DEPARTMENT OF SCIENCE, TECHNOLOGY, ENGINEERING AND
PUBLIC POLICY (UCL STEaPP)
Postgraduate Certificate Pre-Application Form (2016)
STEaPP welcomes initial expressions of interest (i.e pre-application) from potential students.
Applicants who wish to begin studies with UCL STEaPP in April 2016 are asked to complete this form for an initial review by STEaPP before submitting a full formal application through UCL online systems.
Please note that this pre-application does not replace the formal application process, and applicants will still be required to fulfil the
UCL application procedures and policies for entry to study, including the submission of supporting documents (i.e relevant transcripts, references etc) once the application portal is available later in the year.
Once completed, the applicant should send their Postgraduate Certificate Pre-Application Form and the required supporting documents by email to steapp.admissions@ucl.ac.uk
.
1. Personal Details
First (Given) Name
Last (Surname/Family) Name
Date of Birth: (dd/mm/yy)
Sex
Nationality
Country of Ordinary Residence
Do You Require a visa to study in the UK?
2. Address (Correspondence)
Email address:
House No/Name & Street
Suburb/Town/City
State/County/Province
Country
Telephone Number:
3. English Language
Is English your first language ?
What English language proficiency test have you take within 3 years of the start date of this programme?
If None, please add further details?

DEPARTMENT OF SCIENCE, TECHNOLOGY, ENGINEERING AND
PUBLIC POLICY (UCL STEaPP)
Postgraduate Certificate Pre-Application Form (2016)
4. Education
Name of College
/University/Awarding
Body
Start Date
(Month/Year)
End Date
(Month/Year)
Qualifications
(e.g. BA, BSc,
MA, MSc)
Overall
Class/grade/GPA
Degree Title
5. References
Give details of the two people who you have asked to provide references on your behalf. At least one of your referees should, if possible, be a teacher acquainted with your academic ability. Employers may also be used. If you have previously studied at a UK university, one of your referees should be a teacher concerned with your studies there.
Referees should not be family members or friends. Letters of recommendation can be included with your application form or can be sent separately by referees to steapp.admissions@ucl.ac.uk
Referee 1 Referee 2
Name:
Position
Address 1
Name:
Position
Address 1
Address 2
Address 3
Address 2
Address 3
Email: Email:
6. Funding and Finance
How will you be financing your studies at UCL? You may tick more than one box.
Personal Resources
Loan
Studentship/scholarship
Employer
Sponsorship
Other
If you hold, or are intending to apply for funding, please state:
Name of award
Value and Duration:
Has it been awarded?

DEPARTMENT OF SCIENCE, TECHNOLOGY, ENGINEERING AND
PUBLIC POLICY (UCL STEaPP)
Postgraduate Certificate Pre-Application Form (2016)
7. Supplementary Personal Statement
Describe your academic interest and reasons for applying. Detail your career objectives and any relevant non-academic achievements. When assessing your application, we would particularly like to learn:

What factors led you to apply to the programme

How your academic and professional background meets the demands of this challenging programme, and how it would enable you to achieve your long term career goals

How you will manage your participation in the programme, both in terms of attendance and your external commitments (work/family life etc)
Together with the essential academic requirements, the personal statement is your opportunity to illustrate whether your reasons for applying to this programme match what the programme will deliver. Please use a maximum of 500 words.

DEPARTMENT OF SCIENCE, TECHNOLOGY, ENGINEERING AND
PUBLIC POLICY (UCL STEaPP)
Postgraduate Certificate Pre-Application Form (2016)
8. Application Essay
As part of your application, you are asked to develop a response to the following question. Your response should be no more than 500 words (maximum);
‘Describe and analyse a public policy, or regulatory issue, from within your own region. Please choose an issue that incorporates a good governance angle, for example: Social and Economic considerations, promoting competition, attracting investment , consumer welfare etc’

DEPARTMENT OF SCIENCE, TECHNOLOGY, ENGINEERING AND
PUBLIC POLICY (UCL STEaPP)
Postgraduate Certificate Pre-Application Form (2016)
9. Declaration
To the best of my knowledge, the information on this application is accurate and complete (please note that UCL reserves the right to refuse admission or terminate a student’s attendance should it be discovered that he/she has made a false statement or has omitted significant information). If you are offered a place, you will be required to provide evidence of your qualifications upon enrolment.
Data Protection Act 1998: I agree to UCL processing personal data obtained on this form, or other data which UCL may obtain from me or other people or organizations while I am applying for admission. I agree to the processing of such data for any purpose connected to my studies, or my health and safety while on UCL premises or for any other legitimate purpose.
Name: Date:
When submitting this form, you are also required to attach the following:

Transcripts and certificates of previous degree level study (with certified translations, if they are not already in English)

Evidence of English proficiency equal to that required by the entry requirements (a list of recognized providers is available from the UCL & STEaPP website)

Recommendation letters/references from two referees (these may either be provided with the application pack you are submitting, or may be sent to UCL STEaPP directly by the referee using the email address below)

Required application essays.

If you wish to apply for a scholarship, please ensure that you included the completed scholarship application form and provide appropriate supporting documents.
Once completed this form, and the above attachments, should be emailed to steapp.admissions@ucl.ac.uk
Alternatively, they can also be posted to:
UCL Department of Science, Technology, Engineering and Public Policy (UCL STEaPP)
36-38 Fitzroy Square (2nd Floor)
London
W1T 6EY
Deadline for Pre-Application: 1 st November 2015