Creative Writing Summer School 2015

Oxford University Creative Writing Summer School 2015Please ensure all sections are completed fully, clearly, and in BLOCK CAPITALS

PerSonal information

Title (Mr/Ms/Other) .............................................Male Female

All first names .........................................................................................(As shown on passport)Last name ...........................................................................................................(As shown on passport) Preferred name for name badge (One first name and one last only)

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Date of birth Day.................. Month................... Year.................. (eg 25 Dec 1990)

Nationality (As shown on passport) ......................................................

Will you be travelling to the UK on an EU passport? Yes No

Street address ........................................................................................

Town .........................................................................................................

Region/state .............................................Postal code ........................

Country ........................................................ Valid until ........................

Email ...........................................................................................................

Telephone (Home) ...................................................................................

Telephone (Daytime) ...............................................................................

Permanent address (If different from above)

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Telephone (Home) ............................... (Daytime) ...............................

Occupation ...............................................................................................

emergenCy ContaCtName..........................................................................................................

Relationship ..............................................................................................

Telephone (Home) .............................. (Daytime) ...............................

Email ...........................................................................................................

Address ....................................................................................................

HealtH

Do you have a disability/special need? Yes No

If yes, please state your disability or describe any special need/support required to assist you with your study

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Seminar CHoiCeSLevel 2 applicants onlyStudents take two seminars. We will try to place you in your first and second choice courses, but in some cases allocations to other seminars will be necessary. Please rank the seminars 1-7 in order of preference, with 1 being your first choice and 7 your seventh choice. Please check the seminar timetable carefully to ensure that your first and second choice courses do not run at the same time.

Biography and Autobiography

Key Aspects of the Fiction Writers Craft

Poetry

The Writer Within

Writing about Place

Writing for Performance

Young Adult Fiction

aPPliCation CHeCkliStYour application should includel Application forml Personal statementl Samples of your workl Transcript or certified list of courses takenl Evidence of English language competency (non-native

speakers of English only)l Letter of recommendation Please note that past

participants are not required to submit a further letter of recommendation

l Four passport-sized photographs (4.5cm high x 3.5cm wide)Please note that incomplete applications will not beconsideredPost to: Creative Writing Summer School, OUDCE,1 Wellington Square, OXFORD, OX1 2JA, UK

aCaDemiC reCorDPrevious and current study

Do you wish to obtain credit for this programme at your institution? Yes No

If so, have you cleared this with your institution? Yes No

University/ Degree Subject Date received/ college expected

Oxford University Creative Writing Summer School 2015Please ensure all sections are completed fully, clearly, and in BLOCK CAPITALS

reSiDential StatuS

Residential: Standard - shared bathroom facilities 2,800

Residential: En suite - private shower and toilet 3,060

Non-residential 1,235

Dietary requirementSThe following special diets are available but only if requested in advance

Vegan Vegetarian Fish-eating vegetarian Demi-vegetarian (no red meat) Gluten-free Non-dairy Diabetic Food allergy please specify .....................................................................................................................

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marketing anD Data ProteCtionHow did you find out about the Creative Writing Summer School?

Select one option onlyI am a past participant in this summer school I last attended in (year) ........................................................................

Internet search Which search terms did you use? .......................................................

Link from another website Which? ......................................................................................................

Social media Which? ......................................................................................................

Blog or article Where? ......................................................................................................

Advert or listing in a newspaper or magazine Which? .....................................................................................................

Print item Which and where? . ...............................................................................

Personal recommendation From whom? . ..........................................................................................

Referred by an educational institution or organisation Which? .....................................................................................................

a) Information collected on this form will be held in accordance with the provisions of the Data Protection Act 1998 for the purposes of processing your application and for student administration. It will be held securely and not passed on to third parties (please see our privacy policy www.admin.ox.ac.uk/dataprotection for further information). Periodically, Oxford University Department for Continuing Education (OUDCE) may send you information about its future programmes, about other activities related to its programmes and about the benefits and services which are available to students of OUDCE. If you do not wish to receive such information, please tick the following boxes:

I do not wish to receive information by post I do not wish to receive information by email

b) OUDCE may occasionally wish to collect images (both photographs and video recordings) of its activities, including lectures, tutorials, seminars and social events. These photographs and video recordings may be used by OUDCE and Oxford University for the promotion of their educational activities.

I hereby grant to OUDCE the right and permission to take, hold, use, and publish photographs and video recordings in which I appear in printed or electronic media, including the internet, for advertising and promoting educational activities. I understand that if I no longer want a photograph in which I appear to be used, I can contact the Programme Administrator to request that it be removed. However, I accept that it might not always be possible to remove all existing copies from circulation.

Please tick this box if you do not wish photographs and video recordings of you to be used as described above.

DeClarationI certify that the information given in this application is complete and accurate to the best of my knowledge. In enrolling on the Creative Writing Summer School 2015 I accept responsibility for payment of the full fees in accordance with OUDCEs terms and conditions (www.conted.ox.ac.uk/termsandconditions). I also agree to abide by the regulations of OUDCE (www.conted.ox.ac.uk/students/disciplinaryregulations).

Subject to English law

Signature ...................................................................................................

Date ...........................................................................................................

Documents

Creative Writing Summer School 2015