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HENSLOW AND JUNIOR RESEARCH FELLOWSHIP 2023
APPLICATION FORM
APPLICATION INSTRUCTIONS:
Save this document as surname-first name.doc(x) and email it as an attachment to HYPERLINK "mailto:registrar@wolfson.cam.ac.uk" registrar@wolfson.cam.ac.uk to arrive by midday on Monday 3 October 2022. (Note: The boxes will expand as you type or paste in content.)
You should also email the Reference Form to your referees (see Q17.) and ask for this to be completed and emailed to HYPERLINK "mailto:registrar@wolfson.cam.ac.uk" registrar@wolfson.cam.ac.uk also to arrive by midday on Monday 3 October 2022.
TO BE CONSIDERED FOR (please ensure one box is ticked):
HENSLOW RESEARCH AND JRF NON-STIPENDIARY HENSLOW ONLY J JRF ONLY
Please note: You may only apply for a JRF if you have funding in place and the Henslow Fellowship is only for those in the Natural Sciences, Engineering, Mathematics, Computer Science & Clinical Sciences subject areas.
1. SURNAME (family name) 2. OTHER NAMES (in full) 3. TITLE
4. GENDER 5. DATE OF BIRTH (dd/mm/yyyy) 6. NATIONALITY
7. ADDRESS FOR CORRESPONDENCE INCLUDING POSTCODE
8. EMAIL 9. MOBILE
10. AREA OF STUDY (Indicate ONE of the three options or TWO if interdisciplinary)
Arts, Humanities & Social Sciences / Biological Sciences & Clinical Medicine/ Physical Sciences & Technology
11. SUBJECT
12. UNIVERSITY RECORD (most recent first)
Dates University / College Examinations and Results Scholarships and Prizes
13. RESEARCH RECORD: TITLE OF YOUR PhD THESIS AND PUBLICATIONS
If you have obtained or are working towards your PhD degree (or equivalent qualification), please give the details below:
Thesis titleDegree/QualificationUniversityDate awarded (dd/mm/yyyy)OR proposed date of submission (dd/mm/yyyy)
14. PUBLISHED WORK (with dates and most recent first):
15. PRESENT EMPLOYMENT (Occupation/Institution with dates)
16. RESEARCH SUPERVISOR
Name Email Address
Institution/Dept, Address and Postcode (Address and postcode not required if email given)
17. NAME AND CONTACT DETAILS OF TWO PEOPLE FAMILIAR WITH YOUR WORK.
You should ask two referees (normally to include your research supervisor) to submit a reference on the form which you should email to him or her (See Reference Form for instructions).
1. 2.
NameInstitution/Dept Address & PostcodeEmail(Address and postcode not required if email given)
18. TITLE(S) OF WORK, which could, if requested by the Committee, be submitted in support of your application.
19. DETAILS OF APPOINTMENT(S), AWARD(S) OR FUNDING ALREADY OBTAINED FOR THE NEXT ACADEMIC YEAR ONWARDS.
(Please give name of award(s) with to and from dates)
20. DETAILS OF APPOINTMENT(S), AWARD(S) OR FUNDING FOR WHICH AN APPLICATION HAS BEEN MADE FOR THE NEXT ACADEMIC YEAR ONWARDS, BUT NOT YET DECIDED. (Please give name of award(s) with to and from dates)
21. DETAILS IF SELF-FUNDING (personal funds/employment for the next academic year onwards)
22. DETAILS OF COMPETING POSITIONS (e.g. JRFs in other colleges for which you have applied)
23. STATEMENT DETAILING YOUR PRESENT AND FUTURE RESEARCH (maximum of 1000 words)
24. HOW WOULD YOU CONTRIBUTE TO THE LIFE OF THE COLLEGE (maximum of 500 words)
25. FURTHER INFORMATION YOU THINK RELEVANT TO YOUR APPLICATION
DATE OF SUBMISSION (dd/mm/yyyy)
We are committed to protecting your personal information and being transparent about what information we hold. Please consult our
HYPERLINK "/about/governance/data-protection/data-protection-statement-candidates-senior-membership" Data Protection Policy for further information.
v1.0:Henslow&JRFAppForm.07/22
PAGE 2
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