POSTGRADUATE RESEARCH DEGREES APPLICATION FORM

Please read the Guidance Notes at the end of this form, before completing the form. If completing by hand, please write in block capitals, in black ink and return by POST (any original documents sent by post are at the sender’s risk)

Research Administrator

Faculty of Health and Life Sciences

Oxford Brookes University

Headington Campus

Gipsy Lane

Oxford OX3 0BP

England

1. RESEARCH PROJECT TITLE
2. PERSONAL DETAILS
Title (e.g. Mr/Mrs/Ms/Miss etc) / Country of birth:
Surname/Family Name: / Nationality:
First Name(s): / Country of Domicile/Area of Permanent residence:
Previous surname: / Applicants not born in the European Union please state:
Day / Month / Year
Date of first entry to the EU:
Date of most recent entry to the EU:
Date from which you have been granted permanent residence in the EU:
Male Female
Date of Birth (DD/MM/YYYY):
Passport Number:
Visa classification:
UK Address for correspondence (if applicable):
Telephone Numbers (include area code)
Mobile:
Daytime:
Evening (if different):
Postcode: / Email:
Home/permanent address (if different from above):
Telephone Numbers (include country and city codes)
Mobile:
Daytime:
Post/zip code: / Evening (if different):
Email: / Fax:
3. YOUR EDUCATION (INCLUDING PROFESSIONAL QUALICATIONS AND TRAINING COURSES
Dates (from-to) (mm/yy – mm-yy) / Institution (Include location) / Subject (s) / Result (e.g. BA Hons, 2:1)
4. YOUR EMPLOYMENT/PROFESSIONAL EXPERIENCE/UNPAID OCCUPATIONS
Dates (from-to) (mm/yy – mm-yy) / Brief Details (e.g. job title, company name, main responsibilities etc.)

(Continue on separate sheet, if necessary)

5. YOUR ENGLISH PROFICIENCY
Only fill in this section if English is not your main language and you are not from a majority English speaking country for UKBA purposes. Please tell us about your qualifications and proficiency in English - if you do not already hold an IELTS test certificate issued within the last two years, you must obtain one before you can be considered for admission to a postgraduate research degree programme in the Faculty of Health and Life Sciences, Oxford Brookes University. Please note we no longer accept TOEFL qualifications. Please see further information below.
  • You must enclose copies of any certificates
  • You will not need to prove your English language level if you are from one of the countries that the
  • UKBA considers a majority English speaking country:
  • Antigua and Barbuda;
  • Australia;
  • the Bahamas;
  • Barbados;
  • Belize;
  • Canada;
  • Dominica;
  • Granada;
  • Guyana;
  • Jamaica;
  • New Zealand;
  • St Kitts and Nevis;
  • St Lucia;
  • St Vincent and the Grenadines;
  • Trinidad and Tobago;
  • UK;
  • USA.
  • No other country may be considered as being ‘majority English speaking’ for UKBA purposes.
(above list as at Feb 2014 which may be subject to change)
Faculty of Health and Life Sciences requirement –
IELTS test certificate score - minimum 6 in each of the four areas of reading,writing,listening and speaking with overall minimum score of 6.5 - 7.
The test certificate must be valid not older than 2 years. Alternatively an undergraduate degree awarded by a UK University within the last 2 years.
NOTE: The University offers English language preparation courses and study skills support to international students. Further details are available from Oxford Brookes International , tel: +44 (0) 1865 483874, fax +44 (0) 1865 484377, email: website:
6. Names and Addresses of TWO Academic Referees:
(You must send enclosed reference forms to academic referees named below)
Referee 1 / Referee 2
Name / Name
Address: / Address:
Telephone: / Telephone:
Email: / Email:
Fax: / Fax:
7. PERSONAL STATEMENT
This is an important section. You should explain why you are applying for a place on the research degree programme, what you expect to achieve from it, and how it relates to your academic and career development

(Continue on separate sheet, if necessary)

8. DISABILITY or SPECIAL NEEDS
If you have a disability, special needs or a medical condition, which might affect your studies please give details below, and indicate the disability category in the box (see notes)
I have a registered disability or special educational needs
Please give details below:
9. CRIMINAL CONVICTIONS
Do you have any Criminal convictions? (see notes)YesNo
10. How did you hear about the Faculty of Health and Life Sciences research? (Tick as appropriate)
University Careers Office / Oxford Brookes website / Findaphd.com
Other (please specify)
11. DECLARATION
I confirm that, to the best of my knowledge, the information given in this form is correct and complete
Signature: / Date:
12. ETHNIC ORIGIN
Please note that this information is only used for statistical purposes and will not be made available to Postgraduate Research Tutors for selection purposes.
You need only complete this section only if your area of permanent residence is in the U.K.
Please tick:
11 / White - British
12 / White – Irish
19 / Other White Background
21 / Black or Black British-Caribbean
22 / Black or Black British-African
29 / Other Black Background
31 / Asian or Asian British-Indian
32 / Asian or Asian British-Pakistani
33 / Asian or Asian British-Bangladeshi
34 / Chinese or other ethnic background-Chinese
39 / Other Asian background
41 / Mixed – White and Black Caribbean
42 / Mixed – White and Black African
43 / Mixed – White and Asian
49 / Other Mixed background
80 / Other ethnic background
98 / Information Refused

Guidance notes are overleaf

PhD RESEARCH STUDENTSHIP APPLICATION FORM:

NOTES FOR GUIDANCE

APPLICATIONS WILL ONLY BE ACCEPTED BY POST (unless specified otherwise in any advertisement) to the address given at the top of the application form

1Research Project Title

  • Please ensure that you have entered the project title and enclose a research proposal. If applying to the Department of Biological and Medical Sciences please indicate which research group you are interested in

2Personal Details

  • You must complete all relevant sections, this is particularly important for all international candidates. You must include nationality, country of domicile and passport number and details of the visa classification recorded in your passport and both your home and UK (if applicable) address.

