Success Coaches Application Form: PASS Scheme 18/19
Please note that you cannot save your progress when completing this form. We suggest you write out your longer answers beforehand and paste them into the relevant boxes.

For further questions please contact Wilko Luebsen

Room: Learning Centre - LC2-12
T: +44 (0)20 7133 2915
Office hours by appointment only

About You
First Name *
Your answer
Last Name *
Your answer
Gender *
Nationality *
Your answer
Ethnicity *
Your answer
Student ID number *
Your answer
Mobile tel number *
Your answer
Alternative tel number *
Your answer
Primary email address *
Your answer
LondonMet email address ( *
Your answer
LondonMet IT User-name *
Found on your student ID card, above the word "Student"
Your answer
Course Details
Name of the course you are studying *
Your answer
Year of study (in next academic year 18/19 - only undergraduate students eligible) *
School in which your course is located *
Campus where you mostly study *
Your average grade estimated (%) *
Your answer
Previous Education
What type(s) of course(s) did you study before coming to university? *
What subjects did you study before coming to university? *
Your answer
Do you speak any foreign languages? *
If YES, please specify
Your answer
Reasons for Application
Please tell us why you would like to become a Success Coach *
Include details of any relevant interests, skills and experiences
Your answer
Are you available for the required 6 hours training? *
How many hours per week are you available to work as a Success Coach? *
As far as you are aware, are you suffering (or have in the past suffered) from any medical condition which may affect your ability to perform the role for which you are applying? *
If YES, please give details
Your answer
I hereby declare that the information given in this application is true to the best of my knowledge and belief, and may be used for the purposes of processing my application. I understand that it is subject to the Data Protection Act 1998 and will be treated as confidential and not revealed to any unauthorised source. *
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