Birmingham-Newman-University-RPcL-Form
Birmingham-Newman-University-RPcL-Form
This section should be completed by the applicant/student. It is important that you provide
accurate and relevant evidence alongside this application form. Please note the learning being
claimed for RPL must be current. Normally qualifications taken earlier than five years before the
claim is made are not eligible for consideration. However, where there are exceptional
circumstances they may be taken into consideration.
Name Date of Birth
(including
title)
Contact Contact
Email Telephone
No
Course Mode of FT / PT
applied for or Study
studying at
Newman
UCAS Personal ID or Newman
Reference
Application
NOTE: Please ensure that you have provided copies of certificates/transcripts of the qualifications noted above; your
claim will not be processed without these. The evidence must show the academic level and number of credits the
qualification awards and the mark you achieved and clearly show the name of the institution that awarded the credits.
Applicant declaration that the information and documents provided are correct.
Signature Date
Page 1 of 3
Section 2: To be completed by the Programme or Course Leader or Head
of Subject
or
If ‘Yes’:
a) is the learning still relevant and does it meet the required learning outcomes?
Yes/No
b) has the applicant demonstrated evidence of continuous learning, updating
knowledge & skills through workplace training? Yes/No
c) is their work based practice relevant to the course applied?
Yes/No
Please note that if the prior learning is more than 5 years old and the response to a), b) or c)
above is ‘no’, then the prior learning cannot be recommended and/or accredited.
Signature
Page 2 of 3
Please Note: Section 1 should be completed by the applicant/student and
Section 2 by the Programme or Course Leader / Head of Subject. If further
information is required before a recommendation can be made, the
applicant/student will be contacted by Registry staff to request this. Only once
the form is fully completed should it be forwarded to the relevant Associate Dean
for final approval and signature.
Signature
Name Date
Page 3 of 3