3Your Education (including Professional Qualifications and Training Courses)

  • Give the names and locations of educational institutions which you have attended (school/college, university, etc.), as well as dates of attendance. Under Subject(s) give brief descriptions of subjects/courses studied. Under Result give qualifications and grades (e.g. BA- BSc Hons 2.1). If appropriate, give details of Professional Qualifications, including date when awarded, and details of membership of professional bodies. If appropriate, give information on Training Courses, including length of course, dates, and awards. We currently expect applicants to have a minimum first or upper second class (minimum 2.1) honours degree of a Higher Education Institution in the UK or an acceptable equivalent.
  • All applicants must provide a certified copy of your degree certificate/s and/or a transcript/s of your academic record to date.
  • You should include details of degree or other qualifications which you expect to obtain before attending the programme at Oxford Brookes University for which you are hereby applying.

4Your Employment/Professional Experience/Unpaid Occupations

  • Describe any paid work which you have undertaken and/or professional experience which you have gained, giving dates, names of employers, job title and main responsibilities. If applicable, give details of any unpaid/voluntary work experience and unpaid occupations, e.g. raising a family.

5Your English Proficiency

  • Only fill in this section if English is not your main language and you are not from a majority English speaking country for UKBA purposes. Please tell us about your qualifications and proficiency in English - if you do not already hold an IELTS test certificate issued within the last two years, you must obtain one before you can be considered for admission to a postgraduate research degree programme in the Faculty of Health and Life Sciences, Oxford Brookes University. It is very important that you are able to understand and use English well, so that you can benefit fully from your time at Oxford Brookes University.

You must enclose copies of any certificates etc.

6Names and Addresses of TWO Academic Referees

  • Please fill in the details as requested on the two academic referee forms . Please ensure you provide their full e-mail address as well as their postal address. ).

7Personal Statement

It is important that you take time to complete this section full and explain why you are applying for a place on the research degree

programme and how it relates to your academic and career development.

8Disability/Special Needs

  • Please enter in the box the code from the list of statements below, which is the most appropriate to you. Describe your condition in the

space provided and where it is not obvious, i.e. with unseen disabilities, indicate whether you have special needs.

Disabilities/Support Required:

0 / You do not have a disability nor are you aware of any additional support requirements in study or accommodation.
1 / You have dyslexia.
2 / You are blind/are partially sighted.
3 / You are deaf/have a hearing impairment.
4 / You are a wheelchair user/have mobility difficulties.
5 / You need personal care support.
6 / You have mental health difficulties.
7 / You have an unseen disability, e.g. diabetes, epilepsy or asthma.
8 / You have two or more of the above disabilities/special needs.
9 / You have a disability not listed above.

9Criminal Convictions

You are asked to say on the application form whether you have any criminal convictions.

You must tick the 'yes' box if you have a conviction, not including:

  • A motoring conviction for which you received only a fine and/or 3 penalty points; or
  • A spent sentence (as defined by the Rehabilitation of Offenders Act 1974) (see note below on this act) UNLESS you are applying for a course involving work with children and other vulnerable members of society, including but not necessarily limited to teaching, health or social work courses when you must disclose spent convictions and cautions as well. If you are in doubt as to whether this applies to you, please contact the University directly.

Note: If you are uncertain whether a conviction is a spent conviction or sentence then you can get more advice from your local Citizens Advice Bureau or probation service, or from NACRO (the Association for the Care and Resettlement of Offenders). You can also contact a solicitor, but you may have to pay for the legal advice.

If you have not been convicted of a criminal offence, you must tick the 'no' box.

If you tick the 'yes' box, you may be asked to provide more details, if so you should send these directly to the Admissions Office.

If you do not tick either the 'yes' or 'no' box, we will not process your application form. We will contact you to ask for information, but this will delay your application and you could miss the deadline.

If you are convicted of a criminal offence after you have applied, you must inform us and you may be required to provide more information, but this will delay your application and you could miss the deadline.

If you are in prison or youth custody

In addition to supplying the information already required in this section, if you are serving a sentence prison or youth custody you must give the prison or youth custody centre as your postal address on page 1 of the form and a senior prison officer/youth custody officer must support your application in addition to your educational referee.

10How did you hear about the research programme for which you are applying?

It is important for us to know how you heard about the programme for which you are applying, so that we can maintain and improve the level of information which we provide.

11Declaration

Please read the application form carefully. You must sign it or we cannot process your application.

The information which you give on your application form will be used for the following purposes only:

a) To enable your application for entry to be considered

b) To enable the institution to compile statistics, or to assist other organisations or individual research workers to do so, provided that no statistical information which would identify you as a person is published.

c) To enable the institution to create and maintain your student record.

All Applicants: Please enclose all the relevant documents when returning the application form to the Faculty at the address given at the top of the application form, e.g. copies of degree certificates/transcripts of academic record to date; evidence of English proficiency.

ALL Applicants- any queries please contact the Research Administrator, Faculty of Health and Life Sciences, Oxford Brookes University e-mail :