Oxford University

Creative Writing Summer School 2015

Please ensure all sections are completed fully, clearly, and in BLOCK CAPITALS

Personal information

SEMINAR CHOICES

Title (Mr/Ms/Other).............................................. Male

Female

Level 2 applicants only

.....................................................................................................................

Students take two seminars. We will try to place you in

your first and second choice courses, but in some cases
allocations to other seminars will be necessary. Please rank
the seminars 1-7 in order of preference, with 1 being
your first choice and 7 your seventh choice. Please check
the seminar timetable carefully to ensure that your first
and second choice courses do not run at the same time.

Date of birth Day.................. Month................... Year..................

Biography and Autobiography

All first names . ........................................................................................

(As shown on passport)

Last name ...........................................................................................................

(As shown on passport)
Preferred name for name badge (One first name and one last only)

(eg 25 Dec 1990)

Nationality (As shown on passport).......................................................

Will you be travelling to the UK on an EU passport? Yes

No

Key Aspects of the Fiction Writers Craft

Poetry
The Writer Within

Street address .........................................................................................

Writing about Place

Town ..........................................................................................................

Writing for Performance

Region/state.............................................. Postal code.........................

Young Adult Fiction

Country......................................................... Valid until.........................

Email............................................................................................................
Telephone (Home)....................................................................................
Telephone (Daytime)...............................................................................

ACADEMIC RECORD
Previous and current study
University/
college

Degree
Subject

Date received/
expected

Permanent address (If different from above)

..................................................................................................................................

.....................................................................................................................
Telephone (Home)................................ (Daytime)................................
Occupation................................................................................................

Emergency Contact
Name..........................................................................................................
Relationship...............................................................................................
Telephone (Home). ............................. (Daytime)................................
Email............................................................................................................
Address .....................................................................................................

Health
Do you have a disability/special need?

Yes

No

If yes, please state your disability or describe any special

need/support required to assist you with your study
.....................................................................................................................

Do you wish to obtain credit for this

programme at your institution?

Yes

No

If so, have you cleared this with your institution? Yes

No

Application Checklist
Your application should include
Application form
Personal statement
Samples of your work
Transcript or certified list of courses taken
Evidence of English language competency (non-native
speakers of English only)
l Letter of recommendation Please note that past
l
l
l
l
l

participants are not required to submit a further letter

of recommendation
l Four passport-sized photographs (4.5cm high x 3.5cm wide)
Please note that incomplete applications will not beconsidered

Post to: Creative Writing Summer School, OUDCE,

1 Wellington Square, OXFORD, OX1 2JA, UK

Oxford University Creative Writing Summer School 2015

Please ensure all sections are completed fully, clearly, and in BLOCK CAPITALS

Residential Status

a) Information collected on this form will be held in accordance

The following special diets are available but only if requested

in advance

with the provisions of the Data Protection Act 1998 for

the purposes of processing your application and for student
administration. It will be held securely and not passed
on to third parties (please see our privacy policy www.
admin.ox.ac.uk/dataprotection for further information).
Periodically, Oxford University Department for Continuing
Education (OUDCE) may send you information about its future
programmes, about other activities related to its programmes
and about the benefits and services which are available
to students of OUDCE. If you do not wish to receive such

Vegan

information, please tick the following boxes:

Residential: Standard - shared bathroom facilities 2,800

Residential: En suite - private shower and toilet

3,060

Non-residential

1,235

Dietary Requirements

Vegetarian

I do not wish to receive information by post

Fish-eating vegetarian

I do not wish to receive information by email

Demi-vegetarian (no red meat)

Gluten-free
Non-dairy
Diabetic
Food allergy please specify
.....................................................................................................................
.....................................................................................................................

Marketing and Data Protection

How did you find out about the Creative Writing
Summer School?
Select one option only
I am a past participant in this summer school
I last attended in (year).........................................................................
Internet search
Which search terms did you use?........................................................
Link from another website
Which?.......................................................................................................
Social media
Which?.......................................................................................................
Blog or article
Where?.......................................................................................................
Advert or listing in a newspaper or magazine
Which? ......................................................................................................
Print item
Which and where? .................................................................................
Personal recommendation
From whom? ............................................................................................
Referred by an educational institution or organisation
Which? ......................................................................................................

b) OUDCE may occasionally wish to collect images (both

photographs and video recordings) of its activities, including
lectures, tutorials, seminars and social events. These
photographs and video recordings may be used by OUDCE
and Oxford University for the promotion of their educational
activities.

I hereby grant to OUDCE the right and permission to take,

hold, use, and publish photographs and video recordings in
which I appear in printed or electronic media, including the
internet, for advertising and promoting educational activities.
I understand that if I no longer want a photograph in which I
appear to be used, I can contact the Programme Administrator
to request that it be removed. However, I accept that it might
not always be possible to remove all existing copies from
circulation.
Please tick this box if you do not wish photographs and
video recordings of you to be used as described above.

Declaration
I certify that the information given in this application is
complete and accurate to the best of my knowledge. In
enrolling on the Creative Writing Summer School 2015
I accept responsibility for payment of the full fees in
accordance with OUDCEs terms and conditions
(www.conted.ox.ac.uk/termsandconditions). I also agree
to abide by the regulations of OUDCE (www.conted.ox.ac.
uk/students/disciplinaryregulations).
Subject to English law
Signature....................................................................................................
Date............................................................................................................