Name

Role you are applying for *

- Faculty Representative (A&H, M&NS, P&SS, Business & Economics, Law)- Dean’s Special Advisorate: Interfaith Programming and Projects- Dean’s Special Advisorate: Cross Disciplinary Programming and Projects- Dean’s Special Advisorate: Widening Member Participation and Volunteering- Dean’s Special Advisorate: Equal, Diverse and Inclusive Programming

Subject currently being studied in London

Degree level now being pursued (Masters/PhD)

University or college in London

Goodenough College Faculty you are listed in

I confirm that I have read and understand Goodenough College’s commitment to Freedom of Speech - Https://square.goodenough.ac.uk/resources/events/free-speech-protocol/

Yes / No

State what, if appointed, you will bring to the role - not more than 200 words

If shortlisted, I am able to attend for interview on Monday 9 October 2023 between 12pm and 6pm

Yes / No