Transformative Learning for Sustainable Living

Schumacher

College

Application for Practical Residency in Sustainable Horticulture 2019

Your personal details:

Family Name (exactly as written in passport)
First Name(s) (exactly as written in passport)
Title (please circle) / Mr / Ms / Mrs / Miss / Other
Gender (please circle) / Male / Female
Nationality
Country of birth
What is your country of permanent residence?
If you hold more than one nationality please give details

Your contact details:

Correspondence address / Postcode:
Home address (if different from correspondence address) / Postcode:
Personal email
Personal telephone (home)
Personal telephone (mobile)

Visa and English language:

Do you need a visa to visit and study in the UK? / Y / N
Is English your first language? / Y / N

Employment history:

Name and address of employer / Titles and duties of post / From/To

Qualifications

Please give full details of any qualifications(please include all higher level qualifications)

Educational institution / From/To / Course title / Qualification obtained (if applicable)

Horticultural experience (not covered in previous section)

horticultural site/employer / From/To / description of activities/responsibilities

Personal statement:

Please describe your horticultural experience (personal and professional), why you want to undertake the Practical Residency at Schumacher College, including what you hope to do afterwards and any other relevant information.

Please expand this section to no more than 2 A4 sides.

Funding:

Please indicate if you are able to pay the full £6600 or whether you need a bursary.

I will pay £6600 / Y / N
I wish to apply for a bursary / Y / N

We may wish to see evidence of your funding before offering you a place.

Information on personal financial circumstances:

Awards will be made on the basis of financial need.

Please provide a statement supporting your application for a bursary. The College undertakes many fundraising activities throughout the year to build up the Bursary Fund to make our courses as inclusive as possible. There are many students who do not have the finances to be able to pay the fees at Schumacher College, particularly those from overseas where the exchange rate affects them adversely. We operate on a policy of honesty and ask that students respect this and only apply for a bursary when in genuine need.

Please expand this section to no more than 1 A4 side.

References:

Please submit two references, at least one from someone who can comment on your horticultural experience.

Please provide details of your two referees below:

Referee 1 (horticultural): / Referee 2 (personal):
Name: / Name:
Position: / Position:
Company/Organisation: / Company/Organisation:
Address: / Address:
Postcode: / Postcode:
Country: / Country:
Telephone: / Telephone:
E-mail: / E-mail:

Health and diet:

For health and safety reasons, please indicate any illness, disabilities or on-going medical treatment you are receiving which College staff should know about:
A central tenet of our approach to food is that we provide a balanced and healthy vegetarian diet. We will also provide vegan and gluten-free options where required. However, we can only meet any other dietary requirements where these are related to pre-notified medical conditions. Please advise us here of any medical condition which will affect your diet so that we can discuss this with you in advance of your arrival:

Please tell us how you first heard about the Practical Residency programme:

I confirm my application and that all information given on this form is correct to the best of my knowledge. I understand that the decision to offer me a place rests solely with Schumacher College and is not subject to appeal.

Signature of applicant:……………………………………………………………………………………………….

Please return this form to: Jane Gleeson, Schumacher College, The Old Postern, Dartington, Totnes, DevonTQ9 6EA, UK or