Oxford_jointjrf Application Form 2010

CHRIST CHURCH, MERTON & ST. JOHN’S COLLEGES JUNIOR RESEARCH FELLOWSHIPS 2010 TO BE COMPLETED BY THE APPLICANT IN BLACK INK OR TYPESCRIPT PLEASE COMPLETE ALL SECTIONS Personal Details Surname . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

First Names . . . . . . . . . . . . . . . . . . . . . . . . . . . .Dr/Mr/Ms

Nationality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Male


Female

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Post Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Telephone number . . . . . . . . . . . . . . . . . . . . . . . . .

Alternative number for messages . . . . . . . . . . . . . . . . . . .

Fax number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Email address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Permanent home address (if different from above) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Title of D.Phil/PhD Thesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Referees (two required) Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Fax Number . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Fax Number . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Email address . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Email address. . . . . . . . . . . . . . . . . . . . . . . . . . . .

Where did you hear of these Fellowships? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Office use only Date application received

References received

Application sent to Date sent

Date returned

Written work requested

Written work received

Written work returned Interview

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CHRIST CHURCH, MERTON & ST. JOHN’S COLLEGES APPLICATION FOR JUNIOR RESEARCH FELLOWSHIP 2010 Please ensure that any separate sheets submitted are completed in black ink or typescript: all applications will be photocopied

Please indicate the subject for which you are applying (please refer to Lists A, B & C in the further particulars): 1.

Surname: All other names:

2.

Address for correspondence: Telephone No: Fax No: E-mail address: You must inform the College of any change of address

3.

Place of birth: Nationality:

4.

Current position (please state whether employed/self-employed/graduate student/unemployed and give brief details):

5.

Previous education/career: (a)

Colleges or universities attended (with dates):

(b)

By 1 October 2010 how many years will you have accumulated of full-time postgraduate study? …….. and of part-time postgraduate study?……….. (please include all periods of postgraduate study in this calculation)

(c)

Give details of university examinations taken and degrees awarded (with dates); please indicate with an * which is your first degree:

(d)

College and university scholarships and prizes:

(e)

Career since graduation (with dates) including any academic appointments:

(f)

Publications (use separate sheet if necessary):

6.

Give the titles and a brief description (nature of work [article, chapter of thesis etc.] and length) of up to three pieces of written or published work you would be prepared to submit if required. (Bulky theses should not be submitted in their entirety as it is impractical to photocopy them to selection committee members.)

7.

Give a very brief description of your field of research (as this will be circulated to all members of the committee, some of whom will not be specialists in your subject, you should avoid technical phrasing as far as possible).

8.

Write an account of your proposed research in not more than 1,000 words on a separate sheet of paper (this may be in specialist language).

9.

Give the names, addresses, telephone numbers and email addresses of the two persons you intend to ask to be referees. References must be received by the closing date for applications and it is the candidate’s responsibility to request referees to write directly to the College by noon on 11th December 2009.

(a)

(b)

Signature: .......................................................... Date: ..................................................................

RECRUITMENT MONITORING – JRF 2010

JOB TITLE Junior Research Fellowship

APPLICANT NAME…………………………………………………..

The policy and practice of the Colleges requires that entry into and progression within employment will be determined only by personal merit and the application of criteria which are related to the duties of each particular post. Subject to statutory provision, no applicant or member of staff will be treated less favourably because of his or her gender, marital or civil partnership status, sexual orientation, religion or belief, racial group, age or disability. In all cases, ability to perform the job will be the primary consideration. Completion of this form is voluntary. Any information given will be used only to support the College’s equal opportunities policy and in accordance with the principles of the Data Protection Act 1998. It is not part of the selection process and will not be seen by any person interviewing you for employment. The information you give will be retained only for statistical purposes and will not be linked to your name. But NB if the appointee to the post is a migrant sponsored under the UK’s new points-based migration system, we are required to retain all applications for the duration of the sponsorship. Please answer the questions by ticking as appropriate. 1. Are you





Female

Male

2. Do you have a disability? If yes, please answer question 3.



Yes



No

3. Please tick one or more boxes to describe your disability

   

   

Blind/partially sighted Deaf/hard of hearing Wheelchair user Other mobility impairments

Dyslexia Mental Health difficulties Unseen disability (e.g. diabetes) Other (please describe)……………………. . . . . . . . .

4. Nationality Please tick one box only.

 UK  Other EC

 Other (please specify)…………………….

5. How long have you lived in the UK? Please tick one box only

 I do not currently live in the UK

 I have always lived in the UK

 <1 year  1-4 years 5-10 years  11-20 years  21+years 6. Age Please tick one box only

 18-25  26-30  31-35  36-40  41-45  46-50  51-55  56+ 7. Please tick one box only to describe your ethnic origin (Ethnic origin questions are not concerned with nationality, place of birth, or citizenship. They are concerned with colour and ethnic group. Citizens of any country may belong to any of the groups indicated. The ethnic categories used here are based on the 2001 census of the population and are those required by the Higher Education Statistics Agency.) White

Black or Black British

 British  Irish  Any other White background

 Caribbean  African  Any other Black background

Chinese Chinese

Please specify………………………….Please specify………………………….. Mixed

Asian or Asian British

Other ethnic group

 White and Black Caribbean  White and Black African  White and Asian

 Indian  Pakistani  Bangladeshi

 Any other

Any other mixed background

Any other Asian background

Please specify……………….. Please specify…………………………..

Please specify……………………