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Title

Gender

First Name*

Middle Name

Surname*

House Number / Name

Street Address

Town / City

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E-mail Address*

Confirm Email*

Mobile Phone Number

Date of Birth

Nationality

British Nationality

Ethnic Group

Employer Details

Name of Employer

Employer Address

Employer's Postcode

Employment Mentor

Employment Mentor Email

Employment Mentor Mobile

Confirmation of completion of Parts 1 and 2

I confirm that I have completed Part 1 and 2 of the examination.

Confirmation of Professional Experience

I confirm that I will have completed the required period of work experience.

University for the purposes of Part 3

Other University

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By creating an account, you are accepting our Privacy Policy, Terms and Conditions and agree to us holding your personal details for the purposes of the Part 3 examination.

Medical / Learning difficulties. APEAS wishes to ensure that all candidates receive fair and equal treatment during the Examination process. To assist us in ensuring this fair treatment, it would be helpful if you would provide the following information.

APEAS wishes to ensure that all candidates receive fair and equal treatment during the Examination process. To assist us in ensuring this fair treatment, it would be helpful if you would provide the following information.

Do you have a medical condition which you believe might affect your performance in the Part 3 Examination?Do you have any specific adjustments which would need to be made to the examination process, such as an accessible venue?

Do you require adjustments to be made in relation to any learning difficulties, e.g. Dyslexia? (please note that evidence of a recent assessment will be required)

Do you have a medical condition which you believe might affect your performance in the Part 3 Examination?*

YesNo

Do you have any specific adjustments which would need to be made to the examination process, such as an accessible venue?*

YesNo

Do you require adjustments to be made in relation to any learning difficulties, e.g. Dyslexia? (please note that evidence of a recent assessment will be required)*

YesNo

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