UNIVERSITY OF DUNDEE College of Medicine, Dentistry & Nursing

Internal Applicants Intercalated BMSc with Honours 2014-2015: Application procedure for students applying from INSIDE University of Dundee

Before completing the application form, please make sure that you have read the introduction to the Intercalating Prospectus. Please complete the attached form and return it to Mrs Dorothy Cuthbert, Medical School Undergraduate Office, Level 7, Ninewells Hospital and Medical School, also send an electronic (pdf) copy to [email protected], before the deadline of Friday 31 January 2014.

Final acceptance to the course will be dependent upon:

A. Pass at the first attempt in the 2MB examinations. (Some exemptions may apply) B. Acceptance by relevant course leaders Please provide 2 hard copies (1 original and 1 copy) and one electronic file (pdf) of your application form and the documents below:

 two references in support of your application  a brief CV  two photos (passport size)

Applicants should note that places on degrees or projects will be allocated on the basis of academic merit.

We aim to notify students of the result of their application by Friday 28 February 2014.

DIARY DATES FOR INTERCALATED BMSc APPLICATION PROCEDURE, 2014-2015 31 January 2014 Final date for submission of application forms to the Medical School Undergraduate Office, Level 10, Ninewells Hospital and Medical School, Dundee DD1 9SY, Scotland, UK. Please ensure that you include all relevant documents with your application form. 28 February 2014 Provisional list of students accepted on the BMSc programme.

30 May 2014 Final date for confirming/withdrawing your BMSc application UNIVERSITY OF DUNDEE College of Medicine, Dentistry & Nursing

Intercalated BMSc 2014-2015: Internal Application Form

PLEASE COMPLETE IN BLOCK CAPITALS

PERSONAL DETAILS:

SURNAME: TITLE: FORENAME: DATE OF BIRTH: EMAIL: MOBILE TEL NO.

TERM ADDRESS:

Postcode: Tel:

SUMMER VACATION ADDRESS: Where can we contact you over the Summer after you have gone down from University prior to starting your intercalated year.

Postcode: Tel: Other Email:

DEGREE PROGRAMME CHOICE  Anatomy  Human Genetics and  Pharmacology  Applied Orthopaedic Experimental Medicine  Physiology Technology  Human Reproduction  Teaching In Medicine  Clinical Research  International Health  Sports Biomedicine  Forensic Medicine  Neuroscience Medicine

FIRST CHOICE: SECOND: THIRD CHOICE:

(You are encouraged to provide a second choice and third choice) YOUR CURRENT COURSE: Present Degree Course and Year: MBChB/BDS Year Name & Address of College Registered at:

Postcode:

Current Fee Status (ie Home/Overseas/Other): Name & Full Address of Two Academic Referees: ie Sub-Dean/Course Tutor (who has provided your reference) 1. 2.

It is important that you provide us with the following information: (Your School Office or Campus Registry will hold this information) Your Student Matriculation No:

Signed: Date:

Please return this form to:

Mrs Dorothy Cuthbert Medical School Undergraduate Office, Level 7, Ninewells Hospital & Medical School Office, Dundee, DD1 9SY, Scotland, UK.

Tel: 00 44 (0)1382 383066 Fax: 00 44 (0)1382 496391

Email: [email protected]