Research Associate Application Form

advertisement
OCMS
St. Philip & St. James Church, Woodstock Road, Oxford, OX2 6HR, United Kingdom
ocms@ocms.ac.uk
+44 1865 556071 ◦ www.ocms.ac.uk
Application for Research Associate Status
Thank you for seeking admission to OCMS as a Research Associate. We would be grateful if you would
complete the enclosed form so that the Admissions Committee may assess your suitability for such a position.
Please send a covering ‘letter of application’ outlining why you would like to come to OCMS and what you
would hope to do whilst here.
We look forward to receiving your application. If there is anything more that you would like to know about
OCMS or the Research Associate programme please refer to the OCMS website at www.ocms.ac.uk, or contact
the Admissions Tutor.
Completed applications may be sent to:
Admissions Office
Telephone:
+44 (0) 1865 556 071
OCMS, St Philip and St James Church
Woodstock Road, Oxford,
OX2 6HR
Fax:
+44 (0) 1865 517 722
E-Mail:
rmcintyre@ocms.ac.uk
United Kingdom
Website:
http://www.ocms.ac.uk/content/
PERSONAL DETAILS
Surname (Last /Family Name):
First Name:
Title:
Other forenames:
Date of Birth (dd/mm/yy):
Gender:
Marital Status:
Nationality (Country):
Ethnic Origin if different from nationality:
Address for Correspondence:
Permanent Residential Address:
Country:
Postcode:
Telephone Number:
Country:
Postcode:
Skype:
E-Mail Address:
CURRENT EMPLOYMENT
Company/Organisation Name:
Address of Employer:
Category of work
Country
Terms (ft/pt/self employed):
Job Title:
Date of Commencement:
Key Responsibilities:
PREVIOUS EMPLOYMENT
Please list your most significant employment history.
Organisation
Country
Job Title
Dates
Responsibilities
2
ACADEMIC BACKGROUND
Please list the academic and professional qualifications you have been awarded since leaving secondary
school.
Dates
University/ Institution/ Qualification Subject
College
Result/Level
Date
Awarded
LINGUISTIC PROFICIENCY
If your first language is not English, please give an indication of your competence in spoken and written English
and, where appropriate any Certificates indicating your competence in English
Is English your first language?
Yes/No
Is English your working language?
Yes/No
If the answer to both of the above questions is ‘No’ please
provide your International English Language Testing System
Level (IELTS)
Test
Overall Grade/Score
ILTS Level
Lowest individual score
Date
Place
3
REFERENCES
Please provide details of two people who could advise us on your suitability to benefit from a Research
Associate position; one a personal reference and one who could comment on your academic ability
Person 1
Academic or Professional
How do you know referee?
Name
Title/position
Postal address
Country
E-mail address
Phone number
Person 2
Academic or Professional
How do you know referee?
Name
Title/position
Postal address
Country
E-mail address
Phone number
Person 3
Academic or Professional
How do you know referee?
Name
Title/position
Postal address
Country
E-mail address
Phone number
4
FINANCIAL INFORMATION
Please note below how you intend to meet the financial commitments of becoming a Research Associate. Will
your fees be paid from your own finances, be paid by your employer or from friends and church?
Year
per week
per day
2015 – 2016
£195
£48
2016 – 2017
£200
£52
2017 – 2018
£205
£55
(please note that this information will be treated IN CONFIDENCE
(Please do not leave this blank)
Source of Funding
Your Employer:
Amount Raised
Percentage of Total
Personal Sources and Contacts:
Scholarships / Bursaries: applied for / granted
Funding Agency:
Amount still to be raised
5
YOUR PROPOSED RESEARCH INTEREST AREA
Please give below an outline of what you would propose to work on in your period as a Research Associate at
OCMS. Please state the area, the research question, and why you would want to work on it. Note also any
work that you may already have done on this topic.
(Note: whilst this proposal will not be binding on you it will give us an indication of your thinking at this stage.)
What is it that you wish to research?
Why is this research important to you, or to others? – Tell us how your topic is connected to literature and
other research you have done. How do you expect this research to make a contribution to the wider body of
knowledge in your discipline.
What motivates you to do this research? – If your research is practitioner based explain how that is relevant to
your study.
Have you done any previous research / study / reading / writing in this area? If so give a brief description of
your progress please include a bibliography of at least 25 sources relevant to your topic.
6
GENERAL ARRANGEMENTS
As each application for Research Associate status at OCMS is individual to that individual, we would want to
discuss with you personal arrangements that would be mutually convenient. To this end, it would be helpful if
we had the following information as ‘starters’.
If currently employed, have you discussed with
your employer this application?
If employed, does your employer support this
application?
How long would you wish to spend working as
a research associate?
When would you hope to be able to start
working in Oxford?
Would you wish to work part time or full time?
If part-time, how many days per week?
Would you wish to stay in Oxford or commute
daily or weekly?
Would your time as a Research Associate be
best considered as a Sabbatical, Study leave,
Leave without pay, Post employment or Job
change break? Feel free to amplify your
response.
Please feel free to add any further comments
here which would be helpful to us in
considering whether a period working as a
Research Associate at OCMS would be of
mutual benefit, in God’s service.
Please indicate how best we could discuss this
application with you, by phone, skype, email,
or face to face discussion.
If a meeting, phone call, or skype
communication can be arranged, please
indicate which dates would or would not be
suitable for you, and when you will and will
not be in the country.
HEALTH/HEALTH INSURANCE
How would you describe your general state of health?
Have you suffered any serious illness or undergone medical treatment in the last five years? If yes, please
explain:
Are you currently on any prescribed medication? If yes, please explain:
7
Please specify any physical or learning difficulty which might necessitate special arrangements or facilities
Physical disability
Learning disability.
If you are not eligible for free health care benefits in the UK (if unsure, please refer to note and website
below), you are required to submit documentation of private health insurance coverage with your
application.
Note: Access to free health care in the UK is restricted to people who qualify under UK law. If you, or any
dependents who accompany you, are not entitled to free health care in the UK each person must take out
private health insurance for the duration of their travel and time in the UK. Please refer to
http://www.dh.gov.uk/en/Healthcare/Entitlementsandcharges/OverseasVisitors/index.htm
DECLARATION
I confirm that the information provided in this application is true, accurate and complete, and I consent to the
OCMS contacting the referees supplied. (Please tick the box)
□
Data Declaration: I agree that OCMS may store and process by computer or otherwise, all personal
information supplied with this form for the purpose of enrolment at OCMS and registration for a research
degree. (Please tick the box)
□
If I am submitting my application online, I will post a hand signed form with application fees and other
documents after completing the online application. (Please tick the box)
□
Name:
Signed:
Date:
8
Download