Application Form - Research Preparation Master S Scheme

Application form for the Humanities & Social Sciences PhD Studentships & Bursaries

Before completing this form you must have applied for an MPhil/PhD place at the relevant department in the University of Exeter. For more information on how to apply please see: www.exeter.ac.uk/postgraduate/admissions/

1: Name Title First name(s) Last name

2: Department to which you have applied

3: University of Exeter student number. This is the nine digit number which you will find on any emails/letters received from our Admissions office once you have submitted your application to the University.

Student number:

4: Contact details CORRESPONDENCE ADDRESS ALTERNATIVE ADDRESS Valid to: From: To:

Address Address

Postcode Postcode

Country Country

Telephone: Telephone: Email Address: Email Address:

5: Higher Education Qualifications

Undergraduate Master’s degree PhD (if already started) degree Name of University and

Country (if not UK)

Mode of attendance Full-time Part-time Full-time Part-time Full-time Part-time (please indicate) Start End date Start End date Start End date Month and year in which date date date your programme started (mm/yy) (mm/yy) (mm/yy) (mm/yy) (mm/yy) (mm/yy) and finished (or will finish)

Qualification and title of award (e.g. BA Archaeology) Degree classification (where awarded)

6: Professional experience that is relevant to this application

Dates Full Employer/Organisation Status and responsibilities (month and year) or (including location) part- From To time?

7: Details of publications, prizes, conferences, presentations and any other information that are relevant to this application

9: Supervisor and programme details

Name of lead PhD supervisor

Are you applying for a FULL- Full-time Part-time TIME or PART-TIME award? Date on which your doctoral Duration of doctoral study will begin or, if already registration period in started, date on which it years began 10: Research Proposal: For prospective students this will be the same as the research proposal you have submitted as part of your University Application Form (please copy & paste).

Please give a brief title for your proposed programme of research:

Research Proposal:

12: Applicant's declaration I confirm that the information I have provided in this form is complete and accurate to the best of my knowledge at this date. Signature Date

Please send the completed form to Liz Hull at ([email protected]) no later than 13.00 GMT on Friday 12th March 2010.