Application for Independent and Supplementary Non-Medical Prescribing NMM110 at City, University of London

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Thank you for your interest in studying Independent and Supplementary Non-Medical Prescribing at City, University of London. Please fill out the application below and submit by 30th November 2017 at 5pm. You are able to save your application and continue it at a later date.

The intake of this module is January 2018. The dates are on the website. The module  requires 90 hours of supervised practice under a designated medical practitioner/supervisor/assessor.

 If you have any queries about the application process, please contact
Confirmation of eligibility:

Please note that pharmacists and dental nurses are not eligible for this course. You must be either registered with the NMC or the HCPC.

IF you have not completed a Level 7 Physical Assessment module and are unsure about what evidence is required, please contact before completing your form.

Dates are on the website
Ineligibility for Non-Medical Prescribing
Unfortunately you do not meet the eligibility criteria of this course. Please do not hesitate to contact us at if you have any queries. Thank you for your interest in studying at City, University of London and please do have a look at the other courses that may be more suitable here. 
Physical Assessment
If you have not completed a Physical Assessment Level 7 module and would like to do so, City, University of London offers a discounted price on the joint Physical Assessment and Non-Medical Prescribing modules. Please have a look at our website here, for further information on how to apply.

Dates are on the website
Personal Information


If you have previously studied at City please provide your student number. Failure to do this could result in your application being delayed.
Correspondence address:

Permanent residence address:

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Employment History
Employer Details


Previous Employer

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English Requirments

This is determined on whether or not you are a national of a majority English speaking country or you have a bachelors degree from a majority English speaking country.
Majority English Speaking Countries
This is the exhaustive list of majority speaking English countries. If the relevant country does not appear here, please select 'No' to the question above:

  • Antigua and Barbuda
  • Australia
  • The Bahamas
  • Barbados
  • Belize
  • Dominica
  • Grenada
  • Guyana
  • Ireland
  • Jamaica
  • New Zealand
  • St Kitts and Nevis
  • St Lucia
  • St Vincent and the Grenadines
  • Trinidad and Tobago
  • United Kingdom
  • United States of America
No, English is not my first language

If English is not your first language, you must show evidence that your command of the English language is suitable for entry to degree-level studies.

A pass in the following qualification is the minimum expectation of City University London:

  • IELTS Test of the British Council at 7.0

Higher Education

Please enter details of your undergraduate, bachelors degree or higher level MSC qualifications

Don't forget to upload certificate

Other Qualifications

Enter your most recent Academic and Professional qualifications.

Please include all pre and post registration courses. List all the relevant courses including courses undertaken whilst you were working. These can include diploma, modules, study days, short courses.

Click 'Add another qualification' to add additional qualifications.

Don't forget to upload certificate

Add additional qualifications
Evidence of Physical Assessment

Statement of Support

Statement of Support
Please tell us why you have chosen to apply for this module and provide details of relevant academic background and/or relevant experience. Please include your justifications for the relevance of this module to your current job as well as your professional development.

Click here to enter text

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Equal Opportunities

 Our equality and diversity policy can be found on this link.


New Student

As you are a new student to City, we will contact you soon with regards to making payment.

Returning Student
As a returning student to City, you will be sent a link to E-Pay with your confirmation email. Please use this to make payment you will need your Student Number.
NHS Trust

If the chosen trust does not agree to fund you then you will receive an invoice and be liable for the full fee.

If your employer does not have an agreement in place with City then you will be liable for any fee.

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Pre study check

Download Documents

You need to download both Forms A and B below and attach them once completed to the file upload button below.You are able to save this application form and return to it later to attach the completed Forms A and B.

IMPORTANT: You should save your application first as the form will open on this page. Alternatively right click on each form and click open in new tab/window then download to your computer.  

Form A

Form B

Your application will not be shortlisted until these have been returned.


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