Qualifications: Enrolment on the CertVBM programme is open to candidates who hold an undergraduate degree in Veterinary Science, Veterinary Nursing or a Business Management related subject. Please state highest qualification attained before commencing module. Qualification Name of College / University City and Country where College / University is situated Date of Qualification Alternatively, for candidates who do not have the necessary prerequisite HE training, but who have been working in Veterinary Business Management for over 12 months, applicants can be considered on a basis for entry onto the programme, with a minimum of two references required. Please tick here if you are including references with this application: Ethnic Origin: Please tick as appropriate (it is not compulsory to complete this section) Asian/Asian British - White & – 10 White 31 42 Indian Black African Black/Black British Asian/Asian British - White & – 21 32 43 - Caribbean Pakistani Asian Black/Black British Asian/Asian British - Other Mixed 22 33 49 - African Bangladeshi background Other Black Chinese/Other Ethnic Other Ethnic 29 34 80 background background - Chinese background Other Asian Mixed - White & Black 39 41 90 Not known background Caribbean Disability: Please tick as appropriate Do you have a disability? Yes/No Are you registered disabled? Yes/No If yes, what is the nature of your disability? DECLARATION I agree to the University processing personal data contained in this form, or other data, which the University may obtain from me or other sources. I agree to the processing of such data for any purpose connected with my studies or my health, welfare and safety, or for any other legitimate reason Signature: Date: Please complete and return this form by fax /email /post along with your booking form and fee to: Veterinary Postgraduate Unit, University of Liverpool, Leahurst Campus, Neston, Wirral, CH64 7TE vpuoffice@liverpool.ac.uk Tel: 0151 794 6016 Fax: 0151 795 6099
Qualifications: Enrolment on the CertVBM programme is open to candidates who hold an undergraduate degree in Veterinary Science, Veterinary Nursing or a Business Management related subject. Please state highest qualification attained before commencing module. Qualification Name of College / University City and Country where College / University is situated Date of Qualification Alternatively, for candidates who do not have the necessary prerequisite HE training, but who have been working in Veterinary Business Management for over 12 months, applicants can be considered on a basis for entry onto the programme, with a minimum of two references required. Please tick here if you are including references with this application: Ethnic Origin: Please tick as appropriate (it is not compulsory to complete this section) 10 White 31 Asian/Asian British - Indian 42 – White & Black African 21 Black/Black British - Caribbean 32 Asian/Asian British - Pakistani 43 – White & Asian 22 Black/Black British - African 33 Asian/Asian British - Bangladeshi 49 Other Mixed background 29 Other Black background 34 Chinese/Other Ethnic background - Chinese 80 Other Ethnic background 39 Other Asian background 41 Mixed - White & Black Caribbean 90 Not known Disability: Please tick as appropriate Do you have a disability? Yes/No Are you registered disabled? Yes/No If yes, what is the nature of your disability? DECLARATION I agree to the University processing personal data contained in this form, or other data, which the University may obtain from me or other sources. I agree to the processing of such data for any purpose connected with my studies or my health, welfare and safety, or for any other legitimate reason Signature: Date: Please complete and return this form by fax /email /post along with your booking form and fee to: Veterinary Postgraduate Unit, University of Liverpool, Leahurst Campus, Neston, Wirral, CH64 7TE vpuoffice@liverpool.ac.uk Tel: 0151 794 6016 Fax: 0151 795 6099