英国邓迪大学3+1+1交流项目申请表

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1、英国邓迪大学3+1+1交流项目申请表A.ProgrammeandSubjectareayouwishtoStudy3+1+1ChinaProgrammeAcademicSubjectarea(s):EntryYear:2016/17B.PersonalDetailsSurname/FamilyName:Title:Mr/Miss/Ms/Mrs/DrMale/Female(Pleasecircle)First&MiddleName(s):DateofBirth(dd/mm/yyyy)dd/mm/19yyNamebywhichyouwo

2、uldliketobeknown:PreviousSurname:PermanentHomeAddressCorrespondence/ContactAddressCity:City:Country:Country:Postalcode/Zipcode:Postalcode/Zipcode:HomeEmail:ContactEmail:TelephoneNumber(s)(withCountryandAreaCode)Tel:Mobile/Cell:Telephone&FaxNumber(withCountryandAreaCode

3、)Tel:Fax:Nationality:PassportNumber(ifnon-UK/EU):CountryofBirth:CountryofPermanentResidence:C.AdditionalInformation1Disability:TheUniversityencouragesapplicationsfromstudentswithdisabilitiesandspecialneedsandiskeentoprovideappropriatesupportforstudyand/oraccommodation.

4、Ifyouhaveadisability,specialneeds(includingdyslexia)ormedicalcondition,pleaseticktheappropriateboxandenclosefurtherdetailswherenecessary.Tick‘A’fornodisabilityorsupportrequirements:AA.NodisabilityorawarenessofadditionalsupportrequirementsAB.Youhaveasocial/communication

5、impairmentsuchasAsperger'ssyndrome/otherautisticspectrumdisorderAC.YouareblindorhaveaseriousvisualimpairmentuncorrectedbyglassesAD.YouaredeaforhaveaserioushearingimpairmentAE.Youhavealongstandingillnessorhealthconditionsuchascancer,HIV,diabetes,chronicheartdisease,orep

6、ilepsyAF.Youhaveamentalhealthcondition,suchasdepression,schizophreniaoranxietydisorderAG.Youhaveaspecificlearningdifficultysuchasdyslexia,dyspraxiaorAD(H)DAH.Youhavephysicalimpairmentormobilityissues,suchasdifficultyusingyourarmsorusingawheelchairorcrutchesAI.Youhavead

7、isability,impairmentormedicalconditionthatisnotlistedaboveAJ.Youhavetwoormoreimpairmentsand/ordisablingmedicalconditionsD.EnglishLanguage–tobecompletedbyALLapplicantsStudentsparticipatinginallprogrammesmustshowsufficientproficiencyinEnglishLanguagetofulfillthedemandsof

8、theprogramme.TheEnglishlanguageleveldemandedofstudentsstudyingattheUniversityofDundeeisaminimumofthefollowing(orequiv