Application Form

Cancer Research UK 4 year PhD Studentship

Manchester Institute - Autumn 2015

“Investigating the role of the noncoding genome in regulating gene expression in cancer”

Dr Crispin Miller

Personal Details / Section A –
Your details
Title / Mr Ms Mrs Miss Dr
Family Name (Surname)
First names
Date of birth
Gender / Male/Female
Email address
Skype/Facetime address
Phone number
Mobile number
Country of Citizenship
Country of Permanent Residence
Country of Birth
Have you been resident in the UK or EU for the last 3 years? / (delete as appropriate) / Yes/No
If you are not British or EU Citizen has the Home Office granted to any of the following (delete as appropriate) / Refugee Status in UK
Humanitarian Protection in the UK
Indefinite Leave to enter or remain in the UK
None of these / Yes/No
Yes/No
Yes/No

Full home/postal address
Correspondence address
(if different from home address)
If English is not your first language, please provide details of your English qualifications. Otherwise skip this section.
INCLUDE A FULL BREAKDOWN OF SCORES / Section B – English Language Skills
All applicants who do not have English as a first language must have a formal English qualification at a minimum IELTS score of 6.5 or equivalent.Note that if students have yet to receive this qualification, a conditional offer may still be made, subject to it being achieved prior to University registration. For further information please visit
Full name of school: / Section C - School
Date from: / Date to:
Full postal address:
GCSE subjects and grades:
NON UK APPLICANTS should provide equivalents
In the UK, GCSEs are taken at 16 years old. Non UK applicants should give subjects and grades for the closest equivalents to GCSEs, and state the name of these examinations.
ALL APPLICANTS MUST COMPLETE THIS SECTION
A/AS level subjects and grades:
NON UK APPLICANTS should provide equivalents
In the UK, A/AS levels are taken at 17-18 years old. Non UK applicants should give subjects and grades for the closest equivalents to A/AS levels and state the name of these examinations.
ALL APPLICANTS MUST COMPLETE THIS SECTION
Full name of university: / Section D – Undergraduate degree studies
Department:
Web address:
Full postal address:
Date from: / Date to: / Result:
Degree Course:
First year subject and grades:
Second year subject and grades:
Third year subject and grades:
Fourth year subject and grades (if applicable):
Please provide information for those subjects you have already completed - if you have not finished your course yet, or do not know all your grades, please indicate this on the form.
Title: / Section E – Undergraduate research project
Name of supervisor:
Brief description of the project (250 words):
Please be concise. We are looking for a short well constructed description of what you have done (or will be doing). Any words over the 250 word limit will be ignored
Only complete this section if you are doing (or have done) a postgraduate course / Section F – Postgraduate degree studies
Full name of university:
Department:
Web address:
Full postal address:
Date from: / MM/YYYY / Date to: / MM/YYYY / Result:
Degree Course:
Subject and grades:
Please provide information for those subjects you have already completed - if you have not finished your course yet, or do not know your final grades, please indicate this on the form.
Only complete this section if you are doing (or have done) a postgraduate course with a research component / Section G – Postgraduate research project
Project title:
Name of supervisor:
Brief description of the project (250 words):
Please be concise. We are looking for a short well constructed description of what you have done (or will be doing). Any words over the 250 word limit will be ignored
Only complete this section if you have done (or are doing an industrial placement) as part of your course / Section H – industrial placement
Project title:
Full name of Company:
Date from: / Date to:
Full postal address:
Name of supervisor:
Brief description of the project (250 words):
Please be concise. We are looking for a short well constructed description of what you have done (or will be doing). Any words over the 250 word limit will be ignored
Please provide details of any relevant work experience. This could be full- or part-time work, or through voluntary work. For each position, please state the name of the organisation / employer, the position held, and the dates you were working there. / Section I – Work experience
Hobbies
(non academic): / Section J – Your interests
Academic areas of interest (300 words):
Academic areas of interest. Which areas of biology most excite you, and which would you most like to pursue for postgraduate study? Any words over the 300 word limit will be ignored
Career Aspirations and other relevant information. / Section K – Career Aspirations
Career aspirations and other information to support your application, including relevant skills, licenses, etc. In particular, please give the reasons why you want to study for a PhD. Any words over the 300 word limit will be ignored
Please provide details of three referees. We will only contact your referees by email if you are successfully shortlisted, so please make sure their email address is up-to-date and correct. / Section L – References
Referee 1 – This referee should have directly supervised your academic work
Name:
Email address:
Reason for giving this person’s name as a reference:
Referee 2
Name:
Email address:
Reason for giving this person’s name as a reference:
Referee 3
Name:
Email address:
Reason for giving this person’s name as a reference:
And finally…how did you hear about the CRUK MI PhD studentships?
Please select all that apply……. / Section M -
PhD Studentship
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