UTRD APP12
Application for Admission to Study
for a Research Degree
This form is only to be used in application for the degrees of:
PhD, MPhil, DProf, MProf
- There are three entry points for new research students each academic year. Although we cannot guarantee that you will be offered your preference of entry point, if you would like to be considered for a specific start date then your Application should be received by Graduate Research School by the following deadlines:
- For a target start date in October make your application by 1st June
- For a target start date in February make your application by 1stNovember
- For a target start date in May make your application by 1stMarch
- International applicants should allow for a longer period due to extra administration required. We advise at least another month in advance of these dates
- Applications received late will be automatically considered for the next available entry point
- Your Application will be considered at a review panel. If successful, you will be issued with an offer. This may require you to fulfil certain conditions
- When all conditions have been met and your application is approved for Registration on a research degree, you will be sent an Unconditional Offer Letter with full details of your programme of study and your official start date
Please complete all sections on this form
If you do not provide all the information or additional documents requested
your application will be rejected
APPLICATION FOR ADMISSION TO RESEARCH DEGREE - UTRD APP12
Please complete all sections. Missing information will result in your application being rejected.
Research Degree type(please tick ) / Mode of study(please tick )PhD / Full time
MPhil / Part time
DProf / Distance learning
MProf
Personal Details[Please provide names as they appear on your passport]
SurnameForename(s)
Title (Mr, Miss, Mrs) / Gender / Male / Female
Date of Birth / Email
Telephone / Mobile tel.
Correspondence Address, including postcode
(Where you live now)
/ Permanent Full Home Address
(Your address in the country named below as country of permanent residence)
Nationality / Country of permanent residence
Country of birth / If not born in UK but are already living or staying in the UK, give your date of entry to UK
Passport Number / Please attach a photocopy or scan of your passport with this form
Qualifications
List all academic qualifications studied for at Degree level or higher. Include institution, exact title of award, honours class/grade/mark and subject. Please include copies or scans of all certificates/transcripts, where award was achieved.
Award Title / Dates of Study / Class/grade/mark / Institution / Main subject(s)English Language Proficiency
If English is not your first language, please detail your English language training below:
Award Title / Date / Class/grade/mark / Institution/Awarding BodyAbout your proposal
Name of proposed supervisor (required) / Have you been in contact with this supervisor? / Yes / NoTitle of proposed research
In which Research Institute will the proposed research will be based (please )
Institute Design, Culture & the Arts (IDCA) / Digital Futures Institute (DFI) / Health & Social Care Institute (HSCI) / Social Futures Institute (SoFI) / Technology Futures Institute (TFI) / Teesside Business School research (TUBS)
Applications are expected to be aligned with the research interests of University staff who are based in Research Institutes. Please refer to Institute Web sites:
Aim of proposed research(What are you are you hoping to discover?)
Proposed Literature Review(The main works/authors you intend to read on the subject. Give references.)
Methodology(How are you going to conduct this study? What methods and techniques do you plan to use?)
Contribution to Knowledge(Why is this study worth doing?) If applying for a PhD, explain why this is likely to be“new”, “original” and “significant” knowledge)
You mayalso attach a further more detailed written proposal further describing your study topic of not more than 500 words but you MUST complete the sections above and answer all four questions.
Personal Statement: Tell us why you want to do a PhD. (300 words minimum)Research Training
In completing the following section, you might draw on experience gained at undergraduate and taught masters degree level, as well as on relevant work experience.
What training have you received in essential research skills such as project management, research methodology and monitoring/reflecting on research progress? If you have not received any training, give examples from your previous study or experience where you have developed these skills.What training have you received in academic writing and communication? If you have not received training, give examples from your previous study or experience where you have developed these skills.
How would you rate your ability to work independently? What role would you expect your supervisor to play in your research project?
What standards of conduct in research do you think are most important? Are there ethical issues in your project?
Referees
Give the name and address of two referees. At least one should be an academic referee.
Your proposed Supervisor may NOT be a referee.
First refereeSecond referee
Name / NameAffiliation / Affiliation
Address / Address
Telephone / Telephone
Email / Email
Funding
Who is expected to pay your tuition fees and maintenance? Please complete the details belowYourself / Family member / Employer / Sponsor / Other
Name:
Address:
If you are sponsored, please provide written evidence from your sponsor
Staff candidates cannot apply for Central Staff Development funding unless they have a firm written offer from their proposed School and their study has been approved by the DVC (Research)
Where did you hear about this course?
Teesside University website / I am a previous TU studentAgent: please specify……………………………………………. / PG Recruitment Event
Other:, please specify……………………………………………………………………………………………………………………………………………………….…………
Applicant Declaration
I certify that the statements made by me are correct and if accepted, I agree to conform to the rules and regulations of the University.
Signed………………..……………………………………………………………Date …………………………..
The University will process personal data relating to you or received from you for the purposes contained in its registration with or notification to the Data Protection Commissioner/Information Commissioner in accordance with the provisions of the Data Protection Act 1998. Your signature above signifies your consent to this processing of personal data relating to you or received from you. [If you return this form electronically, you must also put a signed copy in the post.]
The University welcomes comments on its courses from students’ parents and sponsors. However, the University’s contracts with its students do not confer benefits on third parties for the purposes of the Contracts (Rights of Third Parties) Act 1999.
Please send this form, when fully completed, to
, or
Graduate Research School (Admissions), Teesside University, Middlesbrough, TS1 3BA, UK
FORMS SUBMITTED IN WHICH SECTIONS HAVE NOT BEEN COMPLETED WILL BE REJECTED
Criminal Convictions
Do you have any criminal conviction, which will be unspent at the time of your admission to the University? You should not include any motoring offence for which the penalty was no greater than a fine and/or three penalty points. If you tick the ‘yes’ box, the University may ask you for further details. If you do not tick either box, your form will be returned for completion. / For University use onlyConfirmed
Yes / No
Please note that if you are convicted of a criminal offence while your application is being processed, you should notify the University immediately.
Disability
Do you have a disability?
/Yes
/No
If you answered ‘yes to the above question, please tick appropriate box to which your disability applies. This will enable us to ensure that you are provided with any necessary facilities
Tick / Disability / Disability descriptionAutistic disorder / You have a social/communication impairment such as Asperger's syndrome/other autistic spectrum disorder
Blind/partial sight / You are blind or have a serious visual impairment uncorrected by glasses
Deaf/partial hearing / You are deaf or have a serious hearing impairment
Long standing illness / You have a long standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsy
Mental health / You have a mental health condition, such as depression, schizophrenia or anxiety disorder
Learning difficulty / You have a specific learning difficulty such as dyslexia, dyspraxia or AD(H)D
Wheelchair/mobility / You have physical impairment or mobility issues, such as difficulty using your arms or using a wheelchair or crutches
Other disability / You have a disability, impairment or medical condition that is not listed above
Multiple disabilities / You have two or more impairments and/or disabling medical conditions
Not Known
Are you in receipt of Disabled Students’ Allowance?
/YES
/NO
Ethnic Origin
Please tick the appropriate box to which your Ethnic Origin applies.White / Asian or Asian British - Indian
Black - Caribbean / Asian or Asian British - Pakistani
Black - African / Asian or Asian British - Bangladeshi
Black - Other / Asian or Asian British - Chinese
Mixed - White and Black Caribbean / Asian or Asian British - Other
Mixed - White and Black African / Chinese
Mixed - White and Asian / Other ethnic background
Mixed - Other / Prefer not to say