Graduate Application Form

Please complete all sections as fully as possible as the information provided wil be used in the selection process. Please be aware that this form cannot be saved, therefore needs to be completed and submitted in one sitting.

* First Name
* Surname
Dr, Mr, Mrs, Miss, Ms
* Email
Out of term address
Out of term phone
Term Address
Term Phone
Country of birth
Nationality
Do you need a work permit?

Education
Name(s) of School(s)/College(s)	From	To	Subject/Course grade(s)



University/College	From	To	Degree/Description	Class Expected/Obtained

Main subjects with examination or course grades to date, if known

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Postgraduate Qualifications
University/College	From	To	PhD/MA/Diploma etc	Title of research topic

Detail any scholarships, awards or prizes won at School and University/College		words remaining:
Describe any aspect of your course of particular interest to you and/or of relevance to your application		words remaining:
Any other qualifications/skills, e.g. knowledge of foreign languages (indicate proficiency), keyboard skills, computer literacy		words remaining:

Current Driving Licence?

Yes No

Give Details of your main extra curricular activities to date. What have you contributed and what have you got out of them? Mention any posts of responsibility?

words remaining:

Work Experience
Name of Employer	From	To	Type of Work, include sandwich placements, vacation and part-time work

Which parts of this experience were most beneficial to you, and why?

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Explain what attracts you about the type of work for which you are applying and offer evidence of your suitablility

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What qualifications are you trying to achieve?

Please mention any points you wish to raise at interview

words remaining:

Do you have any restrictions on geographical mobility? If so, give details:

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Preferred office location

If there is anything which has not been covered adequately on your application, please elaborate:		Dates not available for an interview:
Date available for employment:		Health matters of possible relevance (e.g. colour blindness, etc):

Referees

Referees, one of whom should be academic. Give name, address and occupation

Referee Number 1

Referee Number 2

Confirm details are correct
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Careers (home)

Q: Do you need termination of employment - retirement and redundancy - advice?

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