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JESUS COLLEGE, CAMBRIDGE
COLLEGE POST-DOCTORAL ASSOCIATE APPLICATION FORM
SURNAME (Block Capitals) OTHER NAMES (in full) Mr/Mrs/Ms/Miss/Dr (please circle)
ADDRESS FOR CORRESPONDENCE:
TELEPHONE Nº: EMAIL:
SUBJECT:
STATEMENT, OUTLINING PRESENT AND FUTURE RESEARCH and any teaching plans (which should be no more than 500 words and intelligible to an academic in a completely different discipline)
STATEMENT, setting out the area(s) in which you would hope to contribute to the intellectual and educational life of the College (which should be no more than 200 words)
PRESENT STATUS AND DURATION OF APPOINTMENT WITHIN THE UNIVERSITY OF CAMBRIDGE, INCLUDING DETAILS (with dates) OF FUNDING (if you expect this to change in the next few months, please give details)
IF YOUR FUNDING ENDS BEFORE 30 SEPTEMBER 2019, WHAT ARE YOUR PLANS?
UNIVERSITY RECORD (other than Research)
Dates College/University Examinations, Degrees & Results Scholarships & Prizes
WHAT HAS BEEN YOUR OCCUPATION SINCE YOU COMPLETED YOUR FIRST DEGREE?
RESEARCH RECORD (Please include all postgraduate work)
Dates Location Topic Degrees (if any)
Publications
NAME, ADDRESS, and EMAIL OF TWO REFEREES – one of whom may be your research supervisor
(the application will be deemed incomplete without these references or if they arrive after 1pm on Monday 19 June).
1. 2.
ANY OTHER INFORMATION (INCLUDING PERSONAL INTERESTS) WHICH YOU WISH TO HIGHLIGHT
Date: …………………….…….……………. Signature …………………………………………………………………….…………….
Please give a telephone number where you can be contacted quickly: -................................................................................
Please return this form by 1pm on Monday 19/06/2017 to:
The Master’s Office (CPDA) OR e-mail:
Jesus College
Cambridge CB5 8BL