Academic Visitors Scheme at the University of Worcester

The University welcomes applications from individuals who wish to undertake a period of research, scholarship or professional practice hosted by one of our Institutes or Professional Departments.

All applications are considered by the proposed host Institute or Department so that the fit of the proposed activity with the priorities, expertise, capacity and facilities can be considered.

In order for all applications to considered fully, the University needs to capture certain information about you and the proposed programme of research, scholarship or professional practice activity that you wish to carry out within the host Institute or Department.

Please complete this form in black ink or typescript and email a scanned pdf to

Academic Activity for which this application is related? (please tick ONE)
□ Research / □ Visiting academic
The intent behind this visit is that the academic will conduct a formal research project based on the research proposal submitted with this application.
Please ensure that your research proposal is submitted with this document. / The intent behind this visit is that the academic will observe the University’s teaching practice, taking a sabbatical leave from his / her home University in order to carry out observations of the teaching methods and academic practice in the UK, and share teaching experiences and pedagogical approaches through classroom activities and discussions
Proposed Host Institute or Department? (please tick ONE):
□ Worcester Business School WBS / □ Institute of Sport & Exercise Science ISES
□ Institute of Health & Society IH&S
□ Institute of Science & Environment ISE
□ Institute of Arts & Humanities IHCA / □ Institute of Education IoE
□ Association of Dementia Studies
□ Other- please specify
Areas of interest/subjects:
Proposed Start Date: / Proposed End Date:

PERSONAL DETAILS

Mr/Mrs/Ms/Miss/Dr/Professor: / First Name(s):
Family Name:
Permanent Address:
Post Code / Home Telephone:
Mobile Telephone:
E-Mail Address:
Temporary Address (if any). Give applicable dates of residence
Please tell us how you found out about the Academic Visitors Scheme:
Please tell us if you are applying through a partner institution:

ELIGIBILITY TO ENTER THE UK

Please note that an offer to Host a Visiting Academic at the University of Worcester is is not an offer of employment by the University.
·  Are you a UK or EU/EEA national eligible to live and work in the UK? Yes No
·  Are you currently subject to UK Immigration control? Yes No
If yes please specify circumstances and detail date visa expires……………………………………………
……………………………………………………………………………………………………………………
Do you require a visa in order to come to the UK as an Academic Visitor? Yes No
If so you will need to complete a relevant visa application form.
Please note that you will be responsible for applying for any necessary Visas and ATAS clearance

PRESENT APPOINTMENT

Date of
Appointment / Employer’s Name and Address / Post Held / Salary

PREVIOUS EMPLOYMENT (most recent first)

From
DD/MM/YY / To
DD/MM/YY / Employer / Post Held / Salary on leaving / Reason for leaving

EDUCATION AND TRAINING

Place in chronological order (most recent first) all full-time and part-time studies undertaken since leaving secondary school.

Dates
Attended / Full-Time or
Part-Time / Secondary School/College/ University etc / Qualifications/Examinations attained / Level/
Grade / Date
Gained

MEMBERSHIP OF PROFESSIONAL BODIES

Name of Professional Body / Present Grade of
Membership / Was Entry Obtained through Examination? / If yes, state final examination year
Professional Society Activities

DETAILS OF PROPOSED ACTIVITY

Please give details of the proposed activity you wish to undertake as a Visiting Academic at the University of Worcester, in particular specifying your areas of interest / subjects and your expectations of what you would like to achieve (please indicate if you are attaching this as a separate document):
Please continue on an additional sheet of paper if necessary.

DETAILS OF SPONSORSHIP

Is your proposed visit being sponsored by your employer or another body e.g. a Government Department, etc?

r YES r NO

If YES, please give details of the Sponsorship source, nature and amount:

RELEVANT ADDITIONAL INFORMATION

Please explain the nature and scope of your qualifications and experience relevant to the scholarly activity in which you are interested in undertaking at the University.
Please continue on an additional sheet of paper if necessary but limit to two sides of A4.

DECLARATION

I hereby certify that to the best of my knowledge, all the information contained in this application form and any additional sheets is correct and that all questions have been fully and accurately answered. I understand that by applying for the Visiting Academic Scheme at the University of Worcester that it is not considered a form of employment nor should it become employment in the future.

Signed ………………………………………………………………… Date ………………………………………

Please email the completed application form to: along with the following information:

• Passport photocopy

• Certificate of English Language Proficiency (if English is not your 1st language)

• Research or project proposal/outline (if not contained in the application form)

• Your current CV with most recent publications

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