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Application Info Template

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6 views5 pages

Application Info Template

Uploaded by

dalechemo011
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Information template for RSC membership application

This document is provided to assist applicants who do not have a CV to hand in support
of their application. It is a template. If you wish to create your own individual sections
or delete sections irrelevant to you, please do so.

We will require information covering your complete career history. Be sure not to leave
any gaps.

If you require any assistance please contact the membership team leader at
[email protected] or +44(0)1223 432316.
Information template for RSC membership application page 1 of 6

FULL NAME:

Date of Birth:

EDUCATION

First course (e.g. bachelors)

Name of university
Award (e.g. BSc, MChem)
Title of course (e.g. chemistry)
Dates studied from: to: Date awarded:

Full/Part Time st
Classification (e.g. 1 , 2.1. 2.2, 3rd)

Second course (e.g. masters)

Name of University
Award (e.g. BSc, MChem)
Title of Course (e.g. chemistry)
Dates studied from: to: Date awarded:
Full/Part Time: By exam, research or both:

Third course (e.g. PhD)

Name of University
Award (e.g. PhD)
Title of thesis
Dates studied from: to: Date awarded:

PROFESSIONAL EXPERIENCE:

A). Current (or most recent) role

Job Title
Dates from/to
Employer’s Name
Employer’s Address

Number of Staff directly indirectly


Supervised
Information template for RSC membership application page 2 of 6

Description of Duties

B) Previous role

Job Title
Dates from/to
Employer’s Name
Employer’s Address

Number of Staff directly indirectly


Supervised
Information template for RSC membership application page 3 of 6

Description of Duties

c) Role prior to B

Job Title
Dates from/to
Employer’s Name
Employer’s Address

Number of Staff directly indirectly


Supervised

Description of Duties

PUBLISHED MATERIAL (if applicable)

Number of:

Books Papers Patents

(Please attach or paste into this document your publications list indicating the “senior” author)
Information template for RSC membership application page 4 of 6

OTHER DETAILS

(Please include any other information to support of your application. For example, notable achievements
within your organisation, external activity complimentary to job role, conference activity, awards,
membership of boards/committees.)

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