Research Degree

Research Degrees Application Form

Research Degrees Application Form

Please complete this form in BLOCK CAPITALS

Course details

Subject area__________________________________________________________

Award titleMPhil FORMCHECKBOX

MPhil/PhD FORMCHECKBOX

PhD FORMCHECKBOX

DBA FORMCHECKBOX EdD FORMCHECKBOX

DProf Health & Social Care FORMCHECKBOX DProf Science & Technology FORMCHECKBOX DProf Practical Theology FORMCHECKBOX DProf Laws FORMCHECKBOX DProf Applied Linguistics FORMCHECKBOX

MProf FORMCHECKBOX PG Dip Professional Research FORMCHECKBOX MD(Res) FORMCHECKBOX

Mode of studyFull-time FORMCHECKBOX

Part -time FORMCHECKBOX

Proposed date of entry FORMCHECKBOX

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Personal details

Title________________________________________________________Male/Female

Surname/Family name____________________________________

Previous surname_______________________________________

First name(s)___________________________________________

Date of birth (dd-mm-yy) FORMCHECKBOX



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Permanent home address * (see note)

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Postcode FORMCHECKBOX

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Telephone no._______________________Email address_______________________Contact address (if different from home address)

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Postcode FORMCHECKBOX

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Telephone no._______________________Email address_______________________

Fees information

Who is expected to pay your fees?Yourself FORMCHECKBOX

Sponsor FORMCHECKBOX

Research funding body FORMCHECKBOX

If you have indicated that a sponsor or research funding body is expected to pay your fees,please provide the name and contact details of the sponsor or funder.Name and contact details of sponsor/funding body ________________________________________________________________________________________________

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Further details

Country in which you have unrestricted right to reside/live______________________________

Country of birth______________________________

Nationality (as stated on your passport)______________________________

Have you been permanently resident in the UK/EU for the last three years for other than educational purposes? Yes FORMCHECKBOX No FORMCHECKBOX Please give date of entry _______________

Do you have any unspent criminal convictions in any country? Yes FORMCHECKBOX No FORMCHECKBOX

Passport number (non-UK/EU only) ________________________________________________

Learning support needs

Do you have a disability, medical condition or learning difficulty?

(If your answer is yes Please give brief details; our Student Support Service will contact you and note that we will require documentary evidence of the above in order to make adjustments to the learning environment for you.)

____________________________________________________________________________________________________________________Yes FORMCHECKBOX

No FORMCHECKBOX

Education, qualifications and training

Higher education/Further education/Secondary education (please list most recent first)

Name of institutionFrom (mm/yy)To (mm/yy)Full-time?

Continue on separate sheet if necessary

Qualifications completed or relevant training undertaken (please list most recent first)

QualificationSubjectGradeDate awarded


Qualifications pending or continuing training

QualificationSubjectExpected gradeDate (mm/yy)

Continue on separate sheet if necessaryEvidence of English language levelFor English language level required please visit:

www.anglia.ac.uk/ruskin/en/home/central/rds/services/research_office/research_degrees/prospective_students.htmlIf youre not native speaker, please complete one of the two options belowName of last examination taken (eg IELTS or TOEFL)....................................ResultOriginal/copy of certificate enclosed? Yes No

If No please explainOR Evidence of study through the medium of English enclosed? Yes No

Professional body membership

Professional bodyDate joined

Continue on separate sheet if necessaryEmployment

Current employer

Name of organisation____________________________________________________Address_______________________________________________________________

_______________________________________________________________

Department__________________________Job title___________________________

Date appointed_______________________

Continue on separate sheet if necessaryPrevious employers (please list most recent first)

OrganisationPosition heldFrom (mm/yy)To (mm/yy)


Supporting information

Outline research proposal

Please indicate in general terms the area of your research interest. Please use the headings below to form the basis of your outline. Approximately one to two sides of A4 are expected.

For MPhil/PhD/MD(res): Proposed area of research

Aim and focus of the study

Context for the research

Research methodology, including data collection and analysis

Research skills

Indicative references/publicationsFor MProf/DProf/DBA/EdD:

Proposed area of research Professional context Aim and focus of the study Significance to you, your employer and professional practiceApproximately one to two sides of A4 are expected.

Outline research proposalPlease insert your research proposal below.

Our university reserves the right to submit any application to study for a research degree through TurnitinUK plagiarism detection software.

Referees Please provide two references on letter headed paper, signed and dated. We require two academic references to support applications for MPhil and PhD. Applicants for Professional Doctorates (DBA, EdD and DProf) and MD (Res) are to provide one academic and one professional reference.

Name of referee 1

Organisation

Relationship to you

Reference enclosed FORMCHECKBOX Reference to follow FORMCHECKBOX

Name of referee 2

Organisation

Relationship to you

Reference enclosed FORMCHECKBOX Reference to follow FORMCHECKBOX

Provisional supervisor If you have discussed your application with a particular academic member of staff, please state that persons name hereName____________________________________________________________________Telephone no._____________________________________________________________Email address______________________________________________________________

DeclarationsDo you have any unspent criminal convictions? Yes FORMCHECKBOX No FORMCHECKBOX

A criminal record will not necessarily be a bar to obtaining a place at Anglia Ruskin University.

A satisfactory Disclosure and Barring Service check will be required for successful applicants to courses which include placements where students work with children or vulnerable adults.

Data Protection Act 1998

I agree to the University processing personal data contained in this form or other data which the University may obtain from other people. I agree to the processing of such data for any purposes connected with my studies or my health and safety whilst on the premises or for any legitimate reason including communication with me following the completion of my studies.

In addition, I agree to the University processing personal data described as sensitive data within the meaning of the Data Protection Act 1998, such processing to be undertaken for any purposes as indicated in the declaration above.

If my employer/sponsor is supporting my studies by paying my fees/allowing me study time I agree to my employer/sponsor being informed of the progress of my application and of my studies if I am accepted onto the course.

Agent referral

To be completed if applying with the assistance of an overseas recruitment agent

I confirm thatI give thefollowingAnglia Ruskin recruitment partner authorisationto discuss my application with staff at Anglia Ruskin University, and receive correspondence from Anglia Ruskin University on my behalf.

Company Contact person Email Telephone no ..

Declaration

I certify that, to the best of my belief, the information I have provided is complete and true.

Signature of applicant Date Signature of guardian Date

if applicant is under 18 years

Supporting documentation

Please note that all applicants must include copies of the following when returning this application form:

Academic certificates (officially translated if not UK)

Academic transcripts, including subjects studied and grades achieved (officially translated if not UK)

English language certificate (if not UK National)

Photocopies of passport to include photograph and personal detail pages. Internationalapplicants currently residing in UKmust also provide photocopies of visa and immigration stamps.

References (as outlined above)

This application will only be processed when the required documentation is receivedPlease submit your completed application form with supporting documentation as follows:

UK/EU applicants

Email: [email protected]

Fax: +44 (0)1245 607520

Post: Admissions Office, Anglia Ruskin University, Bishop Hall Lane, Chelmsford, CM1 1SQ

International applicants

Email: [email protected]

Fax: +44 (0)1245 683690

Post: International Admissions, Anglia Ruskin University, Bishop Hall Lane, Chelmsford, CM1 1SQ Page 6 of 7

Version 6 updated 20.8.14 LS RDU Academic Office

Documents

Research Degree