The London House Course 2023 Application Form

NB. When filling out the form below please ensure that all boxes marked with * are filled out. Failure to do this will mean the form will not submit correctly. Once you click ‘Submit this application’ you should receive a confirmation email with further instructions. If you do not receive this email, please email Rebecca straight away: .

1. General details
Name*
Title Forename Surname
Name by which you are known (for list of participants)*
Correspondence Address*
Address Line 1 Address Line 2 City County / State / Region Post Code Country
Email address*
Enter Email Confirm Email
Are you happy for your name, correspondence address and email to be held on the Attingham Trust database? This will be for archival purposes and for sending you information on future Attingham courses and events and will NOT be shared by any third party.*
- Yes
- No
Telephone number (Mobile)*
Nationality*
Date of Birth*

Day
Month
Year
Age (in October 2023)*
2. Current Employment
Job Title*
Institution*
Responsibilities*
3. Abbreviated Biography
Education/Qualifications and significant courses (with dates attended)*
Previous work experience and responsibilities (last two posts held)*
Professional interests/specialities*
Membership of relevant societies/organisations*
Select Publications (most recent/relevant)*
4. Personal Statement
‘Reasons for wishing to attend the London House Course*
How did you hear about the Attingham Trust*
Have you previously applied to attend this course?*
- Yes
- No
Please specify year*
Have you attended other Attingham courses ?*
- Yes
- No
Please specify which courses and years
Please Note when making your application that this is an intensive and physically strenuous course. There is plenty of walking, standing and climbing stairs and your fitness must be of a level that will not impact on the enjoyment of the group or take up disproportionate amounts of the organisers’ attention. You should have a good level of spoken English. Whilst we are happy to cater for vegetarian and gluten-free needs, other specialist diets cannot always be accommodated.

An interview via Zoom may be required.

Letter of Professional Reference
You are required to send a letter of professional reference UNLESS you have attended an Attingham Trust course in the last 5 years.
To submit your application
Once complete, please submit the application form using the submit button below. You will receive an email confirmation with a PDF of your completed application form.
Please ensure that your letter of professional reference (if applicable) is sent directly to Rebecca Parker either by email: or via post to:
Rebecca Parker
The Attingham Trust
London House Co-ordinator
70 Cowcross Street
London
EC1M 6EJ
NB. Everything must be received by the deadline date of 12th April 2023. Any queries should be addressed to Email:
Phone
This field is for validation purposes and should be left unchanged.

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The London House Course 2023 Application Form

1. General details

2. Current Employment

3. Abbreviated Biography

4. Personal Statement

To submit your application