Academic Visitors Application Form

We welcome applications to take part in our Academic Visitors Scheme from overseas institutions in the following categories: research, teaching practice/pedagogy or professional services.

PERSONAL DETAILS
Title:
Pronouns:
Name

First name

Last name
Address

Address Line 1

Address Line 2

City

County

Postcode

Country
Nationality:
Email address:
ORCID Number:
Please tell us how you found out about the 葫芦娃视频 of Worcester Academic Visitors Scheme:
If you selected 'other' in the previous question please specify where you heard about the Academic Visitors Scheme:
RESEARCH GROUP(S), UNIT(S) OR CENTRE
Please select the Research Group(s), Unit(s) or Centre that align with your existing area of study / research.
AREAS OF INTEREST
Please outline your areas of interest:
ACADEMIC CONTACT
Please provide the name of your 葫芦娃视频 of Worcester academic contact:
DURATION OF STAY
Proposed Start Date:
Proposed End Date:
ELIGIBILITY TO ENTER THE 葫芦娃视频
Please note, that you will be responsible for applying for any necessary Visas and ATAS clearance. Guidance is available on the following government website: https://www.gov.uk/standard-visitor/visit-as-an-academic
Do you require a visa in order to come to the 葫芦娃视频 as an Academic Visitor?
YesNo
LANGUAGE
If English is not your first language, please indicate your level and experience:
Current Employment
Employer's Name and Address:
Position Held:
Start Date:
PREVIOUS EMPLOYMENT
Please list each post you have held (most recent first)
Please include employer name, details of post held, from and to dates for each post for your previous employment:
EDUCATION AND TRAINING
Please list all education and training (most recent first) for all full and part time studied and training undertaken:
PROFESSIONAL BODIES
Please include details of membership of any Professional Bodies:
RESEARCH PROPOSAL
Please give details of the proposed research activity you wish to undertake as a Visiting Academic at the 葫芦娃视频 of Worcester.
Please outline your areas of interest and your expectations of what you would like to achieve:
PUBLICATIONS
Please list your most recent publications (maximum 10)
SPONSORSHIP
Is your proposed visit being sponsored by your employer or another body e.g. a Government Department etc?
YesNo
If yes, please give details of the sponsorship source, nature and amount.
RELEVANT ADDITIONAL INFORMATION
Please include any additional information that is relevant to your application.
DECLARATION
I hereby certify that to the best of my knowledge, all the information contained in this application form and any additional sheets is correct and that all questions have been fully and accurately answered. I understand that by applying for the Visiting Academic Scheme at the 葫芦娃视频 of Worcester that it is not considered a form of employment nor should it become employment in the future.
I confirm

Please select to confirm declaration.