DCYA 12 Application Form
Department of Children and Youth Affairs
Research Fellowship Programme
2012/2013
PART A – APPLICANT’S CHECK LIST
STARTING NOTESApplicants should read the Terms and Conditions of the Scheme.
Applicants should ensure this form is completed in full.
Where there is no information to be provided applicants should write ‘n/a’.
Applicants should use body text of at least a 12 point font and should not exceed the stated word or page limits. For each section where a word count is requested, applicants are requested to place the number of words in brackets.
Applications, which are incomplete; exceed the stated word limits; arrive late, or do not satisfy the Terms and Conditions, will be automatically disallowed.
Applicants must return the completed form and supporting materials to Research Division, Department of Children and Youth Affairs, 43-49 Mespil Road, Dublin 4. Applications must be submitted by letter post. Applications postmarked after Monday 30th April 2012 will not be accepted.
An electronic copy of the application must also be sent to Electronic copies submitted after 4pm (GMT) Monday 30th April 2012 will not be accepted.
Applicants are advised to allow their supervisor, referee, their proposed institution and themselves sufficient time to complete this form. Applicants should make arrangements to receive the completed statement of research environment and reference as soon as possible.
CHECK LIST
Please consult the Terms and Conditions of the Scheme and complete the following: / Yes (√). / No (√).
I have read and understood the Terms and Conditions of the Scheme.
I have completed this application form (including bibliography, ethics and research environment statements) in accordance with the instructions.
I have ticked the year and type of degree I am pursuing
I have included the following (see Terms and Conditions Section C): / Yes (√). / No (√).
One completed hard copy of application form with no appendages(1 original, not pp or electronic signed, copy)
One electronic copy of the completed application form (signatures and stamps not required)
One appropriately sealed and signed reference (Original signed copy using appropriate template)
PART B – APPLICANT AND PROJECT SUMMARY
FULL NAMEDATE AND PLACE OF BIRTH
ADDRESS
Please use a single address for all correspondence from application, award and scholarship stages (until October 2012 at least).
TELEPHONE
Please use a single email for all correspondence from application, award and scholarship stages (until October 2012 at least).
Project title
SHORT DESCRIPTION OF PROJECT (max. 50 words)
[insert word count]
Discipline
Host Institution
Type of Degree for which you are applying or pursuing (tick √ relevant box) / Stand Alone Research Masters
Stand Alone Doctorate
Structured/Integrated Doctorate
PLEASE INDICATE IF YOU: / Yes (√). / No (√).
Intend to use GUI data?
Have you previously submitted this project[2] for DCYA (or OMCYA) Scholarship Programme funding? (tick √ the appropriate box).
If yes, please indicate the year of your previous application?
PART C – ACADEMIC RECORD
Include details of any qualifying examinations to enter postgraduate studies.
Name of institution(s) attended / Years Registered From/To / Title of Qualification(s) (e.g. BA) / Subject (s) / Awarding Institution(s) / Level/Class (e.g. 2.1) / Date Conferred
1.1 / If you have not yet graduated, please state when your examination results will be available. Note: Undergraduates must achieve at least a Second Class Honours Degree, Grade 1, or its equivalent, in order to qualify for a scholarship: See “Terms and Conditions Section B”
2. / POSTGRADUATE CAREER - TAUGHT DEGREES/DIPLOMAS
(Masters degree results may be considered to take precedence over the results of the primary degree: See “Terms and Conditions Section B).
Name of institution(s) attended / Years Registered From/To / Title of Qualification(s) (e.g. MA) / Subject (s) / Awarding Institution(s) / Level/Class (e.g. 2.1) / Date Conferred
2.1 / If you have not yet graduated, please state when your examination results will be available. (Masters degree results may be considered to take precedence over the results of the primary degree)
3. / POSTGRADUATE CAREER – RESEARCH (Scholarship application)
Please confirm the type of degree being / to be pursued and year for the year of application for the commencement of academic year 2011/12 (√).
Type / Year 1 / Year 2 / Year 3 / Year 4
Stand-alone Masters
Stand-alone Doctorate
Structured/Integrated Doctorate
N.B. The duration of a Scholarship (see “Terms and Conditions Section E) is determined from the information provided here and thus it is essential that applicants answer the above question correctly. If applicants are unsure about how to answer the question, they should consult their supervisor(s).
4. / PLEASE COMPLETE IN RESPECT OF DEGREE TYPE BEING/TO BE PURSUED
Original/Proposed date of registration (month and year)
Proposed Completion Date (month and year)
If already registered, please specify the no. of years registered in programme
Have your studies been interrupted? For example, certified sick leave or maternity leave. If so, please give details and provide certificates where possible.
5. / OTHER RELEVANT ACADEMIC OR PERSONAL DETAILS
6. / COUNTRY OF CITIZENSHIP/EU FEES STATUS
Ireland (√).
