Application Form for Appointment as a
NEW OU Students’ Association Central
Representative
CONFIDENTIAL
Thank you for your interest in the role of OU Students’ Association Central Representative.
Please complete this form if you are interested in applying to be a new OU Students’ Association
Central Representative on OU Committees or if you have not been an OU Students’ Association
Central Representative in the last 12 months.
Please read the following information before completing the form:
A-Z of OU Committee Information available here
OU Students’ Association Central Representative Role Description and Person Specification
available here
If you have any questions regarding this form or if you require additional information about the role
or to return your completed form please contact ousa-volunteers@open.ac.uk
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Open University Students’ Association, Charity Commission Registration Number in England & Wales: 1144251; in Scotland SC042840
PERSONAL DETAILS
FULL NAME
PREFERRED NAME
OU PI NUMBER
ADDRESS & POST CODE
PHONE (day)
PHONE (eve)
E MAIL ADDRESS
Please note that communication regarding this form and if appointed will usually be via e mail
STUDY DETAILS
CURRENT MODULE(S) & START
DATE
NEXT MODULE(S) & START
DATE
QUALIFICATION WORKING
TOWARDS
NUMBER OF YEARS OF OU
STUDY
Please indicate your current level of study from the list below:
UNDERGRADUATE
TAUGHT POSTGRADUATE
RESEARCH (PART TIME)
RESEARCH (FULL TIME)
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STATEMENT IN SUPPORT OF APPLICATION
PLEASE REFER TO THE ROLE DESCRIPTIONS AND PERSON SPECIFICATION BEFORE
COMPLETING THIS SECTION. Available here
Please explain why you would like to become an OU Students’ Association Central Representative
and give details of your experience, knowledge and skills that would be relevant to this application.
Please include examples of how you have gained your knowledge and skills through your personal,
employment, voluntary and any other experience.
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PREFERRED COMMITTEES OR ADVISORY GROUPS
PLEASE REFER TO THE A-Z OF OU COMMITTEES BEFORE COMPLETING THIS SECTION.
Available here
Please indicate below which committees you are interested in being appointed to.
Please note that you may be offered an appointment on a Committee you have not selected if it is
felt that you have the relevant skills and/or experience.
TIME COMMITMENT
How many committee meetings are you are
able to attend during a year?
Additional information about any particular
constraints on your time
e.g. dates/days/times unavailable
Would you be willing to attend an OU
Students’ Association Central
Representative training weekend?
(usually held in June/July)
INVOLVEMENT WITH OUSA
If you are, or have been, involved with OU Students’ Association please give details e.g. regional or
national involvement, membership of a society, active in forums etc…
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INVOLVEMENT WITH OU
If you are, or have ever, been employed by the OU please give details of when and in what capacity
DECLARATION
Please answer Yes or No to the questions below:
Are you a full member of the OU Students’ Association as defined by
section 12 of our Constitution here?
Are you willing to complete a Confidentiality Agreement?
Are you able to confirm that the information in this application is correct?
Please note that submission by e mail will be regarded as a signature.
Please check your application form and when complete please send to the OU Students’
Association office ousa-volunteers@open.ac.uk
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