Introduction to the Study of Jews, Christians and Muslims in Contemporary Europe

Religion is…

Application Form For the course beginning Monday 5 February 2018

Please complete ALL sections of the form (unless otherwise stated) and return to: Dr Emma Harris at [email protected]

APPLICATION DEADLINE HAS BEEN EXTENDED to Sunday 28 January 2018

APPLICANT INFORMATION Title (Mr/Mrs/Dr etc.) Surname First name Date of Birth Street address City Postcode/Zip Country Email address Telephone number

EDUCATIONAL BACKGROUND (MOST RECENT) Name of University/College Title of Degree/Diploma/Certificate Year started Year completed Grade

EDUCATIONAL BACKGROUND (PREVIOUS) Name of University/College Title of Degree/Diploma/Certificate Year started Year completed Grade

PROFESSIONAL HISTORY (MOST RECENT) Employer Position/Responsibilities Year started Year ended (if relevant)

PROFESSIONAL HISTORY (PREVIOUS) Employer Position/Responsibilities Year started Year ended (if relevant)

RESEARCH EXPERIENCE (OPTIONAL) If you have worked on a research project, either as part of your academic studies or your

Religion is…. 2018 Application Page 1 of 4 professional work, please describe this work below.

STATEMENT OF MOTIVATION Provide a statement about you wish you pursue this course (500 words).

SAMPLE OF WRITTEN WORK Provide a sample of writing that you have undertaken for your academic studies or a relevant report from your professional work. (2,000 words). Attach the written work as either a Word or pdf file.

NOTE: We cannot accept your application without a sample of written work. Please tick to confirm:

[] I have attached a sample of my written work at the same time as submitting my application.

COURSE FEE

Religion is…. 2018 Application Page 2 of 4 The cost of the course is £295.

NOTE: Do not send payment prior to receiving acceptance notification.

Cheques should be made payable to ‘Woolf Institute’ and sent to: Dr Emma Harris, Director of Studies, Woolf Institute, Madingley Road, Cambridge CB3 0UB, UK

Please tick to confirm payment preference:

[] Cheque [] Bank transfer

Please tick to confirm the following:

[] I have read the Booking Terms and Conditions and Refund Policy at http://www.woolf.cam.ac.uk/study/online-courses/religion-is [] I understand that on receipt of the acceptance notification, the fee is payable. I must ensure that the fee is received by the Woolf Institute at least two weeks prior to the commencement of the course.

BURSARY REQUEST If you wish to apply for a bursary, please explain your circumstances and need for financial support.

ADDITIONAL INFORMATION How did you hear about the course?

The Woolf Institute would like to keep in touch by email, to send you up-to-date information about its programmes and events.

If you do not wish to receive such information, please tick the following box: [ ]

DATA PROTECTION

Religion is…. 2018 Application Page 3 of 4 I confirm that I give permission to the Woolf Institute to hold and use my personal details for the purposes of its student administration, alumni relations and development programmes according to its data protection statements at [http://www.woolf.cam.ac.uk/about/governance-policies].

I confirm that the information on this form is complete and accurate and I am the sole author of the writing sample submitted. I have read the Woolf Institute Booking Terms and Conditions and the Refund Policy and the Data Protection. I undertake to be bound by the conditions stated. Signature: Date:

Data requested on this form is required for administrative or statistical purposes. This information will be held and processed electronically by the Woolf Institute. This information will be covered by the provisions of the Data Protection Act 1998.

Religion is…. 2018 Application Page 4 of 4