Election in Convocation

ELECTION IN CONVOCATION

NOMINATION FOR THE OFFICE OF PROFESSOR OF POETRY

Information and Registration of Candidates

This form sets out the main information required from Candidates. With the exception of the field marked with an asterisk* below (preferred format for publication), this information will not be published. Please complete this form clearly and return it to the Elections Office, University Offices, Wellington Square, Oxford OX1 2JD, by 4pm on Wednesday 6 May 2015.

Candidates must also be nominated by at least 50 members of Convocation, on an official nomination form, which may be downloaded from the University website ( or obtained from the Elections Office (e-mail: ). Faxed forms or electronic signatures will not be accepted.

Part A: Candidate Details

Title:
First name:
Surname:
Pseudonym (if applicable):
Address:
e-mail address:
Contact telephone number:
Date of birth:
Nationality:
Graduate of Oxford :
Other academic qualifications:
*Preferred format for publication:
Please indicate how you wish your name to appear in University publications and on the ballot paper regarding this election.

Part B: Candidate Representative (if any):

If you wish, you may authorise a member of Convocation to act as your representative during this election. [note. your representative may be required to provide further information (such as date of birth, college, or current University dept) to enable us to confirm his/her membership of Convocation.]

Title:
First name:
Surname:
Address:
e-mail address:
Contact telephone number:

Part C: Candidate statement

Each candidate for election, or authorised representative, may submit for publication a written statement, of no more than 500 words, setting out the candidate's reasons for standing. In the event of a contested election, these statements will be published in the University Gazette and on the official University web site.

Please indicate by ticking one of the boxes below:

I have enclosed a candidate statement

I will forward a candidate statement before or by 4pm on Wednesday 6 May 2015

I will not submit a candidate statement

Part D: Candidate agreement to nomination

By university regulation, all nominations must “be accompanied by a statement signed by the person nominated consenting to the nomination and, if applicable, naming any member(s) of Convocation authorised to act as his or her representative throughout the election”.

Please delete the underlined text as appropriate:

I hereby consent to be nominated as a candidate for election by Convocation to the post of the Professor of Poetry. I do not wish to have a Candidate Representative/The name of my authorised representative during the election is given in part B of this form.

I understand that the information provided on this form will be held and processed for election purposes. I consent to the collection and processing of the relevant personal data by the University subject to the provisions of the Data Protection Act 1998.

……………………………………………………
(name)

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(signature)

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(date)