University of Oxford Programme for the Future of Cities

Global Leadership for the Future of CitieSummer Course

14–27 August 2018

Christ Church, University of Oxford

Application Form

Application Deadline: 15 May 2018

Personal Information

  1. Basic Personal and Contact Information

Personal Information
First Name / Last Name / English Name
Gender / Date of Birth / Nationality
Contact Information
Detailed postal address (withthe post code) at your university or organisation
Permanent home address
(with thepost code)
Mobile Number / Email address / Alternative Email Address
Home Phone Number / WeChat ID / QQ
  1. Health Information

Do you currently have any illness? / □ No
□ Yes Please provide details ______
Do you have any chronical illness? / □ No
□ Yes Please provide details ______
Have you ever contracted any infectious disease? / □ No
□ Yes Please provide details ______
Are you on any medication? / □ No
□ Yes Please provide details ______
Are you allergic to anything (e.g., pollen or medicine)? / □ No
□ Yes Please provide details ______
Do you have any health condition that needs special assistance from our staff during the Summer Course? / □ No
□ Yes Please provide details ______
  1. Dietary Information

Please specify any dietary requirements (e.g., vegetarian, vegan, gluten-free, diabetic, non-dairy, any food allergy):
  1. Family Information (required for all students)

Father
Name / Profession / Organisation / Email address / Contact Mobile
Number / WeChat ID
Mother
Name / Profession / Organisation / Email address / Contact Mobile
Number / WeChat ID
  1. Emergency Contact Information

Name / Relationship with the applicant
Contact Address (with the post code)
Contact Mobile
Number / WeChat ID
Email Address
  1. Education Information

Education Background
(undergraduate & postgraduate education)
Name of School/
university / Date of Attendance / Major / Degree / Date received/
expected / GPA
(please indicate whether it is on a 4.0 or 5.0 scale)
  1. Internship/Volunteer/Work Experience

Name of
Organisation / Position / Responsibilities / Date of internship/volunteer work/employment
  1. Evidence of English Proficiency: IELTS, TOEFL, or CET4/CET6 (only for applicants from Mainland China) (one of these will suffice; for reference only)

English Tests Taken and Results
Test name / Time / Total score / Score in each section

* If you don’t have any of the above, your English proficiencyneeds to be assessed by your home university and the organising personnel of the Summer Course through interview.

* This section is not required for applicants whose first language is English, those whose first language is not English but have successfully completed a full-time degree-level academic programme at a university where English is the language of instruction, or those who have extensive experience working in a professional English-speaking environment.

  1. Postgraduate Admissions Test Results (not required, but for reference only)

GRE/GMAT
Test Name / Time / Total score / Score in each section
  1. English Level (self-assessment)

Listening / □basic □medium □advanced
Speaking / □basic □medium □advanced
Reading / □basic □medium □advanced
Writing / □basic □medium □advanced
  1. International Experience

Travel Document
Passport Number / Place where the passport was issued / Valid from which date / Valid till which date
Countries visited and for what purposes
Country name / Time period / Visa type and visa valid period / Purposes of visit
  1. Do you have any plan to pursue further postgraduate study? If yes, in what areas do you plan to pursue postgraduate study? At which university?

Country / University / Area of study / Degree
  1. In what area do you plan to pursue your professional career? Please provide reasons for your answers.
  1. Scholarship (normally for undergraduate and postgraduate students only)

□I wish to be considered for scholarship.
□I do not wish to be considered for scholarship.

* A limited level of scholarship is available on a first-come-first-serve basis for those applicants who have competitive application packages and interview performance. Scholarships are grantedby deducting an equal amountfrom the course fee.

Personal Statement

  1. Please tell us your past experiences and achievements related to (global)leadership and sustainable (urban) development, either in your academic study or research, internship or employment, volunteer work, or extra-curricular activities.
  1. What do you expect to gain from this Summer Course?
  1. What contribution could you bring to the Summer Course with your academic background and/or work experience?
  1. Preliminary indication of your interest in(sustainable) urban development challenges faced by Oxford City or Oxfordshire County

What type of (sustainable) urban development challenges (e.g. data and information management, energy, infrastructure, green building and urban planning, low carbon or zero emission development, housing, smart city, transport, waste treatment/circular economy) are you interested in? What aspects of a challenge (e.g., business, economics and finance;management; government & policy; law; science technology; culture; society) would you like to focus on in the group project during the Summer Course? (Please consult the Summer Course material for lectures, seminars and workshops offered by the Summer Course as a reference)?

Application Checklist

Your application should include the following documents (please tick the boxes to confirm they are enclosed).
□ Application form
□ CV
□ Two recommendation letters (these can be waived for experienced professionals
who demonstrate their qualifications and work experience in their CVs):
1. One letter covering your academic work
2. One letter covering your work/internship/volunteer experience
□ Copies of academic records/transcripts, IELTs, TOEFL, CET-4 or CET-6 scores
Evidence of English proficiency can be waived for those whose first language is English, those
whose first language is not English but have successfully completed a full-time degree-
level programme at a university whereEnglish is the language of instruction, or those
who have extensive experience workingin a professional English-speaking environ
ment.

Declaration

I certify that the information I provide in this application is complete and accurate to the best of my knowledge.

I have full support and consent of my parent(s) for this application (required for all students).

Signature ______

Date ______

Please send the completed application in Word formatwith all supporting documents to the email address below by 15 May 2018.

Contact Information

Dr Samuel Chen, Manager

Global Leadership for the Future of CitiesSummer Course

Oxford Programme for the Future of Cities

University of Oxford

64 Banbury Road, Oxford OX2 6PN, United Kingdom

UK Mobile: 00 44 7956 694 962; WeChat: oxfordsustain

Email:

1