pgr-application-form-15nov2017


    FOR OFFICE USE ONLY
    Application No
    Fees
    Ref No


    Application Form for Master by ResearchEdDPhD Programme of The University of Nottingham Ningbo China

    Please complete all questions and return the completed form along with other scanned supporting documents to PHDAdmissions@nottinghameducn

    Two references must be emailed to the above email address directly by the referees











    1 POSTGRADUATE DEGREECOURSE
    PLEASE STATE QUALIFICATION AND SCHOOL FOR WHICH YOU ARE APPLYING

    (a) RESEARCH DEGREE (eg PhD EdD or Master by Research)
    EdD Professional Doctorate in Education
    (b) IN WHICH SCHOOL OF THE UNIVERSITY DO YOU INTEND TO STUDY
    School of Education
    (c) HAVE YOU APPLEID FOR ANY UNNC PHD PROGRAMME BEFORE Yes ☐ No ☒
    If yes please specify the programme and the year you applied for


    2 FULLTIME ☐ PARTTIME ☒

    3 PROPOSED Entry OF ADMISSION March ☐ June ☐ September ☒ December ☐

    4 TITLE (MrMrsMissMsDr) Mr

    5 SURNAMEFAMILY NAME ZHANG

    6 FIRST NAMES WENTAO

    7 DATE OF BIRTH (ddmmyy) 13021994

    8 GENDER Male ☒ Female ☐

    9 MARITAL STATUS Single ☒ Married ☐

    10 ARE YOU CURRENTLY WORKING AT UNNC Yes ☐ No ☒
    If yes please attach approval of study in writing from your line manager and HR Office otherwise your application won’t be considered

    11 CORRESPONDENCE ADDRESS
    Please note this is the address to which the University will send all correspondence regarding your application If the address is within mainland China please provide it in Chinese characters
    江苏省徐州市云龙区香榭兰庭2期B311401



    POSTCODE 221000

    FROM (ddmmyy) 122016 TO NOW

    TELEPHONE NUMBER

    MOBILE NUMBER +86 15050011388 EMAIL ADDRESS 15050011388@163com

    12 PERMANENT HOME ADDRESS (if different from address given above)

    POSTCODE

    FROM (ddmmyy) TO

    TELEPHONE NUMBER

    MOBILE NUMBER EMAIL ADDRESS

    13 NATIONALITY CHINA

    14 COUNTRY OF PERMANENT RESIDENCE CHINA

    15 HOW DO YOU INTEND TO FINANCE YOUR STUDIES (For scholarship details please refer to the Graduate School website httpwwwnottinghameducnengraduateschoolphdscholarshipsphdscholarshipsaspx )
    v Selffunding ☒
    v UNNC Alumni Scholarship (applicable to UNNC UNUK UNMC alumnus) YES ☐ NO ☒
    v UNNC Family Scholarship (Please provide demonstrable proof of familial connection)
    YES ☐ NO ☒
    v Do you want to apply for a UNNC PhD scholarship (UNNC PhD scholarship is only applicable to fulltime applicants) YES ☐ NO ☒
    § If yes please specify reference code (Only ONE code is allowed)

    § If your UNNC PhD scholarship application is not successful do you consider selffunding
    YES ☒ NO ☐

    v Other funding source ☐




    16 ACADEMIC HISTORY
    Higher education institutions attended and qualifications obtained or entered for (you must supply full dates) Please start with the most recent All applicants should enclose official transcripts of their qualifications








    Name & Address of Institution
    Dates of Attendance (date started and date awarded)
    Qualification and class of Honours (if any) (Give Grade Point Average if applicable) or prediction of award
    Principal Subject (s) taken
    University of Liverpool
    092017
    to
    122018
    Degree of Master of Arts in Teaching English to Speakers of Other Languages(pass with merit)
    1 Research Skills
    2 Classroom Observation
    3 Practical Classroom Techniques
    4 Lexis And Vocabulary Teaching
    5 Principles Of Course And Materials Design
    China University of Mining and Technology
    092012
    to
    062017
    Bachelor Degree in Architecture
    (average score 80)
    1 Architectural History
    2 Architecture Design








    Other information relevant to your academic history


    17 ENGLISH LANGUAGE QUALIFICATION(S)

    Is English your first language YES ☐ NO ☒

    Iswas English the language of instruction for your first degree YES ☒ NO ☐

    If English is not your first language please provide details of your English language qualifications with results obtained and the date you took the test or will be taking the test below You must provide a copy of your English Language test score report with your application

    SCORE 70 DATE OBTAINED 29092018
    IELTS ☒
    TOEFL (paper version) ☐
    TOEFL (computer version) ☐
    TOEFL (IBT) ☐
    O level or GCSE ☐

    Other (please specify)

    18 REFERENCES
    Please give the names of your two referees At least one should be from an academic member of staff at the institution where you gained your most advanced qualification You are advised to find an academic referee who will not be your potential PGR supervisor

