BRC Award Application Form IMPORTANT! Before completing this application, please check that you meet the required criteria (ask your Head of Year for details) and that your school is willing to provide you with a reference. Please return all applications and any attachments to the following address: Dr Stephani L. Hatch Department of Psychological Medicine Institute of Psychiatry, Psychology & Neuroscience King's College London Weston Education Centre 10 Cutcombe Rd London SE5 9RJ Or Stephani.hatch@kcl.ac.uk 1 The Mental Health Biomedical Research Centre (BRC) has created this award for young women and men interested in chemistry, biology and psychological health. The award aims to encourage young people from the local area to stay in education and develop a career in science, with a specific focus on biology and psychology. This is an excellent and exciting opportunity to gain practical experience and make valuable contacts. The award includes: • Shadowing a psychologist, psychiatrist or neuroscientist for 2 days for the purpose of learning about the innovative research methods we use to translate biological research findings to improve clinical care and health services, as well as look at ways to prevent mental illness • Provide ongoing mentoring for the awardee (for a year), meeting approximately 3 times a year to discuss career advice, opportunities and general support plus more frequent online mentoring when required • 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 BRC Youth Award for Biology & Psychological Health? (75 words max) What are your career aspirations for the future and how do your family view your aspirations? (75 words max) Supporting referee All applications should be supported by a teacher, tutor or career advisor Name of referee Capacity in which you know the applicant Supporting statement 5 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 6 Agree Disagree Strongly disagree 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 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 7 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 8 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 9 Rosenberg questionnaire Strongly disagree Disagree Agree 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; Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press. 10 Strongly agree