Future Climate Innovators application form

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1 Uppercase letter
1 Lowercase letter
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About you

First name

Preferred first name

Surname

Pronouns

Gender identity

Ethnicity

Country of residence

Date of Birth

Home postcode

Do you have a disability?

YesNo

Please note any additional support needs

About your school

School name

School town/city

School country

School postcode

School code

If you have been given a code for your application please enter here.

Qualification you are studying towards

Other

Please list the subjects you are currently studying

How do you intend to fund your place on this programme?

Have you ever received or applied for a scholarship to fund your place on this programme?

Awarding body/institution

Name of the award

Will the scholarship fully or partially fund your place?

FullyPartially

Date awarded

Would you like to be considered for a full and/or partial fee scholarship?

Yes

Are you a young carer?

YesNo

Have you ever been placed in the care of your local authority?

YesNo

Have you been eligible for free school meals in the last six years?

YesNo

Your application

Why would you like to attend the summer school?

What skills would you like to develop by being on the summer school?

What do you think you can bring to the summer school?

Primary Programme

Cohort

References

Teacher Referee Name

Please provide the name of a teacher.

Teacher's title or position in your school

Please provide the position of teacher in your school.

Teachers email or contact details

Please provide the teacher's contact email address.

Parent/Guardian Name

Please provide the name of a parent or guardian.

Address

Please provide the address of a parent or guardian.

Please provide the email address of a parent or guardian.

Phone number

Please provide the phone number of a parent or guardian.

Additional information

How did you first hear about the programme?

Please specify

Will you need a visa to travel to the programme?

YesNo

To enjoy all the benefits of the programme from academic and social aspects, a level of English proficiency equivalent to level B2 – upper-intermediate of the Common European Framework of Reference for Languages (CEFR) is needed.

I confirm that I am proficient in spoken and written English to B2 level (this will be verified during the video interview stage).

YesNo

Submit application

Signature

In place of your signature, please type your full legal name to indicate that you have read, understood and accept our terms and conditions.

Please type your full legal name

Date completed

Stay in touch

I’d like to receive information and invitations via:

Emails

YesNo

Phone calls

YesNo

By consenting to receive communications you agree to the data storage, communication and tracking of your data as described in our privacy statement.

Saïd Business School also includes Oxford Saïd Business School Limited, a wholly owned subsidiary of the University of Oxford.

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