Application Form - University of Liverpool

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					                               University of Liverpool

          Arts and Humanities Research Council Block Grant Partnership

                          Studentship Application Form
 Please read the accompanying Studentship Application Guidance carefully before
                             completing this form.


1. Studentship Applied for

      Master’s            PhD

2. Candidate’s Details

Name:
Application / Registration number:

Address:

Town:

Postcode:

Country:

Telephone:

Email address:

Nationality/Resident Status:


3. Project Details

Programme:

School:



Type of Award                   a. Full Award      b. Fees Only

Mode of Attendance              a. Full time       b. Part time



                                                                                  1
 Project title:



4. Research Proposal
   5.
For applicants for PhD studentships, please describe your proposed research (up to 1,500
words), referring to the guidance.

For applicants for MA studentships, please outline plans for your MA dissertation and future
research (up to 1,000 words).




5. Qualifications

  Year       Qualification                                  Awarding
                               Qualification Subject                         Level    Class
 awarded        type                                        institution




                             Please add more rows as necessary.




                                                                                               2
6. Relevant Experience


 Number of years:




 Description of relevant
 experience:




7. Supervisors

Please specify up to 3 prospective supervisors:




8. Supervisory Team

Please describe the experience and suitability of the supervisory team (to be completed by
prospective supervisors):




                                                                                             3
9. Collaboration with a non-academic partner

    Should this application be considered as incorporating a collaborative element?

If so, please give details:

 9a) Collaborating organisation /
 partner:



    Has a formal collaboration agreement been signed by all parties involved?

    Is this the main project partner?

9b) Description of work to be carried out with partner organisation - including the nature and
frequency of contact




10. Additional Applications

    Have you been nominated for or applied for any other studentships for this year?

If yes, please provide details:




11. Acknowledgement

I confirm that the information I have provided in this form is complete and accurate to the
best of my knowledge at this date. I fully understand that it is my responsibility to ensure that
the relevant forms are submitted in due time and that any missing information may render
my application incomplete and ineligible. I authorise the University of Liverpool to disclose to
the AHRC any information that is relevant to my application.

 Signature:

 Date:



Please submit the completed form (including section 8 completed by proposed supervisors)
to HSSPGR@liverpool.ac.uk by 12 noon, 18th February 2013 with copies of your academic
transcripts attached.

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