BA (Honours) Social Work (England)
Application form 2016/2017
Personal details
Employer details
OU Personal Identifier (if you have one)
Name of employer (organisation)
Title (Mr/Mrs/Miss/Ms/Dr etc.)
Address
First name in full
Postcode
Surname/family name
Contact person (Agency Co-ordinator – see page 8)
Previous surname/s (if appropriate)
Job title/position within agency
Date of Birth
Gender
Contact number
Home Address
Email address
Postcode
Telephone
(Day)
(Evening)
(Mobile)
Email address
Residency
What is your nationality
If not British or EU do you have authority to work in the UK?
YES/NO
Have you lived overseas for a period of 6 months or more in the last 5 years? YES/NO
If ‘yes’ please provide details:
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Your qualifications
1. English language and mathematics – GCSE grade C or above or equivalent
(you must be able to provide certified evidence of your qualifications at your Selection Day)
Subject
Title of qualification
Date taken
(or to be taken)
Grade
awarded
School or College
English
language
Mathematics
I confirm that I will bring certificates for the above qualifications to my selection day:
2. A Level qualifications– 240 tariff points (equivalent of CCC where 3 A-levels taken) or equivalent
Subject
Title of qualification
Date taken
(or to be taken)
Grade
awarded
School or College
Or if you have successfully completed K101 – please provide completion dates and grade below:
K101
Certificate in Health &
Social Care
The Open University
I confirm that I will bring certificates for the above qualifications to my selection day:
3. Other educational qualifications including GCSE, O Level, degree, etc.
Subject
Title of qualification
Date taken
(or to be taken)
2
Grade
awarded
School, College, or University
4. Credit transfer
I have applied/am planning to apply for credit transfer against K101
and/or K113
and understand that the
outcome of my application will need to be known before I can be registered on the social work programme.
5. English language qualifications – for applicants for whom English is not their first language only. Overall score of at
least 7 with no lower than 6.5 in any one section of the test is required.
IELTS sections
Score for each section
Date taken (or to be taken)
Listening
Speaking
Reading (academic)
Writing (academic)
Overall Score
I confirm that I will bring certificates for the above qualifications to my selection day:
6. IT qualifications and competence
Please note that qualifications in IT are not required prior to entry but given the nature of the work involved in social work
education and practice, any areas in which you are not confident at this stage may be highlighted as recommended
areas for further learning prior to commencing the course.
I regard myself as competent and confident is using the following tools, or recognise that I require further support with
this as detailed below:
Competent
Not yet competent
Word processing
Email
Use of the internet
(searching etc)
Use of spreadsheets
Use of databases
7. I confirm that I have looked at and am prepared to discuss at interview the skills for academic
study material on The Open University social work website:
http://www.open.ac.uk/health-and-social-care/main/study-us/social-work/social-work-england
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Employment History
8. Please give details of your employment since leaving school/college including work inside and outside social care and
part-time work. Please start with your current employment and then work backwards. Please briefly explain any gaps.
Please do not attach a CV.
Dates
From
Name and address of employer
Job title, brief details of duties and reason for leaving
To
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Personal statement
9. You should use this space to support your application with your reasons for wishing to enter the social work
profession. We are interested in how clear you are about what social work involves and how your own experience, or
ideas from others, makes you think that you would be a good social worker? Please write between 500-800 words.
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References
10. Principal referee
This section should be completed by an appropriate manager, usually your line manager.
Name and job title
Length of time you have known
the candidate
Relationship to the candidate
Confirm candidate can be
released for placement days
(see Opening Doors)
YES/NO
Contact details
(email or telephone)
The Professional Capabilities Framework for candidates entering the profession requires us to
assess candidates’ understanding of the importance of emotional resilience and adaptability in
social work. Please could you comment on this in your statement about why you think this
person is suitable for training? 500 words max.
Signature
Date
(Original or e-signature only)
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11. Second referee
This section should be completed by someone who you know in a work capacity and who will be able to comment on
your experience with working with service users and carers, or by a service user or carer you have worked with.
Name and job title
(if applicable)
Relationship with the candidate
Length of time you have known
the candidate
Contact details
(email or telephone)
The Professional Capabilities Framework for candidates entering the profession requires us to
assess candidates understanding of the importance of service user and carer perspectives, to
recognise the views of others and to engage with people with empathy. Please could you
comment on this in providing your statement about why you think this person is suitable for
training? 500 words max.
Signature
Date
(Original or e-signature only)
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Employer’s endorsement
12. This section should be completed by someone that has responsibility for training and development within the
organisation e.g. a Training Officer or Workforce Development Officer. This will be the person who will act as the main
contact with The Open University and to whom we refer as the ‘Agency Co-ordinator’ and should be the same person
named on Page 1 of this application as the contact person.
I am aware of and support this candidate’s application
YES/NO
I can confirm that the organisation will release the candidate for the two periods of practice
learning (see Opening Doors)
YES/NO
Full name
Signature
Date
(Original or e-signature only)
Please return your application to:
Social Work Admissions Manager
Faculty of Health & Social Care
The Open University
Walton Hall
Milton Keynes
MK7 6AA.
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