I complete ‘About you?’ Names: Nationality: Date of birth: Phone: Email: Address: Health: Next of Kin Please complete your family & first names exactly as you wish to be known. If you are not an EU citizen, check whether you need a visa to enter the UK and ensure that it is valid for the duration of your stay. Please enter as numbers (e.g. 3 July 1976 = 3/7/1976) Applicants must be over 18 years of age on 25th June 2012. Enter your full telephone number, including the country and region code. This is the main way we will contact you, please give an email address you check regularly. Enter your full permanent address, including area code and country. Please let us know about any health issues, disabilities or support needs using the tick box on the application form. Relationship, full name and full contact details of a close family member to contact in case of emergency

2.How do I complete ‘About your studies at your home university? Home university: Laureate Co-ordinator: Full name of your home university Enter the full name and full telephone number, including the country and region code, for the Laureate co-ordinator at your home university. Make sure that their email address is complete.

An English language test for weeks 4-6 will be held on Friday 20th July 2012. For the weeks 4-6 programme please arrange to arrive at Prospect Point.3. Programme dates Full programme: 2nd July – 10th August 2012 Weeks 1-3 programme: 2nd July – 20th July 2012 Weeks 4-6 programme 23rd July – 10th August 2012 Induction dates For the full programme and weeks 1-3 the Induction will take place on Friday 29th June For weeks 4-6 the induction will take place on Friday 20th July Arrival dates For the full programme or the weeks 1-3 programme please arrange to arrive at Prospect Point. Dates of Attendance Please indicate whether you will be attending :• For the full 6 week programme • For weeks 1-3 only • For weeks 4-6 only The programme will be delivered in two three week blocks. Liverpool L6 1BA on 27th June or 28th June 2012 between 08:30 and 20:00 hours where a Welfare Tutor will greet you. An English language test for weeks 1-3 and 1-6 will be held on Friday 29th June 2012. Students will take 3 modules in each block and a Compulsory English Language Programme will run throughout the six week programme. Outside these hours. A certificate of attendance and achievement will be awarded to students who satisfactorily complete the programme. 60 Moira Street. Outside these hours. Liverpool L6 1BA on 18th or 19th July between 08:30 and 20:00 hours. a contact number will be provided for late arrivals or emergency use. 60 Moira Street. there is a 24 hour Reception at Prospect Point or University of Liverpool staff can be contacted by telephone. University of Liverpool staff can be contacted by telephone. a contact number will be provided for late arrivals or emergency use. .

There is a numerical limit to places on each module and these places will be allocated in date order of receipt of applications. including my designated English language support group. I will treat all university staff and property with respect and ensure that any library loans are returned before I leave. For example: Weeks 1 . 5. Modules which under recruit may be cancelled.Module Title .3 (CRN . Some modules repeat in weeks 4-6. I understand that absences and persistent lateness may affect the award of the course completion certificate and the marks awarded for each module. We ask you for a choice of 6 modules in each block as some modules fill up quickly.Order of Preference): 14634 British Politics 1 15229 Information Technology 2 15226 Media Rich 3 16299 Liverpool Culture 4 16302 Music and Media 5 15225 Stonehenge 6 Each module MUST have a preference number against it.4. Please number your module preferences 1 – 6 against modules in weeks 1 -3 and / or weeks 4 -6 depending on the dates of your visit. .Module preferences: You will be allocated to 3 modules in each 3 week block. We cannot guarantee you will get your first module choices but we will give you your preferences as far as possible. I will abide by the University of Liverpool’s noise curfew which applies strictly between the hours of 11pm and 7am in consideration of other residents and neighbours. Learning and conduct agreement When you sign your application form you will be agreeing to abide by the following Learning and Conduct Agreement: I understand that I must attend punctually all timetabled contact hours and that I must complete the appropriate assignments and assessments for the modules to which I am assigned.

please an electronic passport photograph with your application 8. English Language level: Your level of English.ac. *Withdrawal Fee: If you wish to withdraw the following rules will apply.summerschool@liverpool. TOEFL computer 196). Email an electronic copy to us at laureate. 7.6.uk We will confirm your place on the programme when we have received the electronic form and confirmed with your home university co-ordinator that you have submitted a hard copy and paid your deposit. Notification of allocated modules We will notify you of your allocated modules and timetable and will send full joining instruction by email following the deadline date of Friday 27 May 2012. must be at least IELTS level 5. £50 for withdrawals after 28th May/ £100 for withdrawals after 15th June 2012. If your level is lower than this you may have difficulty with the academic content of the programme and will be unable to benefit fully from your stay.5 or the equivalent. What do I do when I’ve finished my application and learning agreement? Please print out and sign a hard copy of the application form and give it to the Laureate coordinator at you home university. Passport photograph:. . (TOEFL paper 525. You will then be allocated to an appropriate English level group. There will be an English test on Friday 29 th June 2012 (or Friday 20th July 2012 for those coming for weeks 4-6 only) as part of the induction procedure.

