Application Form for Part-Time Study Thank you for deciding to apply to study part-time at Sheffield Hallam University. Our part-time recruitment officer will consider your application, and the decision will be sent to you by post. Please type or print clearly in black ink. Tick boxes as appropriate ***This is the last year that ACCA is scheduled to run at Sheffield Hallam University*** 1 Your personal details Title (eg Mr, Ms, Dr Family name: Gender: male etc) Other name(s): Date of birth: female Student I.D (previous SHU students) day month Year Previous family name 2 Contact details Home address: Postcode: Country: Email address: Home Telephone number: Work Telephone Number: Mobile: ACCA Reg. No. 3 Nationality Country of birth: Nationality: Country of domicile or area of permanent residence: Non-EU students only Date of first entry to the EU: Date of most recent entry to the EU: Date from which you have been granted permanent residence in the EU (if month year month year month year applicable): 4 Disabilities and support needs Type of disability Dyslexia Deaf/Hearing Impairment Personal Care Support Multiple Disabilities 'Hidden Disabilities' (diabetes, epilepsy, asthma, Other etc) Blind/Partially Sighted Wheelchair User/Mobility Mental Health Difficulties Autistic spectrum / Asperger's please specify please specify Nature of support required 5 Education Qualification(s) in support of current application Applicants should list their highest qualification, whatever the result, Language Applicants must include any language qualifications Qualification (eg GCSE, A level, HNC/D or Degree Subject Grade Year 6 Source of funding Who is paying your fees? Self Employer SHU Head Start please specify Other 7 Sponsored Students Only Please give details of the person/company who will be paying your fees (A letter confirming sponsorship must be included with the application) Name: Position: Company/ Organisation Address: Postcode: Country: Email address: Telephone number: Fax number: 8 Criminal Convictions Do you have any relevant criminal convictions? Yes No 9 Declaration I confirm that, to the best of my knowledge, the information given in this form is true, complete and accurate and no information requested or other material information has been omitted. I give my consent to the processing of my data by SHU. I understand that any offer of a place on the above course is subject to my acceptance of the University's terms and conditions which I have received and read. I understand what they say, and I agree to abide by the conditions set out there. I accept that if I do not fully comply with these requirements, SHU reserves the right to cancel my application and I shall have no claim against SHU in relation to this application. I understand that it is my responsibility to select the correct entry point based on my previous qualifications and failure to do so may result in me being unable to sit the exams with ACCA or CIMA Applicant’s signature Date Completed forms should be returned to: Student Support Office, Sheffield Business School, Sheffield Hallam University Stoddart Building, Howard Street, Sheffield, S1 1WB Equal opportunities monitoring Ethnic origin White Black other Bangladeshi Other Black Caribbean Indian Chinese Please specify Black African Pakistani Asian Other ACCA SYLLABUS ACADEMIC YEAR 2015/16 Please tick the boxes for the subjects you want to study this academic year, a maximum of four sessions can be studied; two modules per semester. We will be unable to process your application unless you have ticked at least one module to study. ***This is the last year that ACCA is scheduled to run at Sheffield Hallam University*** Fundamental Papers Semester 1 Teaching: W/C 7th Sept 2015 - W/C 9th Nov 2015 F8 Audit & Assurance Tuesdays 6-9pm F7 Financial Reporting Wednesdays 6-9pm F4 Corporate & Business Law Thursdays 6-9pm Semester 2 Teaching: W/C 22nd Feb 2016 - W/C 4th April 2016, then W/C 25th April 2016 - W/C 09th May 2016 Taxation Tuesdays 6-9pm F9 Financial Management Wednesdays 6-9pm F5 Performance Management Thursdays 6-9pm F6 Please Note: units are offered subject to suitable demand. It is the applicants responsibility to check with ACCA to confirm your entry level; this will ensure that you are eligible to sit exams with ACCA.