WARBURG INSTITUTE-UNIVERSITY OF WARWICK
RESEARCH TRAINING PROGRAMME
Resources and Techniques for the Study of Renaissance and
Early Modern Culture
The Warburg Institute
9-13 May 2011
APPLICATION FORM
Name:
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Academic Affiliation (Department, University):
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Title of Degree Course/Research Project:
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Date of Registration for Current Degree Course/Research Project:
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Are you receiving an AHRC award?
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Postal Address:
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E-mail Address:
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Telephone Number:
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How did you hear about this programme?
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How would you describe your level of competence in using electronic resources
(beginner, intermediate, advanced)? Please give details if you wish.
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How would you describe your level of competence in using images (beginner,
intermediate, advanced)? Please give details if you wish.
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How would you describe your level of competence in using texts (beginner,
intermediate, advanced)? Please give details if you wish.
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Since the number of visitors to the British Library Incunabula Collection is limited,
places on this visit will be allocated on a first-come first-served basis. Please
indicate whether or not you would like to join this visit. Yes/No.
The cost of the programme is £60 per student.
accommodation.
This excludes meals and
Cheques should be made payable to the University of London.
Application forms and cheques should be sent to the Secretary and
Registrar, The Warburg Institute, Woburn Square, London WC1H 0AB.
I give my consent for this data to be held on computer.
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Signature
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Date
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Equal Opportunities
As part of our commitment to equal opportunities, applications for the course will
be carefully monitored.
It is important, therefore, that applicants should
complete this form. Please tick the appropriate boxes below, which use the
categories employed by the Registrar General in the Census. Any information you
give will remain confidential. This information will be used only for monitoring
purposes.
PLEASE DO NOT SIGN THE FORM OR GIVE YOUR NAME.
1. Age
Age at your last
birthday:
2. Disability
Do you have a disability?
Yes
No
3. Ethnic Origin
Please show which group best describes your ethnic origin or descent by ticking
only one of the boxes below:
White:
Mixed:
British
White and Black
Caribbean
Irish
White and Black African
Any other White background
White and Asian
Any other Mixed
background
Black or Black British:
Caribbean
African
Asian or Asian British:
Any other Black background
Indian
Pakistani
Chinese or other ethnic group:
Bangladeshi
Chinese
Any other Asian
background
Any other
4. Gender
Are you:
Female
Male
If you do not wish to complete this form, your decision will not affect your
application in any way.