Intercalated Degrees Application to Study 2025/26
To be completed by external students
Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Name of your Current Institution
*
Current Year of Study
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Mobile Number
-
Area Code
Phone Number
Have you previously applied to intercalate at QMUL or Barts and The London?
*
Yes
No
1st Choice
*
iBSc Biomedical Engineering and Clinical Materials
iBSc Experimental Pathology
iBSc Global Medical Humanites
iBSc Global Public Health
iBSc Medical Education
iBSc Neuroscience
iBSc Pharmacology and Innovative Therapeutics
iBSc Prehospital Medicine
iBSc Sports and Exercise Medicine
iMSc
2nd Choice
iBSc Biomedical Engineering and Clinical Materials
iBSc Experimental Pathology
iBSc Global Medical Humanites
iBSc Global Public Health
iBSc Medical Education
iBSc Neuroscience
iBSc Pharmacology and Innovative Therapeutics
iBSc Prehospital Medicine
iBSc Sports and Exercise Medicine
iMSc
3rd Choice
iBSc Biomedical Engineering and Clinical Materials
iBSc Experimental Pathology
iBSc Global Medical Humanites
iBSc Global Public Health
iBSc Medical Education
iBSc Neuroscience
iBSc Pharmacology and Innovative Therapeutics
iBSc Prehospital Medicine
iBSc Sports and Exercise Medicine
iMSc
Personal Statement (maximum of 600 words)
*
Please give the reasons, in no more than 600 words, why you would like to undertake an intercalated degree at Queen Mary University of London. Only one statement can be submitted for all your choices; therefore it is up to you whether to address all courses applied for or to tailor this to your preferred choices.
0/600
Gender
*
Female
Male
Prefer not to disclose
Nationality
*
Country of Birth
*
Current Fee Status
*
Home
Overseas
Student Support Number
Did you undertake a foundation year which formed part of your medical studies?
*
Yes
No
Do you require a Student Visa to study in the UK?
*
Yes
No
Ethnicity
*
White
Black or Black British – Caribbean
Black or Black British - African
Other Black Background
Asian or Asian British – Indian
Asian or Asian British – Pakistani
Asian or Asian British - Bangladeshi
Chinese
Other Asian Background
Mixed – White and Black Caribbean
Mixed – White and Black African
Mixed – White and Asian
Other Mixed Background
Other Ethnic Background
Preferred not to Disclose Information
Disability
*
No known disability
Blind or Partially Sighted
Deaf or Hearing Impairment
Wheelchair User or Mobility Difficulties
Personal Care Support
Mental Health Difficulties
An Unseen Disability, e.g. Diabetes, Epilepsy, Asthma
Multiple Disabilities
Autistic Spectrum Disorder or Asperger Syndrome
A Specific Learning Difficulty e.g. Dyslexia
Disability not listed above
Prefer not to disclose information
Do you receive a Disabled Student Allowance?
*
In receipt of Disabled Students’ Allowance
Not in receipt of Disables Students’ Allowance
Attach supporting documents (please upload as 1 file): Your CV (2 page). Transcript of your results. A letter from your school giving you permission to apply which should include, if it is available your academic ranking within your cohort. Evidence of the level of fees you are paying at your home university (usually your letter from the Student Loans Company), if applicable.
*
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