Monday 24th July



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Aurora Programme 2017/2018 Application Form

Please complete this form as indicated and return to hr-equality@qmul.ac.uk by Monday 24th July. If demand for places is high we will be holding informal selection interviews for places on the programme between Mon 14th August and Fri 25th August. A range of interview dates/times will be available for you to book.



Your Name




Department/School




Email address




Job Role




Line Managers Name




Cohort preference

Autumn 2017, Spring 2018, or no preference (delete as applicable)

I confirm that my line manager supports my application and can release me to attend all scheduled events for the Aurora programme:

YES/NO

Dates for 2017/2018 London cohorts are available via:

https://www.lfhe.ac.uk/en/programmes-events/programmes/women-only/aurora/dates-venues-and-booking-for-20172018.cfm



Please use the remainder of this document (two sides A4 maximum) to explain/evidence the following:

  1. What you hope to gain from participating in the Aurora Programme

  2. Your commitment to personal/professional development


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