FACULTY OF HEALTH AND LIFE SCIENCES
PhD RESEARCH STUDENTSHIP APPLICATION (Start date in accordance with advertisement)
Please read the Guidance Notes at the end of this form, before completing the form. If completing by hand, please
write in block capitals, in black ink and return ONLY by e-mail to hlsapplications@brookes.ac.uk. Please enclose a full
CV with this application, plus copies of degree certificates and transcripts.
Research Administrator
Faculty of Health and Life Sciences
Oxford Brookes University
1. STUDENTSHIP PROJECT TITLE
2. PERSONAL DETAILS
Title (e.g. Mr/Mrs/Ms/Miss etc)
Country of birth:
Surname/Family Name:
Nationality:
First Name(s):
Country of Domicile/Area of Permanent residence:
Previous surname:
Applicants not born in the European Union please state:
Male
Female
Date of Birth (DD/MM/YYYY):
Passport Number:
Day
Month
Date of first entry to the EU:
Date of most recent entry to the
EU:
Date from which you have been
granted permanent residence in
the EU:
Visa classification:
Please provide postal address
Telephone Numbers (include area code)
Mobile:
Daytime:
Evening (if different):
Postcode:
Email:
Home/permanent address (if different from above):
Telephone Numbers (include country and city codes)
Mobile:
Daytime:
Post/zip code:
Evening (if different):
Email:
SKYPE address:
Year
3. YOUR EDUCATION (INCLUDING PROFESSIONAL QUALICATIONS AND TRAINING COURSES
Dates (from-to)
(mm/yy – mm-yy)
Institution (Include location)
Subject (s)
Result (e.g. BA
Hons, 2:1)
4. YOUR EMPLOYMENT/PROFESSIONAL EXPERIENCE/UNPAID OCCUPATIONS
Dates (from-to)
(mm/yy – mm-yy)
Brief Details (e.g. job title, company name, main responsibilities etc.)
(Continue on separate sheet, if necessary)
5. YOUR ENGLISH PROFICIENCY
Overseas applicant’ please note.
The Faculty of Health and Life Sciences current entry requirements for a research degree programme
Is an IELTS test score certificate .
IELTS (Academic) test certificate score - minimum 6 in each of the four areas of reading, writing, listening
and speaking with overall minimum score of 7. Test certificate must have been issued since 23 rd April 2015
from an approved test centre.
https://www.gov.uk/government/publications/guidance-on-applying-for-uk-visa-approved-english-language-tests
6. Names and Addresses of TWO Academic Referees:
You must provide TWO academic references at the time of submitting this application. Additionally you must
provide the full contact details of the referees below – this must include the e-mail address, full postal address and
telephone number.
Referee 1
Referee 2
Name
Name
Address:
Address:
Telephone:
Telephone:
Email:
Email:
Fax:
Fax:
7. PERSONAL STATEMENT
This is an important section. You should explain why you are applying for a place on the research degree programme, what you
expect to achieve from it, and how it relates to your academic and career development.
(Continue on separate sheet, if necessary)
8. CRIMINAL CONVICTIONS
Do you have any Criminal convictions? (see notes)
Yes
No
9. How did you hear about this studentship? (Tick as appropriate)
University Careers Office
Oxford Brookes website
Findaphd.com
Other (please specify)
10. DECLARATION
I confirm that, to the best of my knowledge, the information given in this form is correct and complete
Signature
or Alternatively type name
Date:
11. DISABILITY or SPECIAL NEEDS
If you have a disability, special needs or a medical condition, which might affect your studies please give details below, and
indicate the disability category in the box (see notes)
I have a registered disability or special educational needs
Please give details below:
12. ETHNIC ORIGIN
Please note that this information is only used for statistical purposes and will not be made available to Postgraduate Research
Tutors for selection purposes.
You need only complete this section only if your area of permanent residence is in the U.K.
Please tick:
11
12
19
21
22
29
31
32
33
34
39
41
42
43
49
80
98
White – British
White – Irish
Other White Background
Black or Black British-Caribbean
Black or Black British-African
Other Black Background
Asian or Asian British-Indian
Asian or Asian British-Pakistani
Asian or Asian British-Bangladeshi
Chinese or other ethnic background-Chinese
Other Asian background
Mixed – White and Black Caribbean
Mixed – White and Black African
Mixed – White and Asian
Other Mixed background
Other ethnic background
Information Refused
Guidance notes are overleaf
PhD RESEARCH STUDENTSHIP APPLICATION FORM:
NOTES FOR GUIDANCE
APPLICATIONS WILL ONLY BE ACCEPTED BY E-MAIL to the e-mail address given at the top of the application form
1
Studentship Project Title
 Please ensure that you have entered the project title.
2
Personal Details
 You must complete all relevant sections, this is particularly important for all international candidates. You must include
nationality, country of domicile and passport number and details of the visa classification recorded in your passport and both your home
and UK (if applicable) address.
3
Your Education (including Professional Qualifications and Training Courses)
 Give the names and locations of educational institutions which you have attended (school/college, university, etc.), as well as dates of
attendance. Under Subject(s) give brief descriptions of subjects/courses studied. Under Result give qualifications and grades (e.g. BA
Hons 2.1). If appropriate, give details of Professional Qualifications, including date when awarded, and details of membership of
professional bodies. If appropriate, give information on Training Courses, including length of course, dates, and awards.
 You should include details of degree or other qualifications which you expect to obtain before attending the programme at Oxford
Brookes University for which you are hereby applying.
4
Your Employment/Professional Experience/Unpaid Occupations
 Describe any paid work which you have undertaken and/or professional experience which you have gained, giving dates, names of
employers, job title and main responsibilities. If applicable, give details of any unpaid/voluntary work experience and unpaid occupations,
e.g. raising a family.
5
Your English Proficiency-Overseas applicant’s.
Please note that the Faculty of Health and Life Sciences currently requires an IELTS (academic) test score of minimum
6 in each of the four areas of reading, writing, listening and speaking with overall minimum score of 7. Test certificate must
have been issued since the 23rd April 2015 from an approved test centre
https://www.gov.uk/government/publications/guidance-on-applying-for-uk-visa-approved-english-language-tests
You will not need to prove your English language level if you are from one of the countries that the UKVI considers a majority English
speaking country:

