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OXFORD COLLEGES HOSPITALITY SCHEME
CAMBRIDGE COLLEGES HOSPITALITY SCHEME
FOR CENTRAL AND EAST EUROPEAN SCHOLARS
1 APRIL 2003 – 31 MARCH 2004

Application for (please tick one box only)      Oxford     Cambridge   
If your application to your first choice institution is unsuccessful, do you wish to be considered by the other institution?  YES  NO  
PLEASE COMPLETE IN BLACK INK OR TYPESCRIPT
DO NOT STAPLE ANY DOCUMENTS.

Subject Area (in one or two words only):	

Precise Subject (to be pursued during visit):	

1.	Family name (BLOCK CAPITALS) (as for passport)
	
	Other names:
	
2.	Title:
		Prof / Dr / Ms / Mrs / Miss / Mr	3.	Sex:
		Male / Female	
4.	Country of Citizenship:

	5.	Date of Birth:

	Place of birth:	
6.	Present Appointment:
•	What is your present appointment or academic status?

•	When did it begin?

•	What is your specialist subject?

•	Name and address of your present institution:

•	Telephone number:
•	Fax number:
•	E-mail address:
	7.	Home Address:

•	Telephone No.:

•	Fax No.:

•	E-Mail address:

Should correspondence concerning this application to be sent to your home or office address?	
8.	Academic Visits Abroad. Give details of previous academic visits abroad, including conferences:	
Host institution, country:	Reason for visit:	From (d/m/y):	To (d/m/y):	

				
9.	Please give details of any future visits abroad which are already arranged:	
Host institution, country:	Reason for visit:	From (d/m/y):	To (d/m/y):	

				

10.	Give details of any other travel grant/scholarship for which you have applied
		
11.	Details of your education:

(a) first degree course (subject, university, dates)

(b) doctoral thesis (title, university, date, supervisor’s name)

(c) ‘habilitation’ or ‘kandidatura’ thesis (title, university, date, publication date and publisher)

•	If you do not have a higher degree, describe briefly the current state of your research, and expected completion date		
12.	Knowledge of English

Knowledge of Spoken English:
Very Good    Good     Fair     Poor  

Knowledge of Written English:
Very Good    Good     Fair     Poor  

Result of English Language Test (if taken):	
13.	Details of proposed visit
	(a) Applicants to Oxford

	(b) Applicants to Cambridge	
Oxford:
Dates when you cannot come:

Dates which suit you best:

Cambridge:
Please state preferred dates for your visit:
(Cambridge colleges welcome visitors from the end of June to the end of September, with the exception of the last two weeks of August.)

	
14.	Is there a particular individual you would like to work with in Oxford or Cambridge, and/or a particular department or 	faculty with which you would like to be associated? Please give details. 	
Name	Department/faculty	Reason for wishing to work with this person/in this department/faculty	

			

15.	Please describe briefly (in between 100 and 150 words) the precise programme of research or study you wish to undertake in Oxford or Cambridge and its relevance to your work at home.
	Note: Your application is read and reviewed by a specialist and you may, therefore, use whatever technical terms you wish.

	
16.	Please provide a list of your main publications (all books; articles or papers for the last 5 years only). Mention reviews of your publication in foreign languages, if any.	
17.	References
	Please give details of two persons who have agreed to write in support of your application and whose references are enclosed or will be sent separately. These should normally be:
	(a) person most familiar with your scholarly work in your own country

	Name:
	Address:

	Academic Position:

	(b) the head of your institute, faculty, department or equivalent institution

	Name:
	Address:

	Academic Position:

Signature of Applicant	Date