Gradaute School Student Conference Fund Guidelines ...
Application Form 1. Personal DetailsTitle: FORMTEXT ?????First name: FORMTEXT ?????Family name: FORMTEXT ?????Department: FORMTEXT ?????Address (for correspondence): FORMTEXT ?????Email: FORMTEXT ?????Tel. no: FORMTEXT ?????Fee Status: FORMCHECKBOX UK/EU FORMCHECKBOX OverseasPlease state any Scholarships/Studentships held: FORMTEXT ?????Please provide a statement explaining why your funding body is not able to fund your proposed request: FORMTEXT ?????Please give details of your current research degree registration:CurrentDegreeSubjectDate ofRegistrationFull or Part-timeFull name of Principal Supervisor FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Please give the title / provisional title of your thesis: FORMTEXT ?????2. ProposalPlease state the reason for your funding request: FORMTEXT ?????Location (If applicable): FORMTEXT ?????Date from: FORMTEXT ?????To: FORMTEXT ?????Are you presenting a PAPER (if attending a conference)? FORMCHECKBOX Yes FORMCHECKBOX NoAre you presenting a POSTER? FORMCHECKBOX Yes FORMCHECKBOX No If Yes to either, please attach your abstract AND documentation outlining acceptance of paper / poster for presentation.Please state how your request is relevant to your research: FORMTEXT ?????3. Previous AwardsPlease list any previous awards received from the Faculty, Graduate School Fund or Department:Details of the award i.e. name of conference/ event/ training course_LocationAward Reference No.or date of applicationAmount received FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????4. Estimated Costs & Contributions Exchange Rate (if applicable - please use the currency converter):?1 = FORMTEXT ?????Travel: (please give details) FORMTEXT ?????? FORMTEXT ?????Total Travel:? FORMTEXT ?????Accommodation:No. of nights: FORMTEXT ????? Cost per night: FORMTEXT ????? Total Accommodation:? FORMTEXT ?????Conference or training course Fee: FORMTEXT ?????? FORMTEXT ?????Subsistence and/or other required funds: FORMTEXT ?????Total Subsistence/Other:? FORMTEXT ?????Total Estimated Expenses:? FORMTEXT ?????Assured contributions (if applicable)Amounts assured from other organisations (please give source and amount):Applicants are advised to apply to external bodies, where appropriate.? FORMTEXT ?????Personal contribution:? FORMTEXT ?????Total Assured Contributions:? FORMTEXT ?????Amount Requested:? FORMTEXT ????.00Contributions requested but not yet assured (if applicable): Organisation applied to:Date of decision: Amount requested: FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Signature of applicant:Date: FORMTEXT ?????5. Supervisor’s EndorsementSupporting Statement: Please provide a brief summary of the importance/relevance that this funding will have to your student FORMTEXT ?????Signature of Supervisor:Date: FORMTEXT ?????Please send completed application form including signatures and relevant quotes and costings to Daniella Harper daniella.harper@ucl.ac.uk office G18C, Ground Floor Drayton House.6. For completion by the Head of Department or equivalent onlyHead of Department’s Endorsement *Head of Department’s Signature (* May include the HoD’s appointed representative, eg the DGT):Date: FORMTEXT ?????Name (please print): FORMTEXT ?????Ext: FORMTEXT ????? ................
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