【pgr-application-form-15nov2017】 applicationform

　 FOR OFFICE USE ONLY Application No Fees Ref No

　 Application Form for Master by Research/Ed.D/PhD 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@nottingham.edu.cn.

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

　1 POSTGRADUATE DEGREE/COURSE PLEASE STATE QUALIFICATION AND SCHOOL FOR WHICH YOU ARE APPLYING:

　 (a) RESEARCH DEGREE (eg PhD, Ed.D 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 FULL-TIME

　☐ PART-TIME ☒

　3 PROPOSED Entry OF ADMISSION

　 March ☐

　 June ☐

　September ☒

　 December ☐

　4 TITLE (Mr/Mrs/Miss/Ms/Dr)

　 Mr

　5 SURNAME/FAMILY NAME ZHANG

　6 FIRST NAMES

　 WENTAO

　7 DATE OF BIRTH (dd/mm/yy)

　13/02/1994

　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B3-1-1401

　POSTCODE

　221000

　FROM (dd/mm/yy)

　12/2016

　 TO

　 NOW

　TELEPHONE NUMBER

　 MOBILE NUMBER

　+86 15050011388

　 E-MAIL ADDRESS 15050011388@163.com

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

　POSTCODE

　FROM (dd/mm/yy)

　 TO

　TELEPHONE NUMBER

　MOBILE NUMBER

　E-MAIL 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: http://www.nottingham.edu.cn/en/graduateschool/phd-scholarships/phd-scholarships.aspx ) v Self-funding

　☒

　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 full-time 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 self-funding? 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

　09/2017

　to 12/2018 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 09/2012

　to 06/2017

　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

　 ☒

　Is/was 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 7.0

　DATE OBTAINED 29/09/2018 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

　Christian.Jones2@liverpool.ac.uk

　REFEREE 2

　Name Zhen Li

　Position Director of Overseas English training Department,New Oriental Language school

　Address

　32F, Didu Building, Xuzhou, Jiangsu, 221000

　Telephone Number +44 (0)151 794 2724

　19 E-mail address lizhen8@xdf.cn

　 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 and/or 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 2016.1 2017.6

　Education (Teacher)

　English Teacher,

　part-time

　 New Oriental Language school, 32F, Didu Building, Xuzhou, Jiangsu,221000 2018.8 2019.5

　Education (Teacher)

　Teaching IELTS Listening,

　part-time

　 New Oriental Language school, 32F, Didu Building, Xuzhou, Jiangsu,221000

　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 and/or 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 Fair/Exhibition Other ☐FindaPhD.com · ☐Prospects.ac.uk · ☐Mastersportal · ☐ISAS (Big Choice) · ☐Study link · ☐Education.com · ☐Hotcourses

　☐Facebook ☐Twitter ☐Instagram ☐VK ☐Wechat ☐Weibo ☐Google ☐Baidu ☐Bing ☐Yahoo ☐QS Grad School Fair ☐IGSF China Fair ☐PhD Workshops ☐EOL Fairs ☒Family/friend recommendation ☐Agent ☐Career Office/Brochure ☐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 modules/courses from undergraduate and

　postgraduate studies (with official university stamp)

　 ☒

　Two references must be emailed to PHDAdmissions@nottingham.edu.cn directly by the

　referees and it’s the applicant’s responsibility to notify referees in advance.

　☒

　English Language test score report (IELTS/PTE academic etc.) if applicable (not required for

　native English speakers)

　☒

　 A research proposal (For Ed.D 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 passport-sized photo taken within three months of this application

　 ☒

　 A brief CV (required for Ed.D 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

　 2019.5.16

　 Completed application form and scanned supporting documents should be emailed to PHDAdmissions@nottingham.edu.cn