Application Form for Appointment as a
CONTINUING OU Students’
Association Central Representative
CONFIDENTIAL
Thank you for your interest in continuing in the role of OU Students’ Association Central
Representative.
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 to return your completed form please contact ousavolunteers@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 continue as an OU Students’ Association Central
Representative and give details of your experience, knowledge and skills that would be relevant to
this application
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. Please also note that reappointment to
current committee(s) is not automatic.
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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 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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