19.10.15
1) Personal DetailsSurname/Family Name / Title (Mr/Mrs/Miss/Ms/Dr)
First/Given names / Date of Birth
D / D / M / M / Y / Y / Y / Y
MALE FEMALE
Correspondence Address (this is the address we will use to send any correspondence)
Postcode
From (date)
To (date) / Mobile number
Correspondence Address Tel. number
Add permanent home address (if different from above)
Postcode
From (date)
To (Dates) / Skype Address
Permanent Address Tel. number
3) Project Selection. Please let us know the project(s) you are interested in. If more than one project interests you, please put in preferential order 1) being your first choice up to and including your 3rd choice
Order / Project Title / Supervisor
1
2
3
Cancer Research UK Manchester Institute is a Research Institute within
The University of Manchester and is core funded by Cancer Research UK
1
19.10.15
2) Current Qualifications / Eg. Masters/Diploma/A levelQualification/Degree
(gained/expected) / Class/Result / University/College/School / Completion/Graduation
Date
Please state the highest Qualification/Graduate Degree you currently hold
If you are currently studying for an under/postgraduate degree please state what qualification you will gain and predicted
honours level e.g: 1st/2i/2ii/Pass/Distinction
4) Nationality and Residence Details
Nationality / Country of Permanent Residence / Country of Birth
(a)If you were not born in the UK, have you or your parents been resident in the Yes No
UK/EU/Switzerland for the last 3 years?
(b)If yes, give reason for residency
Education Employment Settlement Asylum Other (explain)
For fee purposes do you think you are (tick one)
UK European Union Channel Islands International (non-EU)
5) English Language Qualifications
a) Is English your first language? Yes No
b) Is/was English the language of your first degree Yes No
Test / Overall Score / Date Obtained/Intending to Take
IELTS
TOEFL (paper)
TOEFL (computer)
0 level (GCSE)
Other (specify)
c) If English is not your first language please provide
details of your English language qualification with
results obtained and the date you took test or date you intend to take the test.
You must provide an original copy of your English
language test with your application.
Applicants who do not have English as a first language must have a formal English qualification at a minimum entry level requirement of IELTS (or equivalent) 6.5 overall (not less than 5.5 in each component & 6.0 in written component) prior to University registration.
Please visit University of Manchester webpages for further information on English language test equivalences;
Cancer Research UK Manchester Institute is a Research Institute within
The University of Manchester and is core funded by Cancer Research UK
1
19.10.15
6) Academic HistoryInformation on schooling results, A level results/Undergraduate Studies/Postgraduate Studies e.g. Masters Degree in this section or your country’s teaching/academic equivalences. Please provide information for those subject(s) you have already completed. If you have not yet finished your programme of study or you do not know your final grades, please indicate expected grades
a) Schooling
In the UK,GCSE [General Certificate of Secondary Education] examinations are taken at 16 years old. Non UK applicants should give subjects and grades for the closest equivalencies in their country’s education system
Name & Address of Institution / Attendance & Completion Dates / Main Subjects Taken / Marks/Qualification & Class of degree if applicable. Give Grade Point Average if applicable
b) AS/A Studies (UK) or equivalent non-UK applicants
In the UK, AS (Advanced Subsidiary) & A (Advanced) level qualifications are offered by schools and colleges for 16-19 year olds. They are highly valued by Universities and employers and focus on academic subjects. AS can be taken as a stand alone qualification (1 year) or as the first part of a 2 year A level course. Non UK applicants should give subjects and grades for the closest equivalencies in their country’s education system
Name & Address
of Institution / Attendance & Completion Dates / Main Subjects Taken / Qualification & Class of degree if applicable. Give Grade Point Average if applicable
c) Undergraduate Degree Studies
University Qualification
Name & Address of Institution / Attendance & Completion Dates / Main Subject(s) Taken / Qualification & Class of degree if applicable. Give Grade Point Average if applicable. If you have not yet completed, please state predicted degree level expected
ZSm
d) Postgraduate Degree Studies (if applicable)
University Qualification
Name & Address of Institute / Attendance & Completion Dates / Main Subject(s) Taken / Qualification & Class of degree if applicable. Give Grade Point Average if applicable
e) Any other information/details relevant to your academic history e.g. title and brief description of any completed or current research projects. If you have completed or are undergoing an industrial placement as part of your course, please give details here. Please be concise in your description and do not exceed 400 words.
7) Work Experience (non-academic)
Please provide details of any work experience outside of your studies. This could be full or part time paid work or voluntary work. For each position, please state the name of the organisation, employer, position held with start and end dates.
Dates / Nature of work e.g. voluntary/charity work – specify whether this was a full time or part time commitment / Name & address of institution/employer
From
M / M / Y / Y
/ To
M / M / Y / Y
From
M / M / Y / Y
/ To
M / M / Y / Y
From
M / M / Y / Y
/ To
M / M / Y / Y
8) Your Interests (non-academic)
Please detail any membership organisations/hobbies/activities/sports/skills/you enjoy outside of academia
Organisations/Hobbies/activities/sports/skills / Details
9) Personal Statement
Please use this space to summarise your academic interests, career aspirations and what area of research inspires you to pursue a postgraduate degree (maximum 500 words excluding spaces)
10) References – Please give details of 3 referees.
We will only contact your referees by email, if you are successfully shortlisted. Please ensure all contact information is up to date. Emailed references submitted via applicants will not be accepted or considered.
Referee 1 – This should be an academic member of staff where you gained your most advanced qualification and who directly supervised your work / Referee 2
Name / Name
Institution/Address / Institution/Address
Position / Position
Contact telephone number / Contact telephone number
Email address / Email address
Referee 3 / If you reach the shortlisting stage for interview, we will be contacting your referees (if references not already supplied). If you do not wish us to contact your referee(s) prior to interview please tick this box
Please give reasons why….
Name
Position
Contact telephone number
Institution/Address
Cancer Research UK Manchester Institute is a Research Institute within
The University of Manchester and is core funded by Cancer Research UK
1
19.10.15
Email address11) Please check that your application is complete…………
All relevant sections of the application form completed
Save your form as SURNAME-firstname(s).doc
UploadEnglish Language documents (if applicable)
Email completed form to
Data Protection Act 1998
As part of the University of Manchester, information collected about students for academic, administrative and health & safety purposes is processed in accordance with the 1998 Data Protection Act. The personal data and information provided on this application form is shared only, and where appropriate, with internal third parties in order to meet the purposes of processing your application. Information and personal data provided will be stored electronically and used for administrative purposes only. We will not disclose or use information contained within this application toany other third parties.
12) How did you find out about our PhD Studentships?
Please tick boxes to ALL that apply
Cancer Research UK Manchester Institute website Nature PostgraduateCareers
Printadvert
Cancer Research UK website Nature online
FindaPhD.com Personal recommendation
Careers office Other (please specify)
Cancer Research UK Manchester Institute is a Research Institute within
The University of Manchester and is core funded by Cancer Research UK
1
19.10.15
Cancer Research UK Manchester Institute is a Research Institute within
The University of Manchester and is core funded by Cancer Research UK
1