Application | Loveworld NM Academy

WhatsApp Image 2026-08-01 at 9.48.38 AM (1).jpeg

Application Form

Please fill out all required information below.

First name

Last name

Email address

Phone number

Highest level of education

Institution; Country; Year completed

Current and previous company

Work experience

Additional Nuclear Medicine education or training

Years of Nuclear Medicine experience

Years of healthcare experience

Learning readiness

Do you have regular access to a computer or tablet?

Do you have reliable internet access?

Can you commit to the 12-week learning schedule?

Can you attend faculty-led online sessions?

Can you complete weekly assessments and assignments?

Preferred intake or starting period

Preferred time zone

Kindly expand on any readiness issues listed above.

Why would you like to join the Foundation Certificate Programme?

How will the programme support your current role or professional development?

Which areas of Nuclear Medicine would you most like to strengthen?

Does your institution currently provide Nuclear Medicine services?

Are there specific knowledge, decision-making or referral challenges you would like the programme to address?

Emergency contact name and telephone number

Can you travel for the final practical week?

Preferred practical training location

Will you require an invitation letter for visa purposes?

Do you have any accessibility or reasonable-adjustment requirements?

Address

Curriculum vitae; Highest qualification; Professional registration certificate; Letter of support from employer/ supervisor/ university/ college

Kindly note: Practical placements are subject to availability, institutional approval, regulatory requirements, and confirmation by the Academy. Applicants are responsible for their travel, visa, accommodation, insurance and related expenses unless otherwise confirmed in writing.

Applicants should confirm:

The information provided is accurate.
Admission is subject to review and formal acceptance.
Submission does not guarantee admission or a practical placement.
The programme does not confer professional registration or expand the applicant’s authorised scope of practice.
Participants must work within their professional registration, institutional privileges and applicable regulations.
Information may be used to assess the application and administer the programme.

The applicant agrees to the Academy’s privacy policy and communication terms.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

You will receive an automated acknowledgement after submission. The Academy will review your application and contact you regarding eligibility, supporting documents, practical-placement availability and the next intake.