ors birs application form by 7439JqI3

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									                                                                                 ORS/BIRS 1


               ORSAS
           Overseas Research Student
                Award Scheme
                                                         Birkbeck International Research
                                                                   Studentship




     Application for an Award for Session
                   2009/10
Please note that this form is only for use at Birkbeck College, University of London. The
deadline for the 2009/10 competition will be 31 March 2009.

Before completing this form, please ensure you have read the accompanying
ORSAS/BIRS booklet ORS/BIRS 4 entitled ‘Guidelines for Students’. Please complete
this form in typescript and return it to:

The Head of Academic Services, Registry, Birkbeck College, Malet Street, London, WC1E 7HX

1. Personal details
Surname or family name                               …………………………………………….
Other names in full                                  …………………………………………….
2. Address
Full postal address at which you can be              …………………………………………......
reached from 1 May 2009
(This is the address to which your letter            ……………………………………………..
advising you whether you have been successful
will be posted)
                                                     ……………………………………………..

                                                     ……………………………………………..

                                                     ……………………………………………...

Email                                                ……………………………………………...
3. Were you already studying in the
United Kingdom when you made this                    □ Yes        □ No
application?

This section is for Office Use only.
(i) Date application received by Birkbeck registry
(ii) Has the applicant been conditionally or
unconditionally accepted?
(iii) Applicant’s proposed School
(iv) First reference received?
(v) Second reference received?

4. Research Course Proposed
(a) Topic or field of research proposed
                                                   ……………………………………………

                                                   ……………………………………………
(b) Type of postgraduate degree for
which you have been (conditionally)                ……………………………………………
accepted for full-time study (e.g MPhil,
PhD)                                               ……………………………………………
(c) Department, School or Faculty to
which you have applied                             ……………………………………………
(d) Start date
                                                   ……………………………………………
If you have been accepted conditionally,
please state the conditions you have to            ……………………………………………
fulfil for unconditional acceptance
                                                   ……………………………………………

(e) Give a brief description (not
exceeding one side of A4; font size 12, of (Please find attached overleaf one side of
your proposed research project:            A4 allowed for the research project –
                                           page 3).

5. Previous higher education
(a) Degrees or other qualifications held.
Please attach a transcript of your student
record if available – see paras 4.7 and
4.8 of ‘Guidelines for Students 2009’.

(a) Degrees or other qualifications held

University or    Subject(s)         No. of years   Type of   Class/grade of   Date of final
College          studied            studied        degree    degree           examination




(b) Qualifications for which you are currently studying:
University or    Subject(s) studied   No. of years      Type of degree   Date of final
College                               studied to date                    examination




Research Proposal:
6. Professional or other qualifications (where and when did you obtain them)




7. Particulars and date of any full-time employment (including any industrial
experience or training)
(a)Inside the United kingdom:




(b)Outside the United Kingdom:




8. Other relevant information (please include details of any particulars)
9. Have you applied for an ORS award through any other institution?




10. References (Only two references may be submitted)
Give names, titles and full addresses of TWO referees who are most familiar with
your academic work and are prepared to write about your academic ability and
research potential. The first referee should be a teacher who has direct knowledge of
your first/undergraduate degree work or a referee with knowledge of your
postgraduate studies. The second referee should be the supervisor/head or senior
member of the department, School or Faculty where you will be undertaking your
research. The references should be obtained by the applicant and returned directly to
Birkbeck Registry.

First Referee                               Second Referee
Name:                                       Name;
Address:                                    Address:
Email:                                      Email:
Position:                                   Position:

11. Signature of Applicant

I sign below to confirm that I have read, understood and agree to comply with the
ORSAS/BIRS regulations and conditions of offer as set out in the ORSAS/BIRS
booklet ORSAS/BIRS 4 entitled ‘Guidelines for Students 2009’

Please note that unsigned, undated applications will not be accepted


Signature

…………………………………………………………………………………

Date

…………………………………………………………………………………

								
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