Corpus Christi Lifelong Learning Summer School
Application form for 2016
Personal Details
Title (Miss/Mr/Mrs/Ms/other):
First name:
Preferred name:
Home address:
Telephone number:
Date of birth (day/month/year):
Country of citizenship:
Last name:
Middle names:
Email address:
Gender:
Emergency contact
Name:
Contact address:
Relationship:
Telephone number:
Email address:
Special requirements
Food allergies:
Other dietary requirements:
Please state any medical conditions we should be aware of:
If you have a disability or special need please state your disability and any special assistance you will
require during your time at Corpus Christi:
Summer School (tick the version you wish to attend)
__ Two week (Sunday 28 August – Saturday 10 September 2016)
__ One week (First week: Sunday 28 August – Saturday 3 September 2016)
__ One week (Second week: Sunday 4 September – Saturday 10 September 2016)
Accommodation (tick desired option)
__ Single room with shared bathroom facilities
__ Single room with private bathroom facilities
__ Twin room
Please state who you wish to share with:
Some of the rooms available are on the main College site and are therefore on old staircases. Please
state if you will have difficulty climbing more than one flight of stairs to access a bedroom:
Courses
Please choose the courses you would like to take from those listed below – you will take two courses
each week. If you are attending the two week summer school please rank the four courses in each
week in order of preference (1 = your most preferred course, 4/5 = your least preferred course), and
if you are attending a one week summer school please rank the courses in the appropriate week.
We will aim to assign you to your most preferred courses.
Week 1
__ Britain under the Tudors and Stuarts, 1509-1660
__ Understanding Shakespeare
__ The English Country House: A Literary History
__ An Architectural History of Cambridge University
__ Cambridge Scientists and Explorers, 17th Century to the present day
Week 2
__ The British Empire in the Nineteenth Century
__ The Lives of Winston Churchill: from Victorian Britain to End of Empire
__ The History of Art in Cambridge Collections
__ Living in the novels of Jane Austen
If we are able to offer additional courses, what subject areas or specific topics would interest you
most?
Additional information
Please say something about your academic background, your interest in and reasons for taking these
particular courses, and your motivation for attending the Lifelong Learning Summer School:
How did you find out about the Corpus Christi Lifelong Learning Summer School?
If you are a member of a lifelong learning institute or U3A, please state which one:
I confirm that the information given in this application is complete and true to the best of my
knowledge. I accept the terms and conditions, including the cancellation and refund policies, and I
agree to abide by the College rules (all found on our website at
www.corpus.cam.ac.uk/conferences/cambridge-lifelong-learning/ ).
Signature:
Date:
Please email this form as an attachment to Dr Nick Godfrey, the summer school coordinator, at
lifelonglearning@corpus.cam.ac.uk or post this form to: The Lifelong Learning Summer School,
Conference Office, Corpus Christi College, Cambridge, CB2 1RH, UK.