2013 DCU DANIEL O’HARE PHD SCHOLARSHIP SCHEME
APPLICATION FORM1
PLEASE READ THE ‘GUIDELINES FOR APPLICANTS’ BEFORE COMPLETING THIS FORM PLEASE TYPE YOUR ANSWERS DIRECTLY ONTO THE FORM
SECTION 1: BIOGRAPHICAL & APPLICATION INFORMATION
First name:
Surname:
Title: Mr Ms Other
Address:
Telephone:
Email:
If you are currently, or have previously been a DCU student, please give details of your student number:
Please specify how you heard about the Daniel O’Hare Scholarship Scheme – eg. DCU website, Twitter etc.
DCU Faculty to which you are applying (please tick one only):
Faculty of Science & Health
Faculty of Engineering & Computing
Faculty of Humanities & Social Sciences
DCU Business School
DCU priority theme to which your research contributes (please tick at least one):
1The information submitted on this form will be used for the sole purpose of evaluating the application for the 2013 DCU Daniel O’Hare PhD Scholarship scheme.
DCU Daniel O’Hare PhD Scholarship Application Form 2013 Page 2 of 8 Grand Challenges and Sustainability
Enterprise
Internationalisation
DCU Daniel O’Hare PhD Scholarship Application Form 2013 Page 3 of 8 SECTION 2: ACADEMIC RECORD (WEIGHTING = 50%)2
2.1 Details of your undergraduate studies
Award & main subject:
Institution:
Date started:
Date awarded3:
Grade & class of award:
Conferring body: Please include copies of results transcripts for all years of your undergraduate degree.
2.2 Details of your postgraduate studies, if applicable
Award & main subject:
Institution:
Date started:
Date awarded3:
Grade & class:
Conferring body:
If you have a second postgraduate qualification, please provide details below:
Award & main subject:
Institution:
Date started:
Date awarded3:
Grade & class:
Conferring body:
2 See Guidelines for Applicants for more information on completing this section on your ACADEMIC RECORD. 3 If the programme of study is ongoing please indicate the expected date of completion/conferring.
DCU Daniel O’Hare PhD Scholarship Application Form 2013 Page 4 of 8 Please include copies of results transcripts for all years of your postgraduate award(s).
2.3 Additional qualifications, if applicable Please provide details of any other degree / diploma / certificate / programme of study that you have completed or are currently undertaking not described above:
Award & main subject:
Institution:
Date started:
Date awarded3:
Grade & class:
Conferring body:
2.4 Relevant work experience
Please summarise any relevant work experience / occupational training undertaken (max 1 page)
2.5 Extracurricular / professional activities & accomplishments / specific motivations
Please give details of other relevant developmental / extracurricular achievements e.g. self- driven development, academic awards, scholarships, prizes, fellowships, specific motivations to undertake research, professional memberships etc. which may support your application (max 1 page)
DCU Daniel O’Hare PhD Scholarship Application Form 2013 Page 5 of 8 2.6 TWO academic references Please include an original signed reference letter from each of your referees – the letters should comment on your academic ability, your aptitude to undertake a research degree in your chosen area of research, and your suitability to be considered for the 2013 DCU Daniel O’Hare PhD Scholarship. Please provide details of your referees below:
REFEREE 1
Title & name:
Academic position:
Address:
Email:
Telephone:
Capacity in which you know them:
REFEREE 2
Title & name:
Academic position:
Address:
Email:
Telephone:
DCU Daniel O’Hare PhD Scholarship Application Form 2013 Page 6 of 8 Capacity in which you know them:
DCU Daniel O’Hare PhD Scholarship Application Form 2013 Page 7 of 8 SECTION 3: RESEARCH PROPOSAL (WEIGHTING = 40%)4
Proposed DCU Faculty:
Proposed DCU School:
Proposed DCU supervisor:
Co-supervisor, if applicable:
Title of proposed research:
Overview of proposed research project (approx. 1,500 words):
Part 1: Background
Part 2: Research Question
Part 3: Approach / Methodology
Part 4: Expected Impact
4 See Guidelines for Applicants for more guidance on completing your RESEARCH PROPOSAL section.
DCU Daniel O’Hare PhD Scholarship Application Form 2013 Page 8 of 8 SECTION 4: THEMATIC STATEMENT (WEIGHTING = 10%, THRESHOLD = 5/10) 5
In approx. 500 words, please explain how your proposed research is aligned with at least one of DCU’s priority themes: Grand Challenges and Sustainability, Enterprise, Internationalisation. Bibliographic information can be included in this section and will not be included in the word count.
5 See Guidelines for Applicants for more information on completing your THEMATIC STATEMENT.
DCU Daniel O’Hare PhD Scholarship Application Form 2013 Page 9 of 8 SECTION 5: STATEMENT FROM PROPOSED DCU SUPERVISOR
I endorse this student’s application and undertake to supervise the student in their proposed subject; in doing so I confirm that the necessary resources and facilities are in place for the proposed research project, and that the relevant Head of School has been notified.
Proposed DCU Supervisor signature:
Date:
SECTION 6: SIGNATURES
Please sign below to indicate that the information provided herein is true to the best of your knowledge.
Applicant signature:
Date:
Proposed DCU supervisor signature:
Print Name:
Date:
Proposed DCU Head of School:
Print Name:
Date:
DCU Daniel O’Hare PhD Scholarship Application Form 2013 Page 10 of 8 CHECKLIST:
Before you submit your application, please ensure that it is complete. DCU Graduate Studies Office cannot forward incomplete applications to the evaluation phase. You should ensure that your application is submitted as a single PDF file and includes the following:
Fully completed application form
Copies of academic transcripts of results for all years of your undergraduate and, where applicable, postgraduate degrees. If you are in the final year of your undergraduate degree and your results are pending, please indicate this above and indicate the expected date of release of results
Two signed academic reference letters, one from each of two independent referees. Academic transcripts and reference letters to be included at the end of the single PDF file
Signed statement from proposed DCU supervisor
Your signature, your proposed DCU supervisor’s signature, your proposed DCU Head of School signature
PLEASE SUBMIT YOUR FULL APPLICATION AS A SINGLE PDF FILE IN SOFT COPY BY EMAIL TO [email protected]
The file should be named: surname_firstname_OHare 2013.pdf
CLOSING DATE FOR RECEIPT OF APPLICATIONS IS 12 MIDDAY GMT ON THURSDAY 18th APRIL 2013
LATE APPLICATIONS WILL NOT BE ACCEPTED
DCU Daniel O’Hare PhD Scholarship Application Form 2013 Page 11 of 8