Applicatio
swillbetreatedi
thestrictestco
fide
cebytheU
iversitya
dthei
formatio
give
willbeusedo
lyforthefollowi
gpurposesatoe
abletheU
iversitytogivefulla
dproperco
sideratio
toapplicatio
sa
dbforthecompilatio
ofesse
tialstatisticsI
accorda
cewiththeprovisio
softhe1984DataProtectio
Act
ostatisticalorotheri
formatio
whichcouldide
tifya
yi
dividualapplica
twillbepublishedorotherwisecommu
icatedtoa
yotherage
cy
Icertifythatallthee
triesaretothebestofmyk
owledgea
dbeliefcorrecta
dIu
dertakeifadmittedtoobservetheregulatio
sofYorkStJoh
U
iversity
Sig
ature________________________________Date___________________
Pleasereco
firmyourperso
alemailaddress
Checklist
CompletedApplicatio
FormCopiesofExami
atio
Certificatesa
dTra
scriptsi
origi
alla
guagea
dtra
slatedi
toE
glishE
glishLa
guagetestresultsCopyofthephotographpagesofyourpassportCa
didateStateme
tRefere
celetterEqualOpportu
itiesForm
Please
oteI
completeapplicatio
swillcauseu
ecessarydelaysi
theprocessi
gtimeTHECOMPLETEDFORMSHOULDBERETURNEDTO
Emailysji
ter
atio
alyorksjacukYorkStJoh
I
ter
atio
alAdmissio
sYorkStJoh
U
iversityLordMayor’sWalkYorkYO317EXU
itedKi
gdom
105866364doc
3
fEqualOpportu
itiesForm
Doyouhavea
ycrimi
alco
victio
sYES
NO
PleasetickYesorNodepe
di
gifyouhaveorhave
otgotareleva
tcrimi
alco
victio
Releva
tco
victio
sareo
lythoseco
victio
sforoffe
cesagai
sttheperso
whetherofaviole
torsexual
aturea
dco
victio
sforoffe
cesi
volvi
gu
lawfullysupplyi
gco
trolleddrugsorsubsta
ceswheretheco
victio
co
cer
scommercialdrugdeali
gortrafficki
gCo
victio
sthatarespe
tasdefi
edbytheRehabilitatio
ofOffe
dersAct1974are
otco
sideredreleva
ta
dyoushould
otrevealthemIfyoucircleyesyouwill
otbeautomaticallyexcludedfromtheapplicatio
processhoweverwemayaskyouformorei
formatio
Youshouldbeawarethatforcoursesi
teachi
ghealthoracoursei
volvi
gworkwithchildre
orvul
erableadultsa
ycrimi
alco
victio
si
cludi
gse
te
cesa
dcautio
si
cludi
gverbalcautio
sreprima
dsfi
alwar
i
gsa
dbi
doverordersareexemptfromtheRehabilitatio
ofOffe
dersAct1974Ifyouareapplyi
gforthesecourseswewillaskyoutoagreetohaveacrimi
alrecordcheckIfyouareco
victedofareleva
tcrimi
aloffe
ceafteryouhaveappliedyoumusttellYorkStJoh
U
iversityDo
otse
da
ydetailsoftheoffe
cesimplystatethatyouhaveareleva
tcrimi
alco
victio
wemaythe
askyoumoredetails
DisabilitySpecial
eedsPleasee
tertheappropriatecodefromthelistbelow___
ABCDEFGHIJ
NodisabilityYouhaveasocialcommu
icatio
impairme
tsuchasAsperger’ssy
dromeotherautisticspectrumdisorder
Youarebli
dorhaveasr
