EMSIE Scholar Application Form

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Erasmus Mundus Human Rights Policy and Practice
Visiting Scholar Application Form – Guidance Notes
APPLICATION DEADLINE: 18th January 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.


Conduct a short research project and write a report of the experiences and research during the time.

Be invited/encouraged to be present at the symposium for the presentation of student research in
Contribute to seminars/talks at the institution(s) for students and staff.
Act as a critical friend – interacting with and supporting students.
Roehampton in June each year.
ENTRY REQUIREMENTS:
 Required English Language level (see link)
 http://www.roehampton.ac.uk/uploadedFiles/Pages_Assets/PDFs_and_Word_Do
cs/Applying/English-language-skills-information.pdf

Professional/academic experience in the field of Human Rights with experience of formulating or
critiquing policy and/or developing approaches to practice.

Qualifications related to Human Rights (either a doctorate or professorship in or related to Human
Rights.

Outstanding academic and/or professional experience and bring added value to delivery of
EMHRPP.

Commitment to actively participate in activities of the programme.

Be willing and able to spend minimum two weeks and maximum three months in two or more partner
HEIs on the programme.
SELECTION PROCESS:
 First stage: Applications screened against above entry requirements
You will be informed by February 2013 if you have not met these.
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 Second stage: Joint Selection Board constituting all 3 EU partner institutions
meet 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 2013. Outcomes of this stage will be released to successful and
unsuccessful applicants in April/May 2013.
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)
 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 internationaladmissions@roehampton.ac.uk
APPLICATION FORM STARTS ON NEXT PAGE
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Erasmus Mundus Special
Human Rights Policy and Practice
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 Sweden,
state date of last entry to Czech
Sweden:
If you are resident in any of the 3 countries – UK, Norway or Sweden – 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, Norwegin or Swedish))
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, Norwegian or Swedish))
Title of award
Professional Body
Please continue on a separate sheet if needed.
Are you a qualified teacher?
Yes
No
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Date
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
Please continue on a separate sheet if needed
SECTION 5: ENGLISH LANGUAGE QUALIFICATIONS
(include evidence of your English language qualifications)
TOEFL IBT:
Overall Score
Reading
Writing
Listening
Speakin
g
Date
achieved
Overall Score
Reading
Writing
Listening
Speaking
Date achieved
IELTS:
Other English Language Qualifications:
Date achieved:
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Main Areas of
Responsibility
SECTION 6: PROPOSED PROGRAMME OF STUDY
Please indicate where you wish to study (You have to visit two of the three
partner institutions:
United Kingdom (University of Roehampton, London, England)
Norway (University of Tromo, Tromso)
Sweden (University of Gothenburg, Gothenburg)
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, Tromso and Gothenburg) 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 2 sides
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 Tromso and University of Gothenburg processing my personal data (as defined
by the Data Protection Act 1998), for administrative purposes as notified to the
Office of the Information Commissioner.
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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.
Signature of applicant
EMHRPP Scholar Application Form
Date
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