BSc (Hons) in Nursing - Bridging Programme in Nursing
APPLICATION FOR ADMISSION
__________________________________________
Please read page 4 before completing this application:
Please complete the following application form and submit to the admissions office at RCSI Bahrain
along with the required documents listed at the end of this form.
Attach
2 (two)
Photos
The information provided on the application form, academic transcripts and reports from referees,
is required to construct a complete picture of the applicant’s academic and work background together
with future goals and motivation.
This application form should be completed in block letters using black pen. Please complete all sections.
If space is insufficient, additional sheets may be used.
______________________________________________________________________________________________________
PERSONAL DETAILS (PLEASE COMPLETE USING BLOCK CAPITALS THROUGHOUT)
Date of Birth:
Day Month Year
TITLE
FAMILY NAME (SURNAME):
Miss/Ms/Mr/Mrs/Dr
FIRST NAME:
GENDER
M
PERMANENT HOME ADDRESS
F
WORK ADDRESS
----------------------------------------------------------------------
Date(s) from:------------------To:--------------------------------
----------------------------------------------------------------------
----------------------------------------------------------------------
----------------------------------------------------------------------
------------------------------------------------------------------------
----------------------------------------------------------------------
--------------------------------------------------------------------
---------------Tel. No:-----------------------------------------------------------Tel. No:---------------------------------------------------------------
Fax:----------------------------------------------------------------
Fax:-----------------------------------------------------------------
Email:--------------------------------------------------------------
----
Email:----------------------------------------------------------------COUNTRY OF BIRTH:
NATIONALITY:
1
EMPLOYMENT HISTORY
NAME & ADDRESS OF EMPLOYER (PRESENT FIRST)
JOB-TITLE
FROM
REFEREES
You should enclose one confidential statement with your application.
Name------------------------------------------------------------------Occupation-----------------------------------------------------------Address-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Tel No: ----------------------------------------------------------------
Fax:---------------------------------------------------------------------
Email:------------------------------------------------------------------
2
DATES
TO
HIGHER EDUCATION AND/OR PROFESSIONAL QUALIFICATIONS (IN DATE ORDER / MOST RECENT FIRST)
University / Institution
Dates
Start
Qualification
Subject
Language
of
instruction
Result
Date of
completion
Finish
ENGLISH LANGUAGE QUALIFICATIONS
IELTS: Listening
Reading
TOEFL: Total Score
Writing
Speaking
Overall Band
TWE(Test of Written English) or Essay Writing Score
Other English Language Qualifications:
OTHER COURSES & EXPERIENCE
Details of any other courses taken or other qualifications that are relevant to this application:
Date of Course
Title of Course
Qualifications obtained or to be
taken (give dates & grades)
ADDITIONAL INFORMATION (PLEASE ANSWER EACH QUESTION BELOW):
Please Explain:
(a) Why you are applying for the BSc in Nursing Bridging Programme?
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------(b) In what way does it relate to your work?
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------(c) How do you expect it will benefit your current work?
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------3
CHECKLIST & NOTES ON APPLICATION PACKAGE:
A completed application form includes the following:








Completed Application Form
Curriculum Vitae
One Personal Recommendation Form.
Copy of School transcript & graduation certificate
Copy of Associate Diploma in Nursing transcript & certificate.
Two Passport Sized Photo attached to the application.
A copy of passport or ID card.
A valid Nursing license.
Submit completed application to:
By Mail:
By Post:
In Person:
Ms. Jannat Jawad Al Shaiba
jalshaiba@rcsi-mub.com / admissions@rcsi-mub.com
Admissions Office, PO. Box 15503, Kingdom of Bahrain
Building No. 2441, Rd 2835, Blk 228, Busaiteen, Bahrain
Admissions Office is opened from 8am – 4pm
Please read the following before signing your application:
I certify that the information on this application is complete and accurate.
Signature of Applicant:---------------------------------------------------
Date: -----------------------------------------------------
4