WMG Research Trainee Placement Form

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PERSONAL DETAILS

Title

First Name

Family Name

Your Email Address

Gender

Date of birth dd/mm/yyyy

Nationality

ADDRESS DETAILS

Home address line 1

Home address line 2

Home address line 3

Home address line 4

Country

Home postcode

HOME UNIVERSITY

Legal name of home university

Home university address 1

Home university address 2

Home university address 3

Home university Country

Postcode

PLACEMENT DETAILS

Department at Warwick

Intended Start Date

Intended End Date

Brief outline of your placement plan

DEPARTMENTAL CONTACTS AT HOME UNIVERSITY

Supervisors name

Supervisors email address

Departmental administrative contact

Departmental administrative contact email

Departmental contact for monitoring purposes if different from above

Departmental contact for monitoring email

You are required to submit 3 attachments.

1. A copy of your written authorisations from your home University for your placement (3). This should be signed by your academic mentor/tutor, the Head of Department or a senior departmental administrator. (Word or PDF format)

2. A photograph for your University ID card. Please see the University of Warwick guidelines for photo ID below. (PDF, JPEG, JPG, PNG format)

3. Evidence of nationality for eligibility to work/study in UK/EU/EAA citizenship: e.g. copy of passport data of page or national identity card. (PDF, JPEG, JPG, PNG format)

Maximum 6 Attachments

Attach file

No files are currently attached.

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