WMH Youth Award in
Health Research and Science Communication
Application Form
Please return the application and any attachments to the following address:
Emma Molyneaux
Section of Women's Mental Health
Health Service and Population Research Department
Institute of Psychiatry, Psychology & Neuroscience
King’s College London
Box PO31 David Goldberg Centre
De Crespigny Park
London SE5 8AF
or
emma.molyneaux@kcl.ac.uk
1
The Section for Women’s Mental Health at Kings College London has created this
award to encourage young people (aged 15-18) from the local area to work towards
careers related to medicine, health or psychology. The award will also help students
to develop skills to evaluate and communicate research.
The award includes:
• Two days’ work experience spent meeting academics and health professionals,
learning how health research is conducted, and working on a science communication
project.
• 12 months of mentoring and advice on careers and university applications
• A £50 book token
2
Personal details
Name
Address
Postcode
Telephone
Email
Male □
Date of birth
Female □
Education
Name of school
Grades
GCSE Subject
GCSE grade /
predicted grade
AS / A level
Subject
3
AS / A level grade /
predicted grade
Educational background
We would like to know about the education and employment background of your
parent(s) / guardian(s):
Parent / guardian one:
Current employment status:
Employed □
Self employed □
Unemployed □
Current / most recent occupation:
Highest level of qualification:
School □
Further (college / sixth form) □
Higher (university/polytechnic) □
Parent / guardian two:
Current employment status:
Employed □
Self employed □
Unemployed □
Current / most recent occupation:
Highest level of qualification:
School □
Further (college / sixth form) □
Higher (university/polytechnic) □
4
About You
Why have you applied for the WMH award? (75 words max)
What is your dream job? (75 words max)
5
“The media plays a helpful role informing the public about health and disease.” Do
you agree? Give an example (e.g. Ebola, MMR vaccinations) (200 words max)
6
Supporting referee
All applications should be supported by a teacher, tutor or another appropriate adult
(e.g. youth club leader or careers advisor). Please ensure that you leave enough
time before the deadline to obtain the reference. Hand-written references can be
submitted by post, scanned or typed up into the form.
Name of referee
Capacity in which you know the applicant
Supporting statement
7
Educational aspirations
This is just for informational purposes, the application is not chosen based on these sections.
Strongly
agree
Schooling
Finishing school is important to achieve my career choice
If I work I can succeed in life
Doing well at school is important to me
I always attend school unless I'm ill
I work hard at school
Academic self-concept
If I get stuck, I can usually work things out
I am good at solving problems
I feel good about myself
I know how to be a good learner
I am good at most subjects at school
I am good at working with others
Teacher support
Teachers do their best to make lessons interesting
I am praised by teachers when I do well
Teachers show an interest in me
I can choose interesting work at school
Home- support for learning
Family members/carers help me with homework
Family members/carers reward me if I do well at school
Family members/carers often ask me how I'm doing at
school
8
Agree
Disagree
Strongly
disagree
I have a quiet place in which to do school work
Family members/carers usually come to open
evenings/reviews
Peer support
My friends think doing well at school is important
My friends help me with school work
Most of my friends intend to stay at school/college after
year 11
Peers
I want to leave school as soon as possible and get a job
I often get bored in class
My friends distract me from paying attention in school
My friends laugh at those who do well at school
Laissez faire
I think it's OK not to know what to do with my future
How well I do at school won't make much difference to my
life
Home- educational aspirations
People from my family go to college after they leave school
Family members/carers do not think that school is very
important
Taken from Strand and Winston (2008). Educational aspirations in inner city schools.
http://wrap.warwick.ac.uk/54/1/WRAP_Strand_0481308-090708-Paper_2008.04.07.pdf
9
Educational attainment
Do you intended to remain in full-time education (either school or college) after the age of 18?
(please tick)
Yes
No
Unsure
What is the highest level of qualifications you expect to achieve by the end of your education?
(please tick)
BTEC
NVQ level 1 / City & Guilds level 1
GCSE / NVQ level 2 / City & Guilds level 2
A level / AS level / NVQ level 3 / City & Guilds level 3
Professional diploma
Higher national diploma / higher national certificate
Degree
Master’s degree / other post graduate qualification
Doctorate
Taken from Strand and Winston (2008). Educational aspirations in inner city schools.
http://wrap.warwick.ac.uk/54/1/WRAP_Strand_0481308-090708-Paper_2008.04.07.pdf
https://en.wikipedia.org/wiki/National_Qualifications_Framework
10
Rosenberg questionnaire
Strongly
disagree
I feel that I am a person of worth, at least on an equal
plane with others.
I feel that I have a number of good qualities.
All in all, I am inclined to feel that I am a failure.
I am able to do things as well as most other people.
I feel I do not have much to be proud of.
I take a positive attitude toward myself.
On the whole, I am satisfied with myself.
I wish I could have more respect for myself.
I certainly feel useless at times.
At times I think I am no good at all.
Rosenberg self-esteem scale
11
Disagree
Agree
Strongly
agree