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DIPLOMA IN PUBLIC SERVICE INTERPRETING DPSI HEALTH APPLICATION FORM 1. PERSONAL DETAILS First Name Surname Address Telephone Email Native language Second language 2. EDUCATIONAL QUALIFICATIONS University/school/college Degree/Diploma/ Subject Date awarded Grades Certificate 3. ENGLISH LANGUAGE QUALIFICATION 4. EMPLOYMENT Employer s Name and From To Position held Page 1 of 3 Brief outline of Duties 5. PERSONAL STATEMENT Please give a brief account of your reasons for choosing this course the knowledge skills and positions of responsibility you have obtained through your work and/or education which might be relevant to the course your motivation for the course and objectives for your career development 500 words maximum* PLEASE SEND THIS COMPLETED ENROLMENT FORM TO The Interpreting and Translation Short Courses Coordinator Faculty of Social Sciences and Humanities Room MG 5. 21 84 Moorgate London EC2M 6SQ Email interpreting- translation londonmet. ac*uk Tel 00 44 207 320 1483 Fax 00 44 207 320 1519 Office use only do not complete The aptitude test will be held on----------------------- at Moorgate. Decision by admission tutor -------------------------------------------- Language pathway ------------------------Signature --------------------------- Date ---------------------------. EDUCATIONAL QUALIFICATIONS University/school/college Degree/Diploma/ Subject Date awarded Grades Certificate 3. ENGLISH LANGUAGE QUALIFICATION 4. EMPLOYMENT Employer s Name and From To Position held Page 1 of 3 Brief outline of Duties 5. ENGLISH LANGUAGE QUALIFICATION 4. EMPLOYMENT Employer s Name and From To Position held Page 1 of 3 Brief outline of Duties 5. PERSONAL STATEMENT Please give a brief account of your reasons for choosing this course the knowledge skills and positions of responsibility you have obtained through your work and/or education which might be relevant to the course your motivation for the course and objectives for your career development 500 words maximum* PLEASE SEND THIS COMPLETED ENROLMENT FORM TO The Interpreting and Translation Short Courses Coordinator Faculty of Social Sciences and Humanities Room MG 5. PERSONAL STATEMENT Please give a brief account of your reasons for choosing this course the knowledge skills and positions of responsibility you have obtained through your work and/or education which might be relevant to the course your motivation for the course and objectives for your career development 500 words maximum* PLEASE SEND THIS COMPLETED ENROLMENT FORM TO The Interpreting and Translation Short Courses Coordinator Faculty of Social Sciences and Humanities Room MG 5. 21 84 Moorgate London EC2M 6SQ Email interpreting- translation londonmet. ac*uk Tel 00 44 207 320 1483 Fax 00 44 207 320 1519 Office use only do not complete The aptitude test will be held on----------------------- at Moorgate. 21 84 Moorgate London EC2M 6SQ Email interpreting- translation londonmet. ac*uk Tel 00 44 207 320 1483 Fax 00 44 207 320 1519 Office use only do not complete The aptitude test will be held on----------------------- at Moorgate. Decision by admission tutor -------------------------------------------- Language pathway ------------------------Signature --------------------------- Date ---------------------------.

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