Other EU Country (please identify)
Have you fulfilled the residency criteria? (√)
see “Terms and Conditions Section B”
Are you eligible for EU fees at your proposed host institution (√)
see “Terms and Conditions Section B”
PART D – PROJECT PROPOSAL
7. / PLEASE INDICATE THE DISCIPLINE TO WHICH YOUR PROJECT RELATES8. / RESEARCH DIRECTOR/SUPERVISOR AND INSTITUTION AND DEPARTMENT WHERE RESEARCH IS BEING / WILL BE CARRIED OUT
Research Director/Supervisor Name
Institution
Department/School
9. / PROJECT
Candidates are advised that they must present this information within the body of the application form only (no appended documents/sheets) under the designated headings and that they must not exceed the stated word limits.* Candidates are advised to consult the Evaluation Criteria in Section D of the Terms and Conditions when completing this section.
*Please insert word count where required.
PART 9A: ALL APPLICANTS SHOULD COMPLETE PART 9A IN FULL
9A.1. / Description of topic to include, for example, aims and objectives and central research questions (max. 1000 words).
[insert word count]
9A.2. / Methodology, to include, for example, investigative and analytic methods and theoretical frameworks (max. 600 words).
[insert word count]
9A.3. / Research plan to include,for example, a schedule for the completion of tasks/phases of the project and efficient management and performance of research (max. 400 words).
[insert word count]
9A.4. / Description of the relationship of the project to existing research. Suggest how the project will make a new contribution to knowledge. Do not provide bibliographical lists or footnotes here (max. 600 words).
[insert word count]
9A.5 / Description of any specialist knowledge/data required to undertake the project (e.g. language competence, technical skills, use of specialist software, etc.). Describe plans for acquiring this knowledge/data if it is not already in place. Describe how data required for this project will be accessed (max. 400 words
[insert word count]
9A.6. / Description of the relationship of the project outcome areas of the National Data and Research Strategy 2011-2016. Suggest how the project will make a new contribution to one or more outcome area. Do not provide bibliographical lists or footnotes here (max. 250 words).).
[insert word count]
9A.7. / Reason for choosing the institution and supervisor for the project. Please provide details if the project will be part of the work of an established research team (max. 400 words).
[insert word count]
9A.8. / Please provide detail on any proposed research trips (more than three weeks duration) which will be necessary as part of your proposed project (max. 200 words).
[insert word count]
9A.9. / Description of dissemination plans (i.e. conference papers and publications)and potential impact, where relevant (max. 200 words).
[insert word count]
PART 9B: Registered postgraduate students
An applicant who is already registered as a postgraduate student in one of the degree programmes listed in Section A of the “Terms and Conditions’’ should complete the following:
Detail your progress to date, including completed tasks, chapters etc. (max.500 words).
[insert word count]
PART 9C: Previous applicants
An applicant who has previously applied to the DCYA /OMCYA Research Fellowship Programme should complete the following:
Description of modifications made to the proposal or progress made since application where appropriate, if the proposal has been previously submitted to the DCYA Research Fellowship Programme (max.200 words).
[insert word count]
10. / CONFERENCE PRESENTATIONS/PAPERS PUBLISHED/ACCEPTED FOR PUBLICATION
Title / Conference/Where Published/Where Submitted
11. / BIBLIOGRAPHY
A bibliography (of no more than two-pages in length) should be inserted here in the body of the application form. This should be of no more than two pages (font size 12 points) and is in addition to the word count.
12. / ACADEMIC REFERENCE
Please provide the name, position and official address of one academic referee who is acquainted with your academic work and who has provided an original signed and sealed reference[3] on your behalf. This confidential reference should be submitted by the applicant as part of your application package. The reference must be original and completed on the official referee form (available via www.dcya.ie)
NAME & POSITION
Name
Position
Department/School and Institution
CONTACT DETAILS
Address
Telephone
Facsimile
PART E – REQUISITE SIGNATURES
13. / DECLARATIONI declare that the above particulars are correct and understand that the circulated “Terms and Conditions” apply. If I receive any other awards and scholarships or accept paid employment, I will inform the Head of Research, DCYA within 21 days of my notification of the same. I accept that failure to abide by the “Terms and Conditions” will disqualify me from this Scheme
Signature of Applicant
Date
14. / ETHICS
See Terms and Conditions Section C / Yes (√). / No (√).
Does the research proposal outlined in this submission require approval by the relevant University/Institutional Ethics Committee?
Signature of Head of Department
In the event of a successful outcome to this application, written evidence of ethical approval will need to be received by the Research Division, DCYA ,prior to confirmation of the Scholarship.
15. / ENDORSEMENT BY COLLEGE AUTHORITIES
I hereby endorse this application to the Department of Children and Youth Affairs Research Scholarship Programme in accordance with the “Terms and Conditions”, confirm that the applicant is pursuing the degree as stated above.
Signature of Research Director/Supervisor/or his or her authorised nominee
Date
Signature of Vice-President for Research/Dean of Research/his or her authorised nominee
Date
STAMP OF INSTITUTION
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[2] Indicate if you have previously applied to the Scholarship Programme. Applicants may only re-apply to the scheme with the same project on one subsequent occasion (with effect from 1st February 2012).
[3] An ‘original signed and sealed reference’ is a duly completed reference form bearing the original signature (no pro persona (p.p.) or electronic/scanned signatures will be accepted) of the referee. Neither photocopies nor electronic copies of references will be accepted.