Postgraduate Workshop 2011/12 Application Form

Your Details Forename * Surname * Academic Year You Commenced Your PhD Study * Home University Home Department/School * Funding Source *

Select from the menu how you are funding our studies.

Postal Address *

Please include your post code.

Email Address * Contact Phone Number * Summary of Doctoral Project *

Please attach a brief summary (no more than 250 words) of your doctoral project.

Attachments must be submitted as either Microsoft Word or PDF documents.

Principal Supervisor Details Name & Title * Home University * Home Department/School * Postal Address *

Please include the relevant postal code.

Email Address Contact Phone Number * Supervisor Letter Support *

Please attached a brief (no greater than 200 words) letter of support form your Principal Supervisor, which outlines what he/she believes you will gain from attending the workshop.

Attachments must be submitted as either Microsoft Word for PDF documents.