For Office Use s2

FOR OFFICE USE

App Rec: …………………… Gr: …………………… …………… 1st-2nd 3rd – 4 5 6 Res S ES

Acc & Inf: ………………….. Fee: ……………………………….. Credit………………… Nonres

Student No: ………………… Rec: ……………………………….. Visa……………………CW…………... Application Form Please paste a recent Scottish Universities' photograph of yourself International Summer School 2016 here and attach an Text and Context & additional passport photo with your application Theatre and Performance: British Literature from 1900 to the Present

All applications must be accompanied by two letters of recommendation, and a £100 deposit (see ‘Payment’ on www.summer-school.hss.ed.ac.uk/suiss for instructions on how to pay). Please TYPE or use BLOCK CAPITALS throughout. All information you give is confidential.

PERSONAL DETAILS

Family Name: ……………………………………. Forenames: …………………………………………………..

Name by which you are known: ………………………………….. Nationality: ……………………………………………………

Date of Birth: …………………………………….. Age: ……………………………………………………………

Address:…………………………………………………………………………………………………………………….

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E-mail: ………………………………………… Mobile: …………………………………………………………

Telephone (inc. STD): ……………………… Fax: ……………………………………………………….……

Address/telephone for correspondence after 30th April, if different from above. (Please include dates)

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Please give the name, address, email and telephone number of the person you wish to be contacted in the event of an accident or emergency:

Name: …………………………………………… Telephone: ………………………………………………………

Address: ………………………………………………………………….. …………………………………………………. Email: ………………………………………………… Relationship to you: …………………………………………..

What is your current state of health? (If you have any special requirements, please give details.)

…………………………………………………………………………………………………………………………………. Are you currently under medical treatment? (If YES, please give details, medication etc.)

………………………………………………………………………………………………………………………………….. ______ACCOMMODATION

Text & Context and Theatre & Performance: Do you wish to attend: (a) Modernism, (b) Scottish Literature, (c) Contemporary Literature (d) Theatre and Performance. If you wish to attend two or more terms, circle each. Please note that Theatre and Performance cannot be taken with Contemporary Literature

Are you applying for Creative Writing and Contemporary Literature? YES / NO (delete as appropriate) Are you applying for Creative Writing and Theatre/ Performance? YES / NO (delete as appropriate) If yes, please fill in the Creative Writing application form as well. Only two letters of recommendation are required in total.

Do you wish to reserve residential accommodation at the School? YES / NO (delete as appropriate) If yes, what kind of accommodation do you wish to reserve? STANDARD / EN-SUITE (If you will be making your own accommodation arrangements, please email SUISS your Edinburgh address)

Do you have special requirements? (Mobility/dietary etc, please give details)

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QUALIFICATIONS AND EMPLOYMENT

Current or most recent qualification or year of study Institution attended Dates of (include major field of study) study

Other qualifications (including subjects studied) Institution attended Dates of study

Do you intend to take the course for credit towards your degree? YES / NO (delete as appropriate)

Please give details of your present occupation. ……………………………………………………………..……….

Please give details of your previous employment (if any). …………………………………………………………. …………………………………………………………………………………………………………………………………..

How did you hear about the SUISS?

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Have you previously applied to attend a British or Irish Universities Summer School? ……………………… If so, which year? ………. which University? …………………………. was your application accepted? …… did you attend the School? ………………….. did you receive a scholarship? ……………………………………….

What are your interests, other than academic?

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In the space provided below, please explain why you wish to attend Text and Context: British Literature from 1900 to the Present and/ or Theatre and Performance. Please give some indication of your reading in relevant subjects. Deposit paid (please circle): (a) online (b) bank transfer (copy enclosed) (c) sterling cheque (enclosed) (Please note that students applying for a scholarship are exempt from paying the deposit).

Please note that students are responsible for making their own arrangements for travel and insurance. I acknowledge that I am aware comprehensive travel insurance is highly recommended …… (please tick)

REFERENCES (please complete the relevant sections below) If you apply by email, this page with signatures and the letters of reference need to be scanned.

All lectures, seminars and written work will be in English and all applicants must be fluent in speaking and writing in English. All non-native English speakers must have the following completed by an academic referee, or by a teacher of English appointed by the Government or its authorities.

I certify that…………………………………………... is proficient in speaking, writing and reading English, and will be able to benefit from, and contribute to, the Summer School.

Signed: ………………………………………… Position or title: ……………………………………………….

Two letters of recommendation must be included with your application. These letters should be written by a University teacher or someone of similar standing who has personal knowledge of your work.

Name of referee: ……………………………… Name of referee: ……………………………………………….

Position or title: ………………………………. Position or title: ………………………………………….…….

I, the applicant, certify that the information given in this application is complete and accurate to the best of my knowledge.

Signed: …………………………………………………… Date: …………………………………………….

SCHOLARSHIPS (see our website for details)

If you are applying for a scholarship, please indicate below for which one you are applying:

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Additional material included:

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______Please return the completed form and two letters of recommendation by 22nd April 2016, or earlier.

If you are applying for a scholarship, or you require a visa to enter the UK, your application must be received no later than 21st March 2016.

Scottish Universities’ International Summer School University of Edinburgh 21 Buccleuch Place Edinburgh EH8 9LN Scotland (UK)

Please note: Acceptance of a place obligates the student to payment of fees due.