APPLICATION FORM Albi Rosenthal Visiting Fellowship in Music, 2018-19 To be submitted with the statement of proposed research For office use: Register no:
PERSONAL DETAILS
Title	Full name
Home address
Email address
Telephone (or mobile)
Home institution/ affiliation/organisation (include full address)	Job title

DETAILS OF SCORES TO BE SUBMITTED IN APPLICATION
Titles and details of between 2 and 5 anonymized scores submitted for consideration with this application and details of anonymized recordings, if included
PROPOSED PERIOD OF RESEARCH IN OXFORD
Proposed start date of visit	Proposed end date

REFEREE DETAILS (including email addresses)
Referee #1
Referee #2

Please return this completed form to fellowships@bodleian.ox.ac.uk, along with: Your up-to-date curriculum vitae; 2 letters of recommendation: Your referees may email us directly; and A statement of the proposed research (1,000 words maximum): This should specify the contribution that the research visit will make to your project. Note: Each document must be sent as an individual pdf or Word file. Please do not combine all the documents into one pdf or Word file. See Further Particulars for guidance on the submission of anonymized scores.