Application Form - Research Preparation Master S Scheme

Application for Block Grant Partnership Funding

Professional Preparation Masters Programmes (2011)

Information from the applicant

1: Name

Title

First name(s)

Last name

2: Name of Degree Awarding University

3: Contact details

CORRESPONDENCE ADDRESSALTERNATIVE ADDRESS

Valid to: / From: / To:
Address / Address
Address / Address
Address / Address
Postcode / Postcode
Country / Country
Telephone: / Telephone:
Email Address: / Email Address:

4: Current funding applications

Are you currently applying for BGP/AHRC funding at another institution?

NO / YES / If yes, where else have you applied?

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Applicant: / Initials / Last name

5: Professional experience (Please also attach a professional cv)

Dates
(month and year) / Full or part-time? / Employer/Organisation
(including location) / Status and responsibilities
From / To

6: Career in higher education to date

Undergraduate studyPostgraduate study (if applicable)

Name of university and/or college
Country (if not UK)
Mode of attendance
(please indicate) / Full-time / Part-time / Full-time / Part-time
Month and year in which your course started and finished (or will finish) / Start date (mm yy) / End date (mm yy) / Start date (mm yy) / End date (mm yy)
Qualification and title of award
(e.g. BA English Literature)
Degree classification (where awarded)

7: Details of the University in which you propose to study

Name of the University
Department
Are there ethical implications arising from the proposed research

8: Programme of study details

Programme title, including qualification aim
Name of Programme Director / Course Leader
Month and year in which your programme will start and finish / Start date
(mm yy) / End date
(mm yy) / Full-time

9: Supporting statement

Please make your supporting statement in the space below
Refer to the notes on completing the form and be sure to address the following key points:
1) How the programme will contribute to your career aims; 2) Your interest in this area; 3) Relevant experience.
Word count (note: this should be no more than 500 words):

10: Your referees

Please complete the referees' contact details below.

Referee 1

Name (block capitals)
Contact telephone number
Contact e-mail address
Institution/Organisation
Position
Contact address

Referee 2

Name (block capitals)
Contact telephone number
Contact e-mail address
Institution/Organisation
Position
Contact address

11: Applicant's declaration

I confirm that the information I have provided in this form is complete and accurate to the best of my knowledge at this date.

Signature / Date

Now you should

(a) pass a copy of the completed application, along with copies of the supporting documents, to each of the referees you have cited above so that they can complete their reports; you should supply each of them with a copy of the reference form for them to complete; you should also provide them with "Application for AHRC Funding: Master's Programmes - Notes on completing the form" and "Application for AHRC Funding: General Information";

(b) pass the completed application form to the named contact person in the University in which you propose to study, along with the supporting documents (transcripts of marks and degree results).

The referees should complete their sections and then pass them directly to the University you propose to study (as provided at Question 8). Both refereesare asked to return their references to the relevant University by Friday 24 June 2011 andthis is the deadline by which the University must have a complete application form and all supporting documents.Please note that it is the applicant's responsibility to monitor the progress of the application and check that the application is complete: the University will not request references on your behalf from your referees, and your application will not be considered if both references are not received.

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