Do you require a member of staff to contact you or your coordinator regarding any of the above? Yes No . Please tick if you require any of the following No Disability Deaf/Hard of hearing Dyslexia Multiple disabilities Autistic Diabetes Wheelchair user Prefer not to say Blind/Poor eyesight Mental Health Issues Disability not listed If not listed above please give details.Laureate Summer School Application Form 2012 ONLY TYPED APPLICATIONS WILL BE ACCEPTED 1. ……………………………………………………………………………………………………………. About you Family name: First names: Gender: Male Female Nationality: Date of birth (dd/mm/yy): International: Area Telephone: / / Telephone: + *Students who are under 18 on the date of their arrival are not eligible to apply Email: Permanent address: House name/number Road name District City Country Area Code Your health: *do you have any disabilities that may affect your performance? Please inform us of any help or medical assistance you may require.

Next of Kin / Full contact details *please give details of family members/guardian that we can contact in case of emergency and their relationship to you. About your studies at your home university Name of home university: Subject title at home university: How many years of under graduate study have you completed?: Name of co-ordinator at your home university: Co-ordinator Tel: Area Telephone: Telephone: + Co-ordinator email: . Name: Permanent address: Email: International: Area Telephone: Telephone: + 2.

For the weeks 4-6 programme please arrange to arrive at Prospect Point. . University of Liverpool staff can be contacted by telephone. 60 Moira Street. An English language test for weeks 1-3 and 1-6 will be held on Friday 29th June 2012. Outside these hours. Liverpool L6 1BA on 18th or 19th July between 08:30 and 20:00 hours. 60 Moira Street. Liverpool L6 1BA on 27th June or 28th June 2012 between 08:30 and 20:00 hours where a Welfare Tutor will greet you. An English language test for weeks 4-6 will be held on Friday 20th July 2012. For the full programme or the weeks 1-3 programme please arrange to arrive at Prospect Point.Date of attendance: Programme dates Full programme: 2nd July – 10th August 2012 Weeks 1-3 programme: 2nd July – 20th July 2012 Weeks 4-6 programme: 23rd July – 10th August 2012 Induction dates For the full programme and weeks 1-3 the Induction will take place on Friday 29th June. Outside these hours. a contact number will be provided for late arrivals or emergency use.3. For weeks 4-6 the induction will take place on Friday 20th July. a contact number will be provided for late arrivals or emergency use. there is a 24 hour Reception at Prospect Point or University of Liverpool staff can be contacted by telephone.

Learning and conduct agreement I understand that I must attend punctually all contact hours and that I must complete the appropriate assignments and assessments for the modules to which I am assigned. including my designated English language support group.3 CRN Module Title Order of Preference 1 -6 Weeks 4 -6 CRN Module title Order of Preference 1 -6 5. If your requested class is full we shall try to give you another class from your top 6 choices. I understand that absences and persistent lateness may affect the award of the course completion certificate and the marks awarded for each module. However please be aware some classes are limited in size and places will be allocated on a first come first served basis. I will treat all university staff and property with respect and ensure that any library loans are returned before I leave. . Module choices: You MUST select six choices. I will abide by the University of Liverpool’s noise curfew which applies between the hours of 11pm and 7am. *Please refer to the timetables before you make your choices Weeks 1 . If you do not choose six classes then we will place you in similar classes. Please book early to avoid disappointment. We will try to place all students in their chosen top 3 classes.4.

IELTS 5. Withdrawal Fee Withdrawal Fee: If you wish to withdraw the following rules will apply. I agree to the processing of such data for any purpose connected with my studies or my health.ac. This will be used for your student card and your application will not be processed without one) 10. 7. I certify that the information contained within this application is true and accurate to the best of my knowledge. Accommodation & Inventory/Keys I understand that rooms will be inspected before and after occupancy and students will be charged for any damage done to the room. 8. furniture or equipment. welfare or safety. Your declaration & signature I have consulted the Summer School website http://www. We will confirm your place on the programme when we have received the electronic form and confirmed with your home university co-ordinator that you have submitted the signed hard copy and paid your deposit.uk/laureatesummerschool and I agree to abide by the terms of the learning and conduct agreement. or for any other legitimate reason Your signature Date . I agree to the University processing personal data contained in this form. or other data which the University may obtain from me or other sources. English Language Level Please inform us of your current English language level.5 Yes / No Other score (please give details) 9.6. Students will also be charged for any keys or fobs lost or not returned to the Reception at Prospect Point on departure.liv. Please print out and sign a hard copy of this document and give it to the Laureate co-ordinator at you home university along with your deposit. £50 for withdrawals after 28th May/ £100 for withdrawals after 15th June 2012. Email an electronic copy to us using the link below. Passport Photograph (* please upload an electronic passport style photograph of yourself.