Antigua and Barbuda;

Australia;

the Bahamas;

Barbados;

Belize;

Canada;

Dominica;

Grenada;

Guyana;

Ireland,

Jamaica;

New Zealand;

St Kitts and Nevis;

St Lucia;

St Vincent and the Grenadines;

Trinidad and Tobago;

UK,

USA.
No other country may be considered as being ‘majority English speaking’ for UKBA purposes.
6
Names and Addresses of TWO Academic Referees
Please provide two academic references at time of submitting this application. Additionally in section 6 on the application form please
provide the academic referees name, full postal address ,e-mail address and telephone and fax number.
7
Personal Statement
It is important that you take time to complete this section fully and explain why you are applying for a place on the research degree
programme and how it relates to your academic and career development. The successful applicant for an advertised studentship’s will be
required to undertake teaching activities for up to 6 hours per week during semesters. You should therefore comment on your
communication and excel skills. The successful applicant will be required to attend the Associate Teachers in Higher Education
course which is run by the University’s Centre for Staff and Learning Development. This course includes optional accreditation.
8
Criminal Convictions
You are asked to say on the application form whether you have any criminal convictions.
You must tick the 'yes' box if you have a conviction, not including:
A motoring conviction for which you received only a fine and/or 3 penalty points; or
A spent sentence (as defined by the Rehabilitation of Offenders Act 1974) (see note below on this act) UNLESS you are applying for
a course involving work with children and other vulnerable members of society, including but not necessarily limited to teaching,
health or social work courses when you must disclose spent convictions and cautions as well. If you are in doubt as to whether this
applies to you, please contact the University directly.
Note: If you are uncertain whether a conviction is a spent conviction or sentence then you can get more advice from your local
Citizens Advice Bureau or probation service, or from NACRO (the Association for the Care and Resettlement of Offenders). You can
also contact a solicitor, but you may have to pay for the legal advice.
If you have not been convicted of a criminal offence, you must tick the 'no' box.
If you tick the 'yes' box, you may be asked to provide more details, if so you should send these directly to the Admissions Office.
If you do not tick either the 'yes' or 'no' box, we will not process your application form. We will contact you to ask for
information, but this will delay your application and you could miss the deadline.
If you are convicted of a criminal offence after you have applied, you must inform us and you may be required to provide more
information, but this will delay your application and you could miss the deadline.
If you are in prison or youth custody
In addition to supplying the information already required in this section, if you are serving a sentence prison or youth custody you must
give the prison or youth custody centre as your postal address on page 1 of the form and a senior prison officer/youth custody officer
must support your application in addition to your educational referee.
9
How did you hear about the Studentship for which you are applying?
It is important for us to know how you heard about the programme for which you are applying, so that we can maintain and improve the
level of information which we provide.
10
Declaration
Please read the application form carefully. You must sign it or we cannot process your application.
The information which you give on your application form will be used for the following purposes only:
11
a)
To enable your application for entry to be considered
b)
To enable the institution to compile statistics, or to assist other organisations or individual research workers to do so,
provided that no statistical information which would identify you as a person is published.
c)
To enable the institution to create and maintain your student record.
Disability/Special Needs
 Please enter in the box the code from the list of statements below, which is the most appropriate to you. Describe your condition in the
space provided and where it is not obvious, i.e. with unseen disabilities, indicate whether you have special needs.
Disabilities/Support Required:
0
1
2
3
4
5
6
7
8
9
All Applicants:
You do not have a disability nor are you aware of any additional support requirements in study or accommodation.
You have dyslexia.
You are blind/are partially sighted.
You are deaf/have a hearing impairment.
You are a wheelchair user/have mobility difficulties.
You need personal care support.
You have mental health difficulties.
You have an unseen disability, e.g. diabetes, epilepsy or asthma.
You have two or more of the above disabilities/special needs.
You have a disability not listed above.
Please enclose a scanned copy of your English proficiency test if appropriate. You must also ensure
that you read the full advertisement in respect of any advertised studentship and ensure that in all your
communications that you refer to the project title.