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………………………………