Birkbeck Institute for the Humanities

LONDON CRITICAL THEORY SCHOOL

Summer School

29th June 11th July 2015

Application Form
Please type or write clearly and send this form with your personal
statement by email to Julia Eisner j.eisner@bbk.ac.uk by Friday 20th
March 2015

1. PERSONAL DETAILS
Title: Dr/Mr/Ms (please circle/delete)
Surname/Family name:

First name(s):
Male/Female (please circle/delete)
Date of birth:
Permanent address:

Postcode/Zip:
Country:
Email:
Telephone:

2. QUALIFICATIONS
Please tick the box for the highest qualification to date:
PhD/MPhil
Higher degree from UK University (e.g. MA/MSc/MSci/MPharm/MEng)
Higher degree from another university

3. PERSONAL STATEMENT
Please state in no more than 500 words why you would like to take part in the
Summer School. Please do not include CVs or any abstracts or book chapters.
If necessary use a separate sheet of paper. And please state if you are a
returning student.