classroomassistant_appformv1.1

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PSYCHOLOGY DEPARTMENT
Headington Campus, Gipsy Lane, Oxford OX3 0BP
Researcher: Dr Siân E. Jones; Email: sianjones@brookes.ac.uk
Tel: 01865 487319
VOLUNTEER ASSISTANT IN FRIENDSHIP WORKSHOPS
AND ASSOCIATED RESEARCH PROJECTS
APPLICATION FORM
Full Name………………………………………………………………………………….………………
Student Number………………………………………………………………………………………..…
Course of Study …………………..................................………Year (please circle) 1 2 3 4 MSc
Contact Phone……………………………………………………………..……………………………..
Contact Email Address …………………………………………………..………………………………
DBS Clearance (please tick)
 I have clearance from Oxford Brookes
 I have clearance from another organization
 I am willing to apply for DBS clearance (free of charge)  I am unable to obtain clearance
Assistantship Sought (please tick all that apply)
 I would like to help with activities in school classrooms
 I would like to help to develop the resources bank
 I would like to help with data analysis and report writing
Availability in Semester Two (please tick all that apply)
Mon
Tues
Wed
Thurs
Fri
Mornings (8am-12noon)
Afternoons (12noon-4pm)
Evenings (4-9pm)
Please tell me, in 500 words or fewer, continuing on a separate sheet if necessary, (a) why you would
like the role, and (b) what skills / experience you already have that you could bring to it.
Date ……………………………………..
Please return this form to Room c. 215b, at the address above, or email as an attachment to
sianjones@brookes.ac.uk no later than 5pm on 30 January 2015.
CAAFv1
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