    REFEREE 1

    Name Dr Christian Jones

    Position Senior Lecturer Director MA TESOL and MA Applied Linguistics

    Address 19 Abercromby Square University of Liverpool L69 7ZG
    Telephone Number +44 (0)151 794 2724

    E mail address ChristianJones2@liverpoolacuk

    REFEREE 2

    Name Zhen Li

    Position Director of Overseas English training DepartmentNew Oriental Language school

    Address 32F Didu Building Xuzhou Jiangsu 221000

    Telephone Number +44 (0)151 794 2724

    19 Email address lizhen8@xdfcn

    20 A Research Proposal
    Please provide a separate and detailed Research Proposal and attach to the application form

    21 Have you already made contact with a potential supervisor at UNNC YES ☐ NO ☒

    If yes please give the name and School of the contact person at UNNC

    NAME

    SCHOOL

    22 CAREER HISTORY
    Please give details of relevant employment andor professional experience (current first) Continue on a separate sheet or enclose a curriculum vitae if necessary

    Date(s)
    From To
    (please specify whether post was full or part time)
    Name and address of employer
    20161
    20176

    Education (Teacher)

    English Teacher parttime




    New Oriental Language school 32F Didu Building Xuzhou Jiangsu221000
    20188
    20195

    Education (Teacher)

    Teaching IELTS Listening parttime




    New Oriental Language school 32F Didu Building Xuzhou Jiangsu221000

    23 DISABILITY SPECIAL NEEDS

    The University of Nottingham Ningbo China aims to provide an environment in which all of our students are able to participate fully in university life In order to assist us provide suitable support please indicate if you have a disability This will not affect judgements concerning your academic suitability for a course and will be treated confidentially

    ☒ None
    ☐ You have a specific learning difficulty (for example dyslexia)
    ☐ You are blind or partially sighted
    ☐ You are deaf or hard of hearing
    ☐ You use a wheelchair or have mobility difficulties
    ☐ You have mental health difficulties
    ☐ You have a disability that cannot be seen for example diabetes epilepsy or a heart condition
    ☐ You have two or more of the above
    ☐ You have a disability special need or medical condition that is not listed above

    Further details details about a disability not listed above

    24 DO YOU HAVE ANY CRIMINAL CONVICTIONS (excluding motoring offences for which a fine andor 3 penalty points were imposed)

    YES ☐ NO ☒



    25 HOW DID YOU LEARN ABOUT THE UNIVERSITY OF NOTTINGHAM NINGBO CHINA AND ITS PROGRAMMES

    Education Platform
    Social Media
    Search Engine
    FairExhibition
    Other
    ☐FindaPhDcom
    · ☐Prospectsacuk
    · ☐Mastersportal
    · ☐ISAS (Big Choice)
    · ☐Study link
    · ☐Educationcom
    · ☐Hotcourses

    ☐Facebook
    ☐Twitter
    ☐Instagram
    ☐VK
    ☐Wechat
    ☐Weibo
    ☐Google
    ☐Baidu
    ☐Bing
    ☐Yahoo
    ☐QS Grad School Fair
    ☐IGSF China Fair
    ☐PhD Workshops
    ☐EOL Fairs
    ☒Familyfriend recommendation
    ☐Agent
    ☐Career OfficeBrochure
    ☐British Council

    Other (Please specify)_____________________________________________________________________________

    26 PLEASE CHECK THAT YOUR APPLICATION IS COMPLETE AND THAT YOU HAVE ENCLOSED ALL THE RELEVANT DOCUMENTS
    ☒ A completed application form (all fields filled)
    ☒ Copies of degree certificates for undergraduate and postgraduate studies with English translation (Xueli certificates are required too for applicants from Chinese universities)
    ☒ Official transcripts with marks for all individual modulescourses from undergraduate and postgraduate studies (with official university stamp)
    ☒ Two references must be emailed to PHDAdmissions@nottinghameducn directly by the referees and it’s the applicant’s responsibility to notify referees in advance
    ☒ English Language test score report (IELTSPTE academic etc) if applicable (not required for native English speakers)
    ☒ A research proposal (For EdD applicants one academic writing is required instead of research proposal)
    ☒ A copy of passport (international applicants) or ID card (Chinese nationals both sides of Chinese ID cards required)
    ☒ An electronic copy of passportsized photo taken within three months of this application
    ☒ A brief CV (required for EdD applicants only)
    ☐ A Personal Statement (required for Faculty of Business applicants only)
    ☐ A copy of your Masters’ dissertation or a published paper or conference paper or a sample of your writing work (for applicants to the School of International Studies only)

    DECLARATION
    I confirm that the information given on this form is true complete and accurate and no information requested or other material information has been omitted If I do not fully comply with these requirements the University of Nottingham Ningbo China shall have the right to cancel my application and I shall have no claim against the University of Nottingham Ningbo China or any higher education institution or college in relation thereto

    Signature Date 2019516


    Completed application form and scanned supporting documents should be emailed to PHDAdmissions@nottinghameducn

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