Black Sea Maritime Archaeology Project STEM ScholarApplication

Please complete all sections of this form.

1Declaration

Before submitting your application form, please double check that you have completed each section correctly.

You must be able to check all these boxes.

I have checked my application ready to submit it by 9 am 22 February 2017.

My parent/guardian has signed the Parental/Guardian Consent Form and I will include a photograph or scan of this with my application.

I have asked my teacher to complete and return the Teacher Reference Form by 9 am 22 February 2017.

I give my permission to be photographed/filmed as part of the Black Sea Maritime Archaeology Project and for those images to be used in public.

I have read and understood the data protection statement below and I give my explicit content to the processing of my personal data (including, where applicable, my sensitive personal data such as physical or mental health conditions) in connection with the Black Sea Maritime Archaeology Project.

All personal data collected in application forms will be stored in accordance with the Data Protection Act 1998. Applicants understand that it is necessary for us to store and process information sent by applicants, their parents/guardians and referees, so that we may assess applications. This information may contain personal data, including personal data, including sensitive personal data such as physical or mental health conditions. All such personal data are held securely and lawfully processed, and all those individuals handling applications are aware of the confidentiality of the data. Personal data may be processed around the world, including territories outside the European Economic Area (in which case, all reasonable efforts shall be made to ensure that such data are adequately protected to the same or similar standards as are provided by European data protection laws). Records are retained for no longer than necessary. General information about applications is held and used in the reviews we carry out. The personal data of successful applicants will be used in connection with the Black Sea Maritime Archaeology Project, including for the purpose of sharing expedition-related document, files and data online in accordance with the EEF Expeditions Limited Data Protection Policy. By submitting an application form, applicants, their parents/guardians, referees and their institutions are deemed to have given their consent to process personal data related to applications.

2About you

Personal information

First name:
Last name:
Date of birth: / DD/MM/YYYY
Gender: / Female/Male

Contact information

Home address including post code:
Home phone number:
Mobile number:
Email address:

Passport information for the expedition

Are you a UK citizen? / Yes/No
If no, what is the country of your passport and how long have you lived in the UK?
Do you hold a passport valid until March 2018 or beyond? / Yes/No

Availability

Please note you must be available for:

  • the Selection Day in your area: 8 March (Cirencester), 13 March (Preston), 15 March (Salisbury), 17 March (Cardiff)
  • STEM Scholar training 9-13 April 2017in Southampton
  • Celebration Weekend and training 28-29 October 2017 in Southampton.

If this is not possible, it will affect your chances of being included in the Black Sea MAP project.

I confirm I am available for the selection day and the two training sessions / Yes/No

Dates for the expedition and project placements are still being finalised by the Black Sea MAP Science Team but are likely to be in July, August or September 2017.Please list any dates when you are not available e.g. for booked holidays, medical appointments in July, August and September 2017:

Special requirements

Please tell us about any special requirements you have so that we can take these into account if your application is successful, for example:

  • disabilities
  • medical allergies e.g. penicillin, allergies or dietary requirements e.g. no nuts, dairy, pork
  • pre-existing medical conditions that may require particular treatment during the training or expedition e.g. asthma, haemophilia.

Blood type

Please tell us your blood group/type if known.

Expedition travel

If you suffer from any form of motion sickness or have a fear travelling by air or boat, it is unlikely that the expedition will be an enjoyable or comfortable experience. The expedition requires good mobility, stamina and balance onboard. In the event of an emergency, Scholars will benefit from being able to swim and keep themselves afloat. Scholars can opt to be considered for onboard and/or onshore placements.

Have you ever suffered from motion or travel sickness? / Yes/No
Have you ever travelled by boat? / Yes/No
Have you ever travelled by aeroplane? / Yes/No
Can you swim? / Yes/No
I would prefer to be considered for the following type of research placement (select one option): / Onshore/Onboard/Both

Subject interest

A range of projects will be available. To help us plan the project placements, please rank your interest in the subjects below (1 = most interesting, 6 = least interesting).

Subject / Rank (1-6)
Biology
Chemistry
Computing / ICT
Engineering
Mathematics
Physics

3Educational information

Please complete all sections.

School

Full name of School or College:
Address of School or College including post code:
If at a sixth form or FE college, please give the name of the school you attended for your secondary education

Qualifications achieved

Please list your GCSE and/or equivalent subjects and grades. Add rows if needed.

GCSE / Grade / Date MM/YY

Courses, subjects and level currently being studied

Please list the courses you are currently studying including subject and qualification e.g. A level Chemistry or BTEC Applied Science. If you don't have a predicted grade, please enter 'unknown'.

Post 16 Courses / Predicted Grade

4Personal Statements and Assignments

Please complete all sections.

Personal statement

Please tell us why you want to become a Black Sea Maritime Archaeology Project STEM Scholar, why we should select you and explain how you think you would benefit from participation.

For example, you could describe any particular areas of science, technology, engineering or mathematics that interest you, explaining why they interest you. You could outline your career plans and any experience you have had which might be relevant. Maximum 500 words.

Outside interests

Tell us more aboutany enrichment activities you participate in at school/college and your outside hobbies and interests. Maximum 300 words.

Written assignment

Research one or both of the questions below and write a 500-1000 word article aimed at 16-18 year olds. Diagrams can be included. Any text beyond 1000 words will not be considered.

Why is archaeology important? How do science and technology contribute to our knowledge of the past?

5Criteria

Please answer the following questions. These, along with the secondary school you attend/ed, allow us to see how well you fit with the criteria for this project.

Are you in receipt of, or entitled to, discretionary payments at school/college? / Yes/No
Are you from a home with a combined income of below £30,000 per year? / Yes/No
Are you in receipt of, or entitled to, free school meals, or have been in the last six years? / Yes/No
Are you living, or have lived, in local authority care? / Yes/No
Have your parents completed a course of Higher Education in the UK or abroad? / Yes/No
Please tell us of any other exceptional circumstances that you would like us to consider:

6Parental/guardian consent

We need your parent or guardian to consent to your application before we can begin processing it. Please ask them to complete the Parental/Guardian consent formavailable on the website Print a hard copy of this form and get them to sign it. Then either scan or photograph the signed form. Include the scan or photograph of the signed form when you submit your application by email by 9 am 22 February 2017. We may contact them to verify or request further information.

7Teacher Reference

Your teacher needs to provide you with a reference. Please ask them to complete the Teacher Reference Form available on the website ask them to return it to by 9 am 22 February 2017.

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