Visiting Research Student application form

advertisement
UNIVERSITY OF BRISTOL
VISITING POSTGRADUATE APPLICATION FORM
The completed form may be returned electronically or by post to:
Student Services Office (ed-phd@bristol.ac.uk)
Graduate School of Education, 35 Berkeley Square
University of Bristol
Bristol BS8 1JA
UK
PLEASE TYPE OR COMPLETE IN BLOCK CAPITALS
SOCIAL SCIENCES AND LAW
Graduate School of Education
1) I wish to apply to the Faculty of :
2) Department of :
3)Proposed Area(s) of Study:
By Research:
Masters Degree
No
SECTION A
PERSONAL INFORMATION
PhD
4) Last Name/Family
Name
5) First Names (s)
6) Date of Birth
7) Country of Birth
Country of Permanent
Residence
8) Home Address
Yes (Non-degree Visiting student)
Title:
(Mr / Mrs / Ms / Miss)
Since
Telephone
E-mail
Address for
Correspondence
(if different from home)
Marital Status
Nationality
Do you need a visa to
study in the UK?
Mobile
Fax
Passport Number:
Passport Expiry Date:
Telephone
Are you registered disabled?
Nature of disability
Fax
Yes / No
Start Date and Method of Study
Starting date
Method of Study
dd/mm/yr
Full time
End date dd/mm/yr
Part time
Yes/No
SECTION B
FINANCE
Will you need a grant?
If, No, please give name and
address of person or organisation
responsible for paying maintenance
and bench fees
SECTION C
No
QUALIFICATIONS
already obtained (or expected)
Degrees and Professional Qualifications
Title of Qualification Conferring
Dates of Study
(e.g BSc Subject)
institution
SECTION D
Class/Division/Grading/GPA
ENGLISH LANGUAGE PROFICIENCY
Is English your first language?
If English is not your first language or if the
medium of instruction at your previous University
was not English, please give details of any
relevant qualifications in English language (eg
IELTS date and score). Please forward copies of
certificates for TOEFL or IELTS tests already
taken. Please note IELTS is preferred.
Yes/No
Please note that the University of Bristol cannot
sponsor overseas visiting students for UK visa
purposes unless they can demonstrate an IELTS
score of 5.5 in all bands or equivalent.
SECTION F
OTHER INFORMATION
Previous Contact with the University
If you have already contacted any member of the University about your application, give his or
her name and department.
Member of the University of Bristol
If you are a member of the University of Bristol or have academic status with the University of
Bristol, please state in what category (academic/academic related/technical/other) and give title
of appointment
Source of Information
Where did you find out about opportunities for postgraduate study in the University of Bristol
Signature
Date of
Application
All decisions by the University are taken in good faith on the basis of the statements made on your application
form. If the University discovers that you have made a false statement or have omitted significant information on
your application form, it may withdraw or amend its offer, or terminate your registration, according to the
circumstances. The information given on this application form will be electronically stored and used for
administrative purposes by the University in accordance with the provisions of the Data Protection Acts 1984 and
1998.
FOR THE UNIVERSITY'S USE ONLY
NAME OF CANDIDATE:
Yes
ACCEPT for (Qualification title):
Qualification aimed for:
None - Visiting
SUPERVISOR:
JACS CODE:
Fee Charged:
STARTING DATE:
MINIMUM PERIOD OF STUDY
State whether full-time or part-time
SUBJECT OF STUDY/PROPOSED TITLE OF RESEARCH:
CONDITIONS:
None
REJECT
Please give reasons for rejection:
Signed ……………………………………………………
Supervisor
Date ……………………………..
For Faculty Use
Approved by………………………………………………
Board/Committee/appropriate Officer, etc.
Date………………………………
Download