ICE QUEST Kenneth Watson Travel Award

Application form

Deadline

The deadline for applications is 24 March 2017. In addition to your application form, your

reference form should be forwarded by your referee so it is received by this deadline.

Submission

Please email your application form to and ask your referee
to email your reference to

Please note: You should only apply for the Kenneth Watson Award if you are a student.

I have asked my referee to complete and send the reference form (please tick)
The activity/project is not a part of my course or any module of study, and is not an industrial placement as part of a sandwich course or supplementary award (please tick)

Section A

Personal information

First name(s) / Title
Surname / Membership no.
You must be a current ICE Student member and must have become a member before the 1 December 2016
Please give the date you became an ICE Student member (dd/mm/yy)

Contact details

Please log on to MyICE and review/update your personal contact details as these will be used to contact you. Once you have reviewed/updated your details, please then complete the rest of this form.

I have reviewed my personal contact details via MyICE and updated where necessary (please tick)

Previous QUEST scholarship or award

Have you previously received a QUEST scholarship or award? / Yes / No
If yes, please give the name of the award or scholarship and when it was awarded? (list all)

University/college and course of study

University/college name / Duration of course
Qualification (e.g. MEng) / Start date (mm/yy)
Course title (e.g. Civil Engineering) / Graduation date (mm/yy)

How did you hear about the ICE QUEST Kenneth Watson Travel Award? (Please tick)

ICE Members enewsletter / ICE website / Other (please specify below)

Section B

Details of proposed activity

Departure date (dd/mm/yy) / Return date (dd/mm/yy)
Destination
Name of the project
1. Please briefly summarise the overall project
2. Please state the aims and targets of your particular activity/role in the overall project and how you plan to achieve them
3. Please explain what social, technical or other benefits the project/activity will bring to others, yourself and ICE

Section C

Finance

1. Please detail your total personal expenses (sub-divided into categories) in pounds sterling
You should detail some or all of the following giving explanations where necessary: flights, essential in-country travel, accommodation, living expenses/subsistence, insurance, visas and vaccinations/medical expenses.
2. Please state the total amount sought from QUEST (maximum £1,500)
Awards are discretionary in value up to a maximum of £1,500 and award winners are not guaranteed to receive the full amount sought if successful
3. Please explain how else you intend to fund your travel and activity
Please include any contributions you are making personally or receiving from companies or organisations. Please also give full details of any other bursaries, grants or scholarships you have applied for and the amount(s) sought, and details of any that have been awarded including the amount you have received.

Declaration

The information given in this application is to the best of my knowledge complete and correct. (please tick)
Name / Date

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