Application form: King's Cultural Experience Award
Application form: King's Cultural Experience Award
Form Guidance
Please complete this application form and send to if you wish to undertake the King’s Cultural Experience module. Please read the information on the award on ourwebsitebefore completing this form.
Deadline
The deadline for applications isMonday2ndOctober 2017.The deadline for assessment submissions isMonday 8th January 2017.
If you have any questions, please contact .
Section 1: About you
Personal and contact details
Title* / First Name* / Surname*Address *
Post Code *
Email *
Contact phone number *
Nationality* / UK / Are you a student or staff member at King's? * / Student
International / Staff member
Section 2: About your degree
Details of your degree programme and registration at King's
King's (Student) ID Number * / K number *Faculty * / Arts & Humanities / Social Science & Public Policy
Natural and Mathematical Sciences / Institute of Psychiatry, Psychology & Neuroscience
Dental Institute / Dickenson Poon School of Law
Life Sciences and Medicine
Programme of study * / Please provide your degree programme, eg BA English; BSc Physics; MMath; BDS; MBBS, etc.
Programme level * / Undergraduate / Postgraduate / PHD
Year of Study out of how many years* (ie First of three year) / Year of graduation *
Section 3: Cultural London
Please tell us why you are interested in exploring cultural London. What aspects of cultural London are most curious about? What do you hope to gain by exploring cultural London as part of a structured programme with others, and what do you think you can bring? (max 300 words): *Section 4: Additional support
Do you consider yourself to have a disability? * / Yes / NoIf yes, do you require support with: / Access to premises / Specialist provision (such as staffing and/or facilities)
Transport to training sites / Other (please detail below)
Further details:
Section 5: Additional information
Monitoring data – this information does not influence your application
Where did you hear about the King’s Cultural Experience Award? *Section 6: Application declaration
As there are limited spaces on this programme, we expect students attend all of the facilitated sessions including walks and tours (barring illness or other unavoidable circumstances).Please tick to confirm that you expect to be able to attend all the sessions.Sessions are from 10:00-12:30, Strand Campus
-3 October
-10 October
-17 October
-24 October
-31 October (Reading week / Independent Field Trip)
-7 November
-14 November
-21 November
-28 November
-5 December
If you are unable to make these sessions, we will be running this programme twice more in the spring term: Once more on the Strand Campus and once on Guys Campus (with an arts & health focus). If you are interested in either of these programmes, applications will open on the 20November 2017. To express your interest please email
I confirm I am available to attend these sessions
Please put a cross in the box to show that you have read and understood the King's Cultural Experience Awardintended learning outcomesand declare that, to the best of your knowledge, the information you have supplied is correct. *
I have read the guidelines and declare that my submission is accurate at the time of application.
Please put a cross in this box if you are happy to receive marketing communications from :
King's Experience / Culture at King’s
When completed, please email this form to by Monday 2nd October.
Application for Autumn Term 2016 Page 1