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CYM Degree Programme Application form

You are here: Home / CYM Degree Programme Application form

CYM Degree Programme Application Form 2020

This form is for anyone wishing to study for a degree with CYM

Step 1 of 8

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  • Please complete the form below indicating which course you are applying for.

  • Personal details

  • Date Format: DD slash MM slash YYYY
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  • Equality and Diversity

    Some of the following questions are optional but will support our Equality and Diversity recording.
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  • Course details

  • We are interested to know how you found out about CYM and our great courses, so thank you for letting us know how it worked for you.
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  • Employment history and voluntary work experience

  • Date started (mm/yy)EmployerPositionNature of workDate completed (mm/yy) 
  • Please give full details of work you have undertaken with young people, communities, children, families and/or schools, especially the church(es) and/or agency(ies) you have been working with, nature of the work, time spent in the various types of work and how long you were doing that particular work. Please illustrate how you have fulfilled the 'professional' entry criteria
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  • Education and qualifications

  • InstitutionFull or Part TimeFrom (mm/yy)To (mm/yy) 
  • Date of results (mm/yy)Awarding bodySubject/unit/moduleLevelResult/grade 
  • Date results due (mm/yy)Awarding bodySubject/unit/moduleLevel 
  • Please use this section to tell us briefly about yourself and your reasons for wanting to study the course
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  • Personal declaration

    Because of the nature of the course for which you are applying, this application is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. This means you are therefore not entitled to withhold information about convictions which for other purposes are “spent” under the provisions of the Act. In the event of acceptance, failure to disclose such convictions could lead to disciplinary action being taken and any offers for a place on the course being withdrawn. Any information given will be treated in the strictest confidence and used solely in relation to this application. Please be aware that for positions involving substantial access to young people or children a system of checking police records for possible criminal background will be implemented.
  • This is your signature for this digital document.
  • Date Format: DD slash MM slash YYYY
  • GDPR

    From the time you first contact CYM, we hold appropriate personal information on file both in paper format and electronically. Under GDPR we need your consent to use your information in ways appropriate to the efficient conduct of our business. By submitting this form I give my consent to CYM holding my personal data relating to my studies.
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  • References

    Please provide the details of the three referees to whom you will be sending your forms. One should be from your current or most recent employer, one from someone who knows your work with children, schools or youth work, and the third should be a personal reference, normally from a Church Leader where appropriate. You cannot submit references from family members.
  • Employer/College/School

  • Children/School/Youth/Communities work

  • Personal reference

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