Erasmus Mundus Special and Inclusive Education
Visiting Scholar Application Form – Guidance Notes
APPLICATION DEADLINE: 31st OCTOBER 2013
VISITING SCHOLAR ROLE:
 Network with staff and students – creating opportunities for further institutional
networking and collaboration.
 Take part in activities for engagement with students and staff.
 Contribute to lectures, seminars, and talks at the institution(s) for students and
staff.
 Conduct a short research project in relation to the Programme, and write a report
of the experiences and research findings during the time of your visit.
 Act as a critical friend – interacting with and supporting students.
 Be invited/encouraged to present a paper on an area related to their area of
interest and expertise at the programme’s annual conference.
ENTRY REQUIREMENTS:
 Required English Language level (see link for information under subtitle English
Language Qualifications –
http://www.roehampton.ac.uk/admissions/erasmusmundus/special-and-inclusiveeducation/entryrequirements/index.html)
 Professional/academic experience in the field of Special and/or Inclusive
education (SEN or SIE)
 Qualifications related to SIE/SEN/inclusive education/disability (either a doctorate
or professorship in or related to Special and/or Inclusive Education)
 Outstanding academic and/or professional experience that will bring added value
to delivery of EMMEC
 Commitment to actively participate in EMSIE (the programme) activities
 Be willing and able to spend minimum 2 weeks and maximum 2 months in two
partner HEIs on the programme.
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SELECTION PROCESS:
 First stage: Applications screened against the above entry requirements.
You will be informed by January 2014 if you have not met these.
 Second stage: Joint Selection Board constituting all 3 EU partner institutions
meet in January to review and approve applications against the consortium’s
selection criteria.
 Third stage: All decisions are sent to the EU for approval between February and
March 2014. Outcomes of this stage will be released to successful and
unsuccessful applicants in May/June 2014.
FINANCING THE PROGRAMME:
 The EU commission grants scholarships to the scholars fulfilling all above criteria,
selected by the consortium. These scholarships carry out teaching and research
assignments and scholarly work in the institutions participating in the programme.
WHAT YOU NEED TO INCLUDE IN YOUR APPLICATION:
Please note that incomplete applications (including missing supporting
documents) will not be accepted.
 Complete Application Form (all 10 sections)
 Photocopy evidence of your English language qualifications (originals will be
asked for if your application is successful)
 Copies of your degree transcripts, certificates and/or progress to date (these
must be supported by a certified translation if the original is not in English, Czech
or Norwegian)
 A personal statement in support of your application (2 x A4 maximum) (section 9
of application form)
 2 reference letters
 A copy of your passport
 A copy of your CV
PLEASE RETURN COMPLETED FORM TO:
International Admissions Officer,
Admissions,
Erasmus House,
Roehampton University,
Roehampton Lane,
London, SW15 5PU, UK
Or erasmusadmissions@roehampton.ac.uk
APPLICATION FORM STARTS ON NEXT PAGE
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Erasmus Mundus Special and Inclusive Education
Visiting Scholar Application Form
Please complete in black ballpoint or type.
SECTION 1: PERSONAL DETAILS:
Surname/Family
Name:
Title: Dr Mr Mrs Miss Ms
Country of
Permanent
Residence:
Forenames/First
Names:
Other
Date of birth:
DD
MM
YYYY
Nationality:
Country of Birth:
If you were not born in the UK, state
date of last entry to UK:
If you were not born in the Norway,
state date of last entry to Norway:
If you were not born in the Czech
Republic, state date of last entry to
Czech Republic:
If you are resident in any of the 3 countries – UK, Norway or Czech Republic –
please indicate the country (ies) and the date from which you have been
resident here:
Address:
Permanent
Address if
different:
Postcode/Zip
Code:
Postcode/Zip
Code:
Country:
Country:
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Telephone
Number:
Telephone
Number:
Fax Number:
Fax Number:
E-mail
Address:
E-mail
Address:
Mobile:
Mobile:
Valid Until:
SECTION 2: EDUCATION
Education – start with your most recent qualifications. If you have not yet received
your award, indicate when you expect to do so.
(include copies of your degree transcripts, certificates and/or progress to date (these must
be supported by a certified translation if the original is not in English, Czech or Norwegian))
Higher Education
Full Title of
Award
Institution/
Awarding Body
Dates From/ To
Fulltime/
Parttime
Grade/
Result
SECTION 3: PROFESSIONAL QUALIFICATIONS
(include any relevant copies of these qualifications (these must be supported by a certified
translation if the original is not in English, Czech or Norwegian))
Title of award
Professional Body
Date
Please continue on a separate sheet if needed.
Are you a qualified teacher?
Yes
No
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If you have answered yes – which country did you qualify in?
SECTION 4: PROFESSIONAL EXPERIENCE
Relevant Work Experience
Name of
Organisation
Dates From/ To
Position Held
Fulltime/
Parttime
Main Areas of
Responsibility
Please continue on a separate sheet if needed
SECTION 5: ENGLISH LANGUAGE QUALIFICATIONS
(include evidence of your English language qualifications)
TOEFL (Please state if computer based):
Overall Score
Written Score
Date achieved
IELTS:
Overall Score
Reading
Writing
Listening
Speaking
Date achieved
Other English Language Qualifications:
Date achieved:
SECTION 6: PROPOSED PROGRAMME OF STUDY
Please indicate where you wish to study:
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United Kingdom (University of Roehampton, London, England)
Norway (University of Oslo, Oslo)
Czech Republic (Charles University, Prague)
Please explain your choice(s) above:
SECTION 7: RESEARCH
Please advise your research interests (including any publications,
consultancy, seminars etc.)
Please provide a brief description of the short piece of research you wish to
undertake:
Please indicate how you intend to contribute to the work carried out in one or
more of the partner institutions (Roehampton, Oslo and Charles) that you wish
to visit:
SECTION 8: REFEREES (include 2 reference letters with application)
Referee 1
Referee 2
Name:
Name:
Address:
Address:
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Postcode/Zip
Code:
Postcode/Zip
Code:
Country:
Country:
Telephone
Number:
Telephone
Number:
Fax Number:
Fax Number:
E-mail
Address:
E-mail
Address:
Mobile:
Mobile:
Capacity in
which
known:
Capacity in
which known:
SECTION 9: PERSONAL STATEMENT
Personal Statement: - describe your academic interests and reasons for applying.
Include details of work experience you consider relevant to your proposed study,
career objectives and relevant non-academic achievements. (Maximum of 1 side of
A4).
SECTION 10: DECLARATION
a) I certify that the statements made by me on this form are correct.
b) I understand that, if admitted to the Erasmus Mundus programme, and if my funds
should at any time during my course prove to be inadequate, the Erasmus Mundus
programme will not be able to provide financial assistance either by grant or by
remission of fees.
c) I understand that in signing below I agree to Roehampton University, University
of Oslo and Charles University processing my personal data (as defined by the
Data Protection Act 1998), for administrative purposes as notified to the Office of
the Information Commissioner.
d) I understand that in signing below I agree that my data may be used if
proposed/selected for the scholarship) for the purposes of evaluating the Erasmus
Mundus Programme and will be made available to the Agency, the EM National
Structures, the EU Delegations and the Erasmus Mundus Student and Alumni
Association, acting as stakeholders of the programme.
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Signature of applicant
EMSIE Scholar Application Form